The confused patient shows signs of anxiety and continuously climbs in and out

The confused patient shows signs of anxiety and

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The confused patient shows signs of anxiety and continuously climbs in and out of bed and bumping into the other patient’s bed. In view of the nurse, this is not an ideal healing environment for either patient and as such, they nurse can advocate for separating them and having the confused one close to the nurse’s station for closer observation. ANA’s Code of Ethics Two provisions enclosed within ANA’s code that resonate with my practice are Provision Three and Provision Four. The third provision outlines that a nurse is as an advocate for the patient. In this advocacy role, the nurse is mandated with protecting a patient’s rights such as confidentiality and privacy. The provision also entails the nurse’s role in upholding proper care standards and promoting a safe culture (American Nurses Association, 2015). In my daily practice, I endeavor to comply with this provision by being an advocate for my patients. I have a duty to respect a patient’s privacy and confidentiality and ensure that they are protected by this code. In case a patient does not want their relatives to discover the severity of their condition, I have to respect their wish despite my personal beliefs ( Tronto, 2012). Conversely, Provision Four of the code explains nursing responsibility, authority, and accountability that help nurses in providing ideal care to patients. The provision guides my practice by giving me the power to apply individualized care plans to every patient and responsibility to utilize nursing judgment when dealing with patients while being held to account for my nursing decisions. I remember there was a time I made an error in my practice. I was new and was mandated with caring for a patient with shortness of breath and a persistent cough. The patient had been experiencing these symptoms for a few weeks before coming to the emergency department. He
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NURSING PRACTICE 9 went through several diagnostics and results indicated that he had nodules in his lungs. A lung biopsy was conducted and its findings indicated that the nodules were cancerous. I became attached to the patient and his family during his care and I was even the bedside nurse when the doctor informed him that he had stage-four lung cancer. I educated him on treatment options and he consented to chemotherapy and started using medications. His family was always involved in his care. However, the first chemotherapy session went bad, which forced the patient to refuse any treatment and opted to die with dignity. I failed to change his decision and believing I was doing the right thing, I informed his wife about his decision. The wife visited him and a quarrel broke out between them forcing the patient fire me as his nurse for violating his privacy. The hospital’s management was involved and I was obligated to do an incident report about infringing his rights. The ethical code is also applicable to this error in nursing by respecting the patient’s confidentiality and privacy rights. I overstepped my authority as a nurse and informed his wide about his conditions. Although I believed that I was acting in good faith, my actions infringed on the patient’s privacy. There is a fine line between being right and being in violation; not every experience is black and white, there are several grey areas in nursing. I was lucky not I was not sued for violating the patient’s HIPPA rights – the situation could have been much worse.
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