Describe moral suffering and moral distress

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Reference no: EM133578396

Assignment:

This case study reflects situations that I encountered in my chaplaincy across multiple health systems. Unfortunately, I saw decisions from nursing teams that felt unethical. The situation to which I invite you to respond presupposes that you are a nurse on a Med. Surg. unit. A nurse on the floor went home sick and you have to pick up some of her patients. One of your patients is an elderly woman who is obese, confused, and considered a fall risk. She sleeps most of her existence and is currently suffering from bedsores on top of the condition the doctors are trying to treat. She awakened and requested assistance with bathing. Trying to take advantage of her alertness, you move some orders around and coordinate with another nurse to help you safely move her and stabilize her in various positions as you help her bathe.

You have success in bathing your patient, but it takes longer than you hoped. You and the other nurse leave her in good condition when suddenly she soils her bed in the middle of your preparations for your next patient. Your patient load is high and the time you gave to wash her has you backed up on timely orders with seven other patients. Your intended return time to this patient was not for another 30-45 minutes. All PCA's are tied up with other nurses who already covered for you and they are backed up on duties as well.

Instructions

1. Consider the ethics concerns around SPHM in this scenario:

Identify at least two tempting decisions and discuss which principles are at stake if you risk not following proper SPHM. Put principles in bold.
Discuss how you could honor SPHM in this scenario and demonstrate how your decision honors each of the four principles. Please discuss each principle separately and put them in bold/italics.

2. Describe moral suffering (Butts and Rich, p. 45) or moral distress (Butts and Rich, p. 68) that would you feel in the above scenario? Consider knowing the risk of this patient remaining in her defecation with bedsores, the risk of other patient's not receiving timely care, the risk of further taxing your team, and the risk of taxing your own body if you try and handle adjusting this patient on your own. What deliberate ethic should you employ in this situation?

3. Include the following terms or concepts (SPHM, at least one of the ANA Code of Ethics for Nurses(this link opens in a new window/tab) Provisions for SPHM; for e.g. Provision 6; Furlong, p. 156.

Reference no: EM133578396

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