Madeleine Robinson is a 62-year-old Ojibwe woman with gangrene of…
Madeleine Robinson is a 62-year-old Ojibwe woman with gangrene of her right foot related to diabetes. She is scheduled for a below-knee surgical amputation in two days’ time. Walking into her room for the first time, you find the senior nurse on your team trying to shoo some of the visitors out of the room. “Oh for heaven’s sake – we can’t have this many people in a room. Only two at a time!” One of the visitors steps forward and tells the nurse-in-charge: Visitor: “We would like to have a smudging ceremony before our Elder goes to surgery.” Nurse-in-charge: “A what?” Visitor: “A smudging ceremony – it is important healing. We burn a mixture of sage, sweetgrass, cedar and tobacco.” Nurse-in-charge: “Burn?! We can’t have fires in here. And any kind of tobacco smoking is prohibited.” The visitor starts to explain, but the nurse-in-charge walks out of the room, rolling her eyes at you and muttering as she goes. “She needs antibiotics, rest and insulin. That’s what she needs. Not bonfires and tobacco.” You have never heard of “smudging” before and stand there silently, a bit intimidated by your senior nurse’s glare. With tears in her eyes the visitor turns to you and says “Can you help us please? She is our Elder.”
It is an ethical assignment in nursing
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