The nurse's first priority is to Marie's wishes as long as she is competent to make decisions about her own care. Marie's condition is terminal. She should be allowed to receive comfort. The nurse could wait for the effects of the medication to wear off and speak with Marie about her cultural beliefs. I feel that even those who belong to a certain religion or culture, it is sometimes hard to agree with all teachings of that way of living. Even though Jean and Marie have the same cultural background, Marie may not agree with all aspects of her upbringing. She should still have the right to decide on her own care.
The nurse is primary concern is for the care of Maria. Next would come her wishes followed by that of her family. Since Maria has expressed the desire to use medication for pain during her terminal illness that should be addressed first. If Maria wants the meds for pain and is competent to tell the nurse that, her brother Jean should respect his sisters wishes. Maybe by lessening the dose of the medications could let Jean see that Maria is indeed the one requesting the medications. This will inturn respect the wishes of the patient and well as the cultural beliefs of the family.
Maria was competent when she requested for pain medication and in agreement with Lisa. Respect for religion and culture is important but the patient should be informed of decisions that they may like to make prior to becoming incompetent and assign a person responsible to see that their wishes of care is followed. Jean may not be the proxy responsible to make decisions. Assumptions of wishes due to culture and religious beliefs is guessing and when pain is involved people can think differently and throw both of it out the window.
First and foremost the nurse should honor the patients request. Just because a fmaily member comes in and demands a different course of care doesn't mean that it should be taken. if the lady is going to be in terrible pain then she should not have to suffer just because of her culture.
The nurse's first priority is to Marie's wishes as long as she is competent to make decisions about her own care. Marie's condition is terminal. She should be allowed to receive comfort. The nurse could wait for the effects of the medication to wear off and speak with Marie about her cultural beliefs. I feel that even those who belong to a certain religion or culture, it is sometimes hard to agree with all teachings of that way of living. Even though Jean and Marie have the same cultural background, Marie may not agree with all aspects of her upbringing. She should still have the right to decide on her own care.
ReplyDeleteThe nurse is primary concern is for the care of Maria. Next would come her wishes followed by that of her family. Since Maria has expressed the desire to use medication for pain during her terminal illness that should be addressed first. If Maria wants the meds for pain and is competent to tell the nurse that, her brother Jean should respect his sisters wishes. Maybe by lessening the dose of the medications could let Jean see that Maria is indeed the one requesting the medications. This will inturn respect the wishes of the patient and well as the cultural beliefs of the family.
ReplyDeleteIt is Maria's care that the nurse should be concerned with. I am sure Maria knew her families beliefs and made her own decision without them.
ReplyDeleteIf an adult makes a competent decision they made it with whatever beliefs they have taken into consideration for their decision.
Maybe Jean's religion's beliefs are not Marie's, he's not the one dying of lung cancer.
Maria was competent when she requested for pain medication and in agreement with Lisa. Respect for religion and culture is important but the patient should be informed of decisions that they may like to make prior to becoming incompetent and assign a person responsible to see that their wishes of care is followed. Jean may not be the proxy responsible to make decisions. Assumptions of wishes due to culture and religious beliefs is guessing and when pain is involved people can think differently and throw both of it out the window.
ReplyDeleteFirst and foremost the nurse should honor the patients request. Just because a fmaily member comes in and demands a different course of care doesn't mean that it should be taken. if the lady is going to be in terrible pain then she should not have to suffer just because of her culture.
ReplyDelete