Martha is a 75-year old woman who has terminal cancer of the bladder. During the course of her therapy, she sustains third degree radiation burns to her lower abdomen and pelvic area. Her wounds are extensive and deep involving her abdominal wall, bladder and vagina. The doctor orders frequent medicinal douches and wound irrigation. These treatments are very painful and the patient wants the treatment discontinued but is too timid to actually refuse them. The doctor will not change the order. 1. Discuss the situation in terms of beneficence and non- maleficence 2 How does this patient express her autonomy? 3. What is the nurse's responsibility in assisting the patient to maintain autonomy? 4. How does the nurse deal with conflicting loyalties and principle?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Martha is a 75-year old woman who has terminal cancer of the bladder. During the course of her
therapy, she sustains third degree radiation burns to her lower abdomen and pelvic area. Her
wounds are extensive and deep involving her abdominal wall, bladder and vagina. The doctor
orders frequent medicinal douches and wound irrigation. These treatments are very painful and
the patient wants the treatment discontinued but is too timid to actualy refuse them. The
doctor will not change the order.
1. Discuss the situation in terms of beneficence and non- maleficence
2 How does this patient express her autonomy?
3. What is the nurse's responaibility in assisting the patient to maintain autonomy?
4. How does the nurse deal with conflicting loyalties and principle?
Transcribed Image Text:Martha is a 75-year old woman who has terminal cancer of the bladder. During the course of her therapy, she sustains third degree radiation burns to her lower abdomen and pelvic area. Her wounds are extensive and deep involving her abdominal wall, bladder and vagina. The doctor orders frequent medicinal douches and wound irrigation. These treatments are very painful and the patient wants the treatment discontinued but is too timid to actualy refuse them. The doctor will not change the order. 1. Discuss the situation in terms of beneficence and non- maleficence 2 How does this patient express her autonomy? 3. What is the nurse's responaibility in assisting the patient to maintain autonomy? 4. How does the nurse deal with conflicting loyalties and principle?
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