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Case analysis: jenny Essay

Case analysis: jenny

            Pauline should try to convince the patient Jenny, to receive the cannula in order for her to receive rehydration.  Pauline should also explain that the cannula that will be inserted into her arm will only provide hydration solutions that will make her feel better as she is already diagnosed with pneumonia, coupled with dehydration.

1.  Both the patient Jenny, and the attending nurse practitioner, will be affected by the decision.  In the case that a decision is made of not having a cannula connected, then it is most likely that Jenny will further deteriorate in her condition of dehydration.  In addition, her pneumonia may progress further and result in a more severe physical condition.  At the same time, it is the nurse practitioner’s responsibility that the appropriate treatment is given to the patient and thus if the decision is made that a cannula will not be inserted, then the deterioration of the patient’s condition will also reflect on the nurse practitioner’s competence in providing healthcare.

2a.  The patient, Jenny, has a right to make a decision in terms of what procedures will be performed on her (Balfour, 2009).  However, this right is only applicable when the patient is fully

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competent to make a decision.  Based on the description of the case, Jenny is confused and thus may not be fully aware of the entire situation she is in.  In addition, her previous history of being an alcoholic may have affected her way of thinking and thus she may not be able to make a sound decision on her behalf.

2b.  According to the nurses’ code of ethics, it is the nurses responsibility to protect a patient’s health.  In this case scenario, the nurse practitioner is aware of the patient’s condition and thus she should try her best to let the patient understand that the condition can result in further deterioration of the patient.

3.  Sensitivity towards the request of the patient to be left alone and not be connected to a cannula is an example of a patient’s right to choose which procedure should be performed.  It is important that a nurse be sensitive to such requests and rights.  On the other hand, a nurse should also be sensitive to his commitment to provide healthcare services to a patient, as well as protect his health condition.  A nurse is also committed to do no harm to a patient and thus if a nurse is not able to provide rehydration treatment to the patient, then he will violate his oath of providing good healthcare to patients.

4.      The nurse should respond by calmly and patiently explaining to the patient that the cannula is intended to provide rehydration treatment to the patient and that there are no other illegal or unlawful drugs or solutions that will be administered through this method.  The nurse should also explain that if the cannula is not inserted into the patient’s arm, the patient has a great chance of deteriorating and eventually may result in her death.  If this occurs, then the patient may ultimately lose her children.  It is thus important that the patient understands what she is suffering from and what procedures need to be performed in order to make her feel better.  When the nurse has validated that the patient fully understands her condition and still does not allow the cannula insertion, then the nurse has to ask the patient to sign a form that validates the patient’s decision of not receiving such treatment.

Reference

Balfour, D.  (2009).  Frequent questions on informed consent.  OR Manager, 25, 23-25.

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