two months after his discharge, Martin is readmitted to hospital with pneumonia. In a conversation with his family one month ago, Martin voiced his choice that should if his condition dete
two months after his discharge, Martin is readmitted to hospital with pneumonia. In a conversation with his family one month ago, Martin voiced his choice that should if his condition deteriorated no more active resuscitation procedures should be carried out on him as he cannot bear the suffering any longer. His family was in agreement with him as they were also deeply affected by his suffering. Despite his physical disabilities, the nurses described Martin as a “lovely patient to care for “. Martin, being aware o f his rights as a patient, voiced his choice o f not being actively resuscitated to the health care team.
Martin, a 58 year-old lawyer who an atheist, is admitted to hospital with multiple musculo-skeletal and head injuries after a motor -vehicle accident. After stabilization in the resuscitation room, he is rushed to the operating theatre to drain a subdural hemorrhage and to reduce his fractures. Due to the extent o f his injuries, Martin is admitted post-operatively to the critical care unit. Three days after admission to the unit, Martin regains consciousness and the doctors are able to assess the true extent of his injuries. It has been established that Martin is a known leukaemicsufferer who is currently in remission. He also has diabetes mellitus that is well controlled. As a result of his injuries, he has become a quadriplegic. Despite two occasions of being actively resuscitated in the critical care unit, Martin ‘s cognition remained intact. After four weeks in hospital, Martin is miraculously discharged and send home to the care o f his family members as his primary care givers.
From this story, it is evident that a moral dilemma has occurred. The dilemma involves the moral right o f the patient to refuse treatment on the one hand and the nursing team ‘s duty to care on the other hand. For both nurse and patient, the situation results in intense moral conflict, as it seems that a situation with equally right outcomes has arisen. The nurse has a moral duty to promote Martin’s well-being or health. To do so, professionally, nurses are expected to balance their -expert profession a l knowledge and understanding with the preference o f their patients. In terms of their professional expectations, nurses ought to work collaboratively with patients, thus in forming, guiding , advising and helping them to make appropriate and responsible choices about their health.
Factors that influence a person’s health status, such as beliefs, cultural background and social circumstances must be taken into consideration. The nurse has to take into consideration the means by which the patient made decisions on the one hand, and ensure that he/she complies with the legal-ethical framework of his/her practice and own convictions on the other hand. In terms of their Professional Code of Conduct and regulations (Muller, 2001:3-8) guiding their practice and in forming their decisions, nurses are professionally bound to do good by promoting the health o f their patients. After all, they have pledged not only to uphold the legal-ethical and moral traditions o f the profession, but also not to discriminate on the basis o f race, color, conviction or religion. Nurses have committed themselves to act virtuously. In Martin’s situation , nurses are required to demonstrate virtues of honesty, caring, trustworthiness and respect.
Write ur insights about “Martin’s Story” one to three paragraphs; four o five sentences for each paragraph
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