What advocacy roles do you have as the oncology nurse

Assignment Help Case Study

Reference no: EM133795042

Case: Ms. D.: Patient & Interdisciplinary Team Disagree on Treatment

As a nurse working in an inner city medical center hospital, you take care of many underserved patients. On rounds with the gynecology oncology team, you meet Ms. D., a 33-year-old white unmarried woman with Stage IIIC ovarian cancer. Ms. D. has refused all offers of chemotherapy treatment for ovarian cancer that has now spread throughout her abdomen and inguinal nodes. She has malignant ascites and a bowel obstruction. Her condition has worsened to the point that she has to have daily paracenteses and the team has told her that they may have to operate to partially alleviate the obstruction.
She tells you she has schizophrenia and she hasn't taken her psychotropic medications in a while because "they're poison." She tells you, "I may be crazy, but I'm not stupid. That treatment is going to kill me. I don't want it." The treatment team tells her that treatment is her only chance of curing her cancer, and they will contact her family against her wishes to make sure she gets appropriate treatment.

Assignment Questions:

Question 1. What ethical principle(s) is/are at issue in this case?

Question 2. Should an ethics consultation be requested?

Question 3. What advocacy roles do you have as the oncology nurse taking care of this patient?

Question 4. Do you think Ms. D. is capable of being her own decision-maker? If not, what resources does your hospital have to assist in appointing a DPOA (Durable Power of Attorney) or guardian (social services, patient advocates, relationship with state Ombudsman)?

Reference no: EM133795042

Questions Cloud

How the benchmark is supportive of patient-centered care : Discuss how the benchmark is supportive of patient-centered care, and explain the impact of the selected benchmark on patient experience outcomes.

How familiar are you with any of your texas state standards : How familiar are you with any of your texas state standards?

Create special hand gestures to say hello : Create special hand gestures to say hello. Take a movement/dance break. Play an emotion identification game using a virtual whiteboard.

Article the struggle to end homelessness in canada : how we can end it" by Steven Gaetz explain how today's political economy has shaped current social control strategies aimed at people experiencing homelessness?

What advocacy roles do you have as the oncology nurse : What advocacy roles do you have as the oncology nurse taking care of this patient and Do you think Ms. D. is capable of being her own decision-maker

Calculate the weight-based recommended dose for the patient : The nurse has an order to administer Medication E 1.5 g PO daily. Calculate the weight-based recommended dose for this patient. Is the ordered dose a safe dose?

What is the recommended dosage range for the patient : The nurse has an order for Medication J 220 mg IM every 4 hr. The patient weighs 33 lb. What is the recommended dosage range for this patient?

What advocacy role do you have as the oncology nurse taking : Does this situation warrant an ethics consult from the hospital ethics committee and What advocacy role do you have as the oncology nurse taking care

What if all neighborhoods were desegregated : What if all neighborhoods were desegregated? How could this affect the communities and crime in those communities?

User Account

All Pages