HLTENN041 Apply Legal and Ethical Parameters to Nursing Practice - Case Study Assignment Help

ASSESSMENT TASK 2 – CASE STUDY

Case Study 1:

Scenario:

Your shift handover from AM nurse Mark, a fellow EN, was rushed – he was finishing early so he could get home in time to watch an AFL game, and seemed distracted. One of the patients he’s handing over is Mrs. Lee, a frail 75-year-old woman who recently emigrated to Australia with her family from China. Neither she nor her accompanying daughter speak English.

Mark tells you that she has verbally agreed to a renal biopsy. As directed by the nephrologist, she has been fasting for the procedure, and would be called down to radiology soon. Because it’s a weekend, you’ll have to accompany Mrs Lee, and stay throughout the procedure.

As soon as Mark leaves, you get a phone call from the Ultrasonography room. The nephrologist and the radiologist are ready for you to bring Mrs Lee down for an ultrasound-guided biopsy; as you hang up the phone, an orderly appears to take her down on the bed. You pick up her files, and accompany Mrs Lee and her daughter, Ji-yeon, to ultrasound.

You demonstrate to Mrs Lee that she needs to lie prone, and undo her gown so the nephrologist and radiographer can access her kidney. Before you cover her exposed buttocks, you notice several longitudinal bruise-like marks on her buttocks, as if she was hit with a belt. Mrs Lee winces when you gently touch them. The Nephrologist exclaims,” It looks like elderly abuse to me. Please ask the intern to make note of this in the patient history.”

The nephrologist then asks you if there’s a consent, and you absent-mindedly reply yes because you’re thinking about the marks, and because Mark said Mrs Lee had finally agreed to the procedure.

The nephrologist shows the biopsy needle to Mrs Lee, who starts shouting, banging her fists to the bed and complains that she doesn't want to undertake the procedure. It takes you and Ji-yeon half an hour to calm her down, after which the biopsy is successfully performed.

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1. Identify a key concern regarding consent in the above scenario?
2. You know that elder abuse is wrong. You took a picture of Mrs Lee’s buttocks on your phone after the You want to report this to the highest authority and think posting it on twitter will raise awareness regarding abuse. By doing this, you will be:

Statement A: Breaching the patient’s privacy and confidentiality.

Statement B: Breaching the legislative requirements and the organisational policies and procedures

Select the correct answer:

• Statement A is correct and Statement B is incorrect.
• Statement B is correct and Statement A is incorrect.
• Both statements are
• Both statements are incorrect

3. Would it be a good idea to restrain Mrs. Lee’s fists to the biopsy table? What strategies can you use to respond to her agitation and complaint?

Scenario continues:

4. An EN has responsibility to obtain signed consent for the treatment from the patient and to interpret referrals or requests for tests on receipt, ensuring the nature and requirements of tests are correctly What were your obligations here? Did you show negligence in this EN case?
5. What is the duty of care?
6. The hospital might be sued in a court of law. State at least (2) legal terms is applicable to a civil suit in this situation?
7. If Mrs Lee dies, this case will also be referred to the coroner, because it will be the direct result of medical One of the things the coroner will scrutinize is all the documentation associated with the lead up to, process, and subsequent events of the biopsy and death.

Statement A: It is essential that all the nursing notes and other charting are written according to legal requirements in line with organizational policies when the patient is not a native English speaker.

Statement B: When negligence was identified, all the incidents that resulted in harm to the patient should have been openly disclosed to the patient, their family, carers and other support persons.

Statement C: When negligence was identified, all health professionals involved in the care for Mrs Lee have obligations to disclose the incidents to Mrs Lee and her family.

Pick the correct answer:

1. Statement A and C are correct and Statement B is
2. Statement B and C are correct and Statement A is
3. Both Statements are
4. Both statements are incorrect

8. Mrs Lee’s son in law asks you to send the photographs you took, however, as this is an outsider’s request you are in a Whom do you consult?

Case Study 2:

The patient Mr Green is a 57 year old gentleman with aggressive prostate cancer who is took care of by the nursing team in the oncology department of a general hospital in Brisbane, QLD, Australia. Mr Green was diagnosed with prostate cancer seven years ago but refused medical and surgical treatment at the time. He chose to seek alternative treatment and did not follow up with the urologist over that seven year period. Mr Green has now presented with anemia and hypoproteinemia. After several diagnostic tests over a period it was discovered that the cancer had metastasized to his bones, it had spread locally to his lymph nodes and the primary tumor was invading the bladder and partially obstructing the left kidney. Mr Green had several admissions over a two month period for various reasons. On the last admission Mr Green was told that he may only have 4–6 weeks (previously it was 6–12 months) to live after a cystoscopy showed further extensive growth of the tumor, it was determined that any further surgical/medical intervention would not be appropriate in this case and that a palliative care regimen was the next step. At this point the patient reported to the health care team that he had resigned himself to the fact that he was going to die. Mr Green confided to the nurse that he planned to kill himself and that it was a secret that the nurse was not to tell anyone. (Lin, 2015)

9. What ethical dilemma arose from this clinical case?
10. What ethical principles cause this dilemma?
11. How is the International Council of Nurses Code of Ethics for Nurses considered into this case?
12. Based on the ethical decision making model, what ethical decisions and actions can you make to respond to Mr Green’s suicide attempts?