Your patient, an elderly woman who rarely has visitors, has put on her call light so that she might introduce you to her daughter. After introductions, the patient indicates that her daughter visits whenever possible, as she is frequently traveling. Out of the patient’s hearing, the daughter indicates that she intends on meeting with your director of nursing to discuss her mother’s care. During the meeting, she indicates that her mother is the most important thing in her life, then begins to describe her extensive recreational travel and multiple profitable real estate holdings. She is quite critical of her mother’s care and outlines a long list of nursing care that she expects to be performed by your staff, frequently emphasizing that she expects all expenses to be covered by her mother’s Medicare insurance. At the end of the meeting, she leaves her housekeeper’s phone number for staff to contact if there are questions regarding her mother’s care. As the elderly woman’s nurse, what ethical issues should be addressed in this situation and how should they be addressed?

Your patient, an elderly woman who rarely has visitors, has put on her call light so that she might introduce you to her daughter. After introductions, the patient indicates that her daughter visits whenever possible, as she is frequently traveling. Out of the patient’s hearing, the daughter indicates that she intends on meeting with your director of nursing to discuss her mother’s care. During the meeting, she indicates that her mother is the most important thing in her life, then begins to describe her extensive recreational travel and multiple profitable real estate holdings. She is quite critical of her mother’s care and outlines a long list of nursing care that she expects to be performed by your staff, frequently emphasizing that she expects all expenses to be covered by her mother’s Medicare insurance. At the end of the meeting, she leaves her housekeeper’s phone number for staff to contact if there are questions regarding her mother’s care.

As the elderly woman’s nurse, what ethical issues should be addressed in this situation and how should they be addressed?