professional ethics

Instructions

For this case study, answer the following questions based on your personal code of conduct. You will present your responses in a video presentation with an attached transcript.  

Case Study

Mr. Tate, a 59-year-old patient with end-stage renal disease is well-known to the nursing staff of the dialysis clinic. Mr. Tate is hypertensive and overweight with a history of alcoholism. He often does not take his medications as ordered and almost never adheres to his prescribed diet. When Mr. Tate comes to the clinic, he often has excessive edema and is hypertensive. He admits to eating his favorite foods: hot dogs and potato chips. It is also not unusual for the staff to smell alcohol on Mr. Tate’s breath. He even admits to drinking an occasional beer with his hot dogs and chips. Although Mr. Tate listens politely to their concerns about his lack of adherence to diet and medications, he continues to be non-adherent. Many of the nurses begin to wonder and discuss to what extent they are obligated as nurses to spend time on patient education when the patient takes no responsibility for his own health. They also question whether or not the benefit of expensive medications and treatments for Mr. Tate outweigh the cost.

Questions

1. What are the nurse’s professional responsibilities to Mr. Tate?
2. Is there a limit to the amount of health care Mr. Tate should receive?
   a. If so, upon what should this be based?
   b. If not, why not?
3. Is there a limit to the amount of public funding that Mr. Tate should receive in order to support his care?
   a. If so, upon what should this be based?
   b. If not, why not?
4. What are society’s health care obligations to Mr. Tate?
5. With whom could the nurse discuss ethical concerns regarding Mr. Tate?
6. What are the nurse’s responsibilities in regard to respecting Mr. Tate’s autonomy and right to self-determination?
7. Would it be good nursing practice to simply stop trying to get Mr. Tate to comply with his treatment plan?
8. Would any of this matter is Mr. Tate paid cash out of his own pocket for all of his treatments?
9. How much of this scenario can be attributed to culture or a possible cultural disconnect between Mr. Tate and the staff?

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