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Essay Available:
Pages:
2 pages/≈550 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 8.64
Topic:

Professional Responsibilities of Nurses in Dialysis Clinic

Case Study Instructions:

Instructions Case Study #1

Mr. Tate, a 59-year-old patient with end-stage renal disease, is well known to Janay Marshall, RN, who works in the dialysis clinic. Mr. Tate is hypertensive and overweight with a history of alcoholism. He often does not take his medications as ordered and almost never adheres to his prescribed diet. When Mr. Tate comes to the clinic, he often has excessive edema and is hypertensive. He admits to eating his favorite foods—hot dogs and potato chips. It is not unusual for Janay to smell alcohol on Mr. Tate’s breath. He even admits to drinking an occasional beer with his hot dogs and chips. Although Mr. Tate listens politely to Janay's concerns about his lack of adherence to diet and medications, he continues to be nonadherent. Janay begins to wonder to what extent she as a nurse is obligated to spend time on patient teaching when the patient takes no responsibility for his own health. She also questions whether the benefit of expensive medications and treatments for Mr. Tate outweighs the cost. 

Questions 

1. What are Janay's professional responsibilities to Mr. Tate? 2. With whom could Janay Marshall discuss her ethical concerns regarding Mr. Tate? 3. What are Janay Marshall’s responsibilities regarding respecting Mr. Tate's autonomy and right to self-determination?

Case Study Sample Content Preview:

Mr. Tate
Student’s Name
University Affiliation
Course Code &Title
Instructor
Due Date
Question 1
The nursing code of ethics and principles guide nurses in their professional responsibilities to patients. The code of ethics also serves as a common reference point when dilemmas arise as nurses care for patients. Based on the nursing guides, Janay’s responsibilities to Mr. Tate include committing to care for the patient. The patient’s well-being should be the primary concern of a nurse (Stievano & Tschudin, 2019). Janay should ensure Mr. Tate’s dialysis is done successfully during his clinic visit.
Besides carrying out dialysis, Janay should educate her patient on everything he needs to know about his condition. She is responsible for educating Mr. Tate on end-stage renal disease, the importance of attending his clinics, and adhering to medication and the prescribed diet. In addition, Janay should inform the patient of possible outcomes of non-adherence to the prescribed diet and medication. The nurse should also be ready and willing to answer the patient’s questions and address any concerns. Janay should respect Mr. Tate’s rights to decide on medical interventions related to his condition.
Furthermore, Janay is responsible for promoting good towards Mr. Tate and avoiding causing harm to the patient. She should promote beneficence by educating the patient, administering medication, and carrying out dialysis promptly. Janay may also collaborate with other healthcare workers to promote good health and reduce disparities. For instance, she may involve a nutritionist to advise Mr. Tate on the proper diet for end-stage renal disease.
Question 2
Janay should discuss her concerns with the nursing manager to help her make an appropriate decision. Nursing managers a...
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