One branch of philosophy, ethics, focuses upon the principles that govern human behavior. The study of ethics is concerned with the determination of what is good and wrong, right or wrong, just or unfair. The set of ethical principles used to guide healthcare professionals’ conduct is called ethics. Nursing ethics is the code of conduct that guides nurses as they practice their profession. Nursing professionals have the responsibility to maintain high standards of ethical conduct in order to provide excellent care to their patients.
This case involves a 64 year-old man with diabetes and a history of hypertension who was admitted with blood sugar levels of 480 mg/dL. After being initially put on an insulin sliding-scale regimen, the patient was then switched to a basalbolus regimen. But the patient refused to use insulin and requested to be discharged.
This case presents a dilemma for the nurse. It is the nurse’s duty to make sure that the patient gets proper medical treatment. However, the nurse also has to respect the patient’s autonomy and right to make decisions about his own healthcare. In this situation, the nurse must balance the patient’s autonomy with the duty to provide appropriate care.
Discuss the benefits and risks of insulin therapy with your patient. Also, address any concerns or fears you have about this treatment. The nurse should also involve the patient’s family in the decision-making process and seek their support in persuading the patient to accept the treatment. The nurse must document any refusals in the medical records and notify the healthcare team if the patient continues to refuse insulin.
The second case report shows that the patient with hyperglycemia is readmitted back to hospital and begins insulin therapy again. Patient complains that he feels weak and dizzy, and refuses insulin therapy. The nurse is concerned about the patient’s condition and contacts the healthcare provider for further instructions.
In this situation, the nurse has a duty to advocate for the patient’s best interests and ensure that he receives appropriate medical care. The nurse should document the patient’s symptoms and inform the healthcare provider of the patient’s refusal to take his insulin. The nurse should also request further assessments and tests to determine the cause of the patient’s symptoms.
If the healthcare provider orders the nurse to administer the insulin despite the patient’s refusal, the nurse should inform the patient of the order and explain the risks and benefits of the treatment. The nurse should also seek the patient’s cooperation and explain the importance of taking the insulin to improve his condition.
The third case part shows the patient being readmitted back to hospital. He is now receiving insulin therapy. Initially, the patient agrees that he will take insulin. However, he later decides not to. The healthcare provider orders the nurse to administer the insulin despite the patient’s refusal.
This situation places the nurse in conflict with her ethical values. The nurse has a duty to respect the patient’s autonomy and right to make decisions about his own healthcare. But, the nurse has to make sure that the patient gets the right medical treatment.
The nurse should attempt to persuade the patient to take the insulin by discussing the risks and benefits of the treatment and addressing the patient’s concerns and fears. The nurse should also involve the patient’s family in the decision-making process and seek their support in persuading the patient to accept the treatment.
If the patient still refuses to take the insulin, the nurse should inform the healthcare provider of the patient’s decision and document the refusal in the medical record. Also, the nurse should inform the patient regarding the consequences of refusing treatment. The nurse should seek cooperation from the patient in seeking alternative options or solutions.