Martha is a 75-year old woman who has terminal cancer of the bladder. During the course of her therapy, she sustains third degree radiation burns to her lower abdomen and pelvic area. Her wounds are extensive and deep involving her abdominal wall, bladder and vagina. The doctor orders frequent medicinal douches and wound irrigation. These treatments are very painful and the patient wants the treatment discontinued but is too timid to actually refuse them. The doctor will not change the order. 1. Discuss the situation in terms of beneficence and non- maleficence 2 How does this patient express her autonomy? 3. What is the nurse's responsibility in assisting the patient to maintain autonomy? 4. How does the nurse deal with conflicting loyalties and principle?

Martha is a 75-year old woman who has terminal cancer of the bladder. During the course of her therapy, she sustains third degree radiation burns to her lower abdomen and pelvic area. Her wounds are extensive and deep involving her abdominal wall, bladder and vagina. The doctor orders frequent medicinal douches and wound irrigation. These treatments are very painful and the patient wants the treatment discontinued but is too timid to actually refuse them. The doctor will not change the order. 1. Discuss the situation in terms of beneficence and non- maleficence 2 How does this patient express her autonomy? 3. What is the nurse's responsibility in assisting the patient to maintain autonomy? 4. How does the nurse deal with conflicting loyalties and principle?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter22: The Patient History And Documentation

Section: Chapter Questions

Problem 2CR

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