Ms. Brown comes into the emergency division to safe remedy for a head damage, plus minor bruises and abrasions she reportedly acquired throughout an assault that occurred about 20 hours in the past. Ms. Brown is 34 years outdated and accompanied by her boyfriend, Roy. She signifies they had been sleeping in a protected entrance to an elevator within the metropolis parking storage when two younger males started beating and kicking them. The 2 males took Ms. Brown’s purse, a sack of meals she and Roy had amassed, and Roy’s pockets which contained $5.00.
Ms. Brown signifies she has been homeless for greater than a 12 months. She often stays in metropolis shelters however spends most of her time roaming the town and strolling to acquire meals on the numerous packages that feed the poor. She is tall and skinny, with quite a lot of pores and skin lesions. She got here to the hospital attributable to dizziness that prevented her from strolling to the church, the place she may eat. She and Roy often work odd jobs however use the majority of their revenue to help Roy’s drug behavior. She is attempting to get Roy to give up utilizing.
The nurse practitioner (NP) cleans Ms. Brown’s scalp and tapes the traumatic lesion. A contusion is suspected, and the NP suggests Ms. Brown rests for just a few days and goes to the neurological clinic if the dizziness worsens. Ms. Brown factors out that she has no place to relaxation and can’t get to the clinic with out public transportation. The NP realizes this however signifies it’s past her management. As a result of the contusion shouldn’t be definitively recognized, the NP should discharge Ms. Brown with follow-up orders to hunt Help if issues worsen.
Utilizing the Resolution Guidelines with the mnemonic ETHICAL, contemplate the next questions:
E—Study what different information are wanted to make knowledgeable decisions.
T—Take into consideration who needs to be concerned within the decision-making course of and who ought to make the final word resolution. Ought to Roy be concerned? What businesses can be found in your group to help Ms. Brown?
H—Humanize Mirror on all of the potential choices with ensuing penalties and humanize them by developing a call tree.
I—Incorporate the moral ideas (autonomy, beneficence, nonmaleficence, veracity, confidentiality, constancy, and justice) when applicable. Are there any authorized statutes that apply? What requirements of care needs to be included
C—Select an choice.
A—Act in your moral selection.
L—Look again and consider your choice to see if you could make some other decisions. This additionally might be a information for the following time an analogous scenario arises.
Peer Responses/Participation [Due Sunday]
Make certain to reply to not less than two of your fellow classmates postings as effectively and problem one another to transcend simply the floor.
Share your ideas on the way you help their concepts and clarify why.
Current new references that help your opinions.
