Regardlessof the position that one occupies in the field of healthcare, thereare rewards and challenges in almost equal measure. However, asnurses, we are ever in contact with patients nearly 100% of the timein the workstation. The procedures and the treatment programs exposeus not only merits but also demerits. In every situation, we mustconsider the individual input of the patients and their concerns.Each decision made in the field should be in line with the four coreprinciples that govern the health care system. The four principlesare very instrumental when one is faced with complicated situationslike the case study.
Insuch scenario, my decision will side with the wishes of the patient.I would allow him to see his mistress one more time. I will tell Mrs.Newcomb to stay away with a claim that her husband would be busy.
Ibelieve that the move will be in line with the principle of autonomy.The law vests the patient with the powers to make certain decisions(Lehnbom, 2016). As a nurse, I can only suggest or offer advice butnot persuade or coerce individuals into making personal decisions.Doing so will be violation this principle. Therefore, Mr. Newcomb hasmade a personal decision to see his mistress before he dies. Thedecision is independent as per his values, and I will act as per hiswishes. The principle of beneficence still agrees with the move. Thelaw, in fact, asserts that as a nurse, I should do anything possiblefor the benefit of the patient in all circumstances. Therefore,since allowing the mistress in and barring the wife closer the roomwill be for the sake of the patient then I would have met the demandsof the principle.
Theno maleficence principle is against doing harm to the patient(Lehnbom, 2016). Harm in this context means anything that is likelyto worsen the patient’s condition. Harm, in this case, can onlyarise due to violating the autonomy of the patient. It is,therefore, necessary to respect the decision of the client. Lastly,it would be just to let the mistress in to see Mr. Newcomb. Fairnessand equal distribution in this context demand that the mistressshould also have an opportunity to see Mr. Newcomb.
Ibelieve in respecting the wishes of a person, especially those in acritical condition like in the scenario. It is only through this thatthey will be able to be at peace. My ethical beliefs always compel meto do good to others the same way I would like it done to me. I wouldhave requested the nurse to do the same if I was in the samecondition.
Severalstrategies can be employed to promote self-care. The first move is toestablish a shared agenda. This step is often overlooked. Forinstance, a doctor may have vital information about what is supposedto be done but fail to pass the same to the patient. Besides, thepatient may also be having some concerns but is not free to tell thephysician. When the agenda is set, the topics can be put down at thebeginning of the session. Another strategy is ask-tell-ask. Thepatient is asked what he knows the told what he should be aware andfinally requested to confirm his understanding. The last approach isto analyze the readiness of the person to change.
Lehnbom,E. (2016). Positive beliefs and privacy concerns shape the future forthe Personally Controlled Electronic Health Record. InternalMedicine Journal,46(1),108-111.