A 56-year-old client was diagnosed with aggressive bone cancer that required a below the knee amputation of the left leg 14 months ago. The client received recommended chemotherapy and radiation, but it was found recently that the cancer has metastasized to the chest and skull. There is lymph node involvement with a primary tumor partially obstructing the right kidney. The client was readmitted 4 days ago for removal of the remaining portion of the left leg and was told that there is no appropriate surgical or medical intervention that would be beneficial at this point in the disease process. The interdisciplinary health care team has recommended palliative care upon discharge since the client’s life expectancy is between 3 and 5 months. The client has developed a mutually respectful relationship with a nurse on the unit who has provided care throughout all previous hospitalizations. The client shares with the licensed practical nurse (LPN) that, “I have pills saved up and I’m going to commit suicide as soon as I get discharged. It’s my decision to make and I’ m trusting you not to tell anyone.” What ethical principles are in conflict creating an ethical dilemma for this nurse? (Select all that apply.) Include your rationales for choosing the answers. Autonomy Veracity Paternalism Confidentiality Fidelity Non-maleficence Beneficence Justice
A 56-year-old client was diagnosed with aggressive bone cancer that required a below the knee amputation of the left leg 14 months ago. The client received recommended chemotherapy and radiation, but it was found recently that the cancer has metastasized to the chest and skull. There is lymph node involvement with a primary tumor partially obstructing the right kidney. The client was readmitted 4 days ago for removal of the remaining portion of the left leg and was told that there is no appropriate surgical or medical intervention that would be beneficial at this point in the disease process. The interdisciplinary health care team has recommended palliative care upon discharge since the client’s life expectancy is between 3 and 5 months. The client has developed a mutually respectful relationship with a nurse on the unit who has provided care throughout all previous hospitalizations. The client shares with the licensed practical nurse (LPN) that, “I have pills saved up and I’m going to commit suicide as soon as I get discharged. It’s my decision to make and I’ m trusting you not to tell anyone.”
What ethical principles are in conflict creating an ethical dilemma for this nurse? (Select all that apply.) Include your rationales for choosing the answers.
- Autonomy
- Veracity
- Paternalism
- Confidentiality
- Fidelity
- Non-maleficence
- Beneficence
- Justice
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