Published on: August 19, 2024
- 1. What approach might the nurse take to assist in resolving the conflict between Mrs. Lieberman and her daughter?
2. What actions by the nurse help ensure that clients participate in the decision-making process about their care?
3. Discuss Mrs. Lieberman's right to accept, refuse, or modify the plan of care.
4. What is considered informed consent and how is obtained?
5. Reflect on the how your approach regarding client rights might be altered if Mrs. Lieberman lacked sufficient mental competence to make sound decisions?
a. What types of patient and family teaching needs to be provided to understand the principles associated with informed consent, refusal of treatment, and advance directives?
b. How would your interactions make the patient, and their family members feel?
c. How would therapeutic communication play a role in this interaction?
Evaluation
Activity:
� Individual student response to video challenge question
Criteria:
� Response submitted in Video Case Study.
� Time spent in Video Case Study.
� Post detailed, well organized, thoughtful responses to questions."
1. Approach to Resolving Conflict Between Mrs. Lieberman and Her Daughter:Approach to Resolving Conflict Between Mrs. Lieberman and Her Daughter:
To resolve the conflict, the nurse should employ the patient’s view of the situation as well as the nurse’s view of the situation. This could involve:
Active Listening: Spend time with both Mrs. Lieberman and her daughter having the conversation where both of them has a chance to voice their opinion without interjection.
Empathy and Validation: Recognise the feelings at play, for example, of Mrs. Lieberman wanting to regain a certain level of control and her daughter wanting to protect her.
Facilitation of Open Dialogue: Engage both parties to offer each other the respect they seek and make each of them appreciate the feelings of the other. The nurse might invite each of the individuals to state his or her goal, and then find substantiality in it.
Mediation: The nurse may sit between them and facilitate this decision making and make sure that Mrs. Lieberman’s self-determination is respected as well as perceived risks from Leslie are understood.
2. Ensuring Clients Participate in the Decision-Making Process:Ensuring Clients Participate in the Decision-Making Process:
Providing Comprehensive Information: Some important aspects that the nurse should support concerning clients include providing them with actual and suitable information regarding their state and therapeutic strategies as well as foresee potential dangers, advantages, and other possibilities.
Respecting Autonomy: Help clients to speak, inquire, and choose according to the values and assumptions that would be helpful for each one of them.
Shared Decision-Making: The client and the family members should be involved in coming up with care plan that suits the clients need.
Advocacy: Always respect clients’ decisions be it for their care and ensure that all that is planned on their behalf is done.
3. Mrs. Lieberman’s Right to Accept, Refuse, or Modify the Plan of Care:Mrs. Lieberman’s Right to Accept, Refuse, or Modify the Plan of Care:
Self-determination: Mrs. Lieberman has the privilege of decision making over her care, choices to accept, or reject, changes in the treatments. Therefore, the clients’ decisions must be honored no matter how irrational they may seem, so long as the lady in question has the capacity to make those decisions.
4. Informed Consent:
Informed consent is a legal and ethical requirement when client is educated about the kind of treatment or procedure in terms of advantages and disadvantages, risks and benefits, and other available choices. It involves:
Explanation: It is usual that the provider has to give the patient information on the procedure and its advantages and/or drawbacks.
Competence: The client has to be rational, that is, should be able to comprehend the information provided to him and take an informed decision.
Voluntariness: The client should come to a conclusion on his/her own, though being guided by the necessary information.
Obtaining Consent: Consent is normally documented in writing where the client affirms to the consent through an autograph to the signature that the client understood and agreed to be subjected to the treatment.
5. Approach if Mrs. Lieberman Lacks Mental Competence:Approach if Mrs. Lieberman Lacks Mental Competence:
If Mrs Lieberman was mentally incompetent then the management reverts to the legally nominated proxy such as a health-care durable power of attorney or an heir. The nurse would:
Determine Legal Authority: Clarify who is legally able to take decisions.
Provide Clear Information: Make sure the surrogate has all the information about Mrs. Lieberman’s condition, choices, and prognosis.
Respect Pre-existing Wishes: If the client has an advance directive it must be the basis for the decision making.
a. Patient and Family Teaching Needs:a. Patient and Family Teaching Needs:
Informed Consent: Explain the good of realizing that there are procedures to follow before agreeing to anything and that everyone is entitled to ask questions.
Refusal of Treatment: Inform clients that they have the freedom of decision making insomuch that they have the freedom to turn down the doctors advice.
Advance Directives: Inform the public about the importance of the living wills and the appointment of the durable power of attorney in case of their disability.
b. Impact on Patient and Family:b. Impact on Patient and Family:
The patient and family members would end up feeling empowered as well as being respected if the nurse were to ensure that adequate communication, honesty, as well as stressing on the rights of the patient was made at this point. When one respects the other, it paves way for trust and make them feel that they are included.
c. Role of Therapeutic Communication:c. Role of Therapeutic Communication:
Therapeutic communication is a way of communicating in which there is understanding, the use of probing and nodding and avoiding criticism. Making the communication with the family members empathetic and trusting, the nurse can help them to make appropriate and sensitive decision. Reflecting feelings, acknowledging concerns, and giving clear, much of the time data are a portion of those methods.
Evaluation Criteria:
For a comprehensive response:
In the perfect style, make specific and orderly answers in video case studies.
Exercise critical thinking when it comes to ethical and legal issues which are complicated.
Show how to embrace therapeutic communication and the use of time.
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