Question

XX is a 23-year-old girl who is admitted to a ward via emergency department because of disorientation and wandering. A few hours later, her physical condition improves. During a comprehensive assessment, XX tells the nurse that she is a regular cannabis user for few years. XX also said that she has no plan to stop taking cannabis, or engage in any rehabilitation treatment. She claims that is her private life and requests this conversation be kept secret and off the medical record. Should the nurse keep XX’s information confidential? Please use the Principlism theory to explain your stand.

Answer 1

Solution.

Here, the nurse should keep confidentiality about XX's cannabis abuse to public only. This information should informed to doctor and this should be record in medical record. . Because,cannabis is an drug which have dangerous adverse effects. Priciplism theory stands for patient welfare and nurse's responsibility. Here can go details through it..

cannabis

It a drug which is most popular illicit. It is a plant. Cannabis is an psychoactive dug, which causes addiction into that.  

*Complications of cannabis addiction.

As already know, it is an pshychoactive plant. So studies are shown that, at the last stage this drug addicts are showing brain impairment. In adolescence and adulthood it causes reduction in IQ score. Also it causes learning disabilities, lack of interest, aggressive behaviours etc.

*How can manage cannabis addiction.

In earlier stages, it can manage by rehabilitation. Otherways medical management is necessary.

PRINCPILISM THEORY

It is an ethical principle. It designates an approach to biomedical ethics that uses a framework of four universal and basic ethical principles, that are

Autonomy

Beneficence

Non-maleficence

Justice

∆ Autonomy:

The principle of autonomy in nursing is the, ability of of nurse to make a decision with rational without influence of any other based on her professional knowledge. So the nurse should be well knowledgeable and she should be able take the appropriate decision in every situation, in patient care.

In this case, the nurse can take her decision for report the information to doctors and medical record. She should take the decision for keeping this secret confidential from public.

∆ Beneficence

It is the other principle, which explains, nurse should act for client's wellness. The nurse should promote the client's health. Each and every action taken by a nurse should be focus on best results in client's health.

Eg. Giving of pain medication for the patient with severe headache.

So here, nurse sholud focus on client's welfare.Aim sholud be, client getvde addict from cannabis.

∆ Non-maleficence.

It means do not harm the patient. The nurse sholud give the care for the patient without harming him, or nurse should try to minimize the the conditions which will harm the patient.

Eg. Due to negligence, nurse didn't kept side rails on bed, then the old client falling down from bed.

Here the nurse not harming client. She works for client's welfare only.

∆ Justice

Nurse should not be impartial or fair in nursing care. Nurse should not show discrimination in giving care. She should consider that each cilent have equal rights for getting care. This is justice.

Here the nurse should consider that, this client have right for live a better life. So the nurse have responsibility for making a good health for her.

So the nurse should inform the matter to doctor not to public and it should record in medical record.