
Concept explainers
To describe:
The below-mentioned case in terms of the ethical principles that it raises on referring the nursing code of ethics to compose your response.
Case summary:
A 17-year-old female patient with sickle cell disease was admitted for the treatment of sickle cell crisis. This sickle cell crisis could cause extreme pain due to the clumping of red blood cells which in turn impede the blood flow thereby causing extreme pain. The patient needs comfort management and aggressive fluids. The patient continues to report about the pain even though on receiving pain medications. She is apart from her friends and family members and she also complains about the surrounding environment including the treatment procedures. The shift report states that the patient is manipulative. The dose of pain medication is not increased on concerns about the risk of addiction.

Explanation of Solution
The basic principles of health care in nursing practices include beneficence, nonmaleficence, autonomy, fidelity and justice.
In terms of ethical principles, this case could be responded in terms of justice, beneficence, nonmaleficence, fidelity, and justice. All these ethical principles should be applied in treating this patient.
Justice: The patient should be ensured with the care for her condition.
Beneficence: It is the main fundamental principle in medicine and nursing practices. The term beneficence refers to taking positive and appropriate actions for the well-being of this patient.
Nonmaleficence: This term refers to the avoidance of harm or hurt. In this case, the patient is provided with comfort management and aggressive fluids in order to avoid the occurrence of stroke and also to avoid the pain.
Fidelity: This term implies the agreement of ensuring access the care in this patient even though her reports stating that she is manipulative.
The above-mentioned case is described in terms of ethical principles. This case is described in the principle of beneficence, justice, nonmaleficence, and fidelity.
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Chapter 22 Solutions
Fundamentals of Nursing, 9e
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