Question

CHAPTER 24 Professional Ethics 327 es BOX 24-1 "Do You Think My Doctor Is Doing the Right Thing?" others. benefit the Mrs. Brown, a 27-year-old patient of Dr. Smith, looks apprehensive as you begin your radiologic procedure. Mrs. Brown found a lump in her breast and is worried about the possibility of having to undergo a mastectomy. Your mammographic examination reveals that Mrs. Brown probably has a small fibroid cyst. Mrs. Brown confides to you that Dr. Smith has mentioned the possibility of surgery. You are also aware that, given a choice, Dr. Smith nearly always operates. As you conclude your procedure, Mrs. Brown asks you whether surgery is indicated, adding, "Do you think my doctor is doing the right thing?" perform or the patient he ons. The done to e truth is enants ul. air m are illustrate the types of problems associated with these ethical issues. Case 1: Maintaining Patient Faithfulness. Radiologic technologists are often confronted by situations that test their ability to deal with sensitive patient care informa- tion. In many instances, the duty to respect the patient's confidences is compromised by pressures from authority figures or other persons who may not share the radio- n, and virtues) of its logic technologist's value system (Box 24-1) ues in Identifying the Problem. In this case, Mrs. Brown tunity is seeking information that you may or may not be at ved in liberty to provide. On one hand, as a health care profes- con sional you sense a duty to provide Mrs. Brown with all clude the information available to you at this point about her com- condition. On the other hand, you feel professional RRT loyalty toward Dr. Smith and all the other health profes- Developing Alternative Solutions. You might re- d." spond to Mrs. Brown's question truthfully by revealing your understanding of her medical condition and your concerns about Dr. Smith's tendency to use surgery as a ally, vou might refer sionals involved with Mrs. Brown's case. ging to primary treatment. Alternatively, you might try to avoid

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Answer 1

See what...in cases like these..you have firstly you have to do your procedure and after that as a nurse you don't have the authority to do surgery or you can say that you don't have independence to make a dicision of surgery or any surgical procedure, but as a nurse you can clearify the results of test to patient and you have to be very clear and specific in that,you have to inform patient as it is,and after that you should put some advice or you have to do counseling of patient regarding surgical procedure it's benefits and also about its complecations,and you have to provide proper psychological support to patient and advice him or her to discuss this with family members and make a decision according to their suggestions , because in this case,she is an old lady so she will be more dependent on her family so that's why decision should be make with family involvement,and after that you have to also educate her regarding necessity of surgery with proper explanation,but as a nurse you don't have to be diplomatic in your statement,your statement alwyal have to be clear cut and should be based on scientific facts...so that's all....thank you