Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North.

Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North. A registered nurse colleague and Unit 2 West manager, Sylvia, calls Christine and asks her to come to Unit 2 West to help with a computer problem at the nurses’ station. As Christine walks down the hall of Sylvia’s unit, she hears a resident crying out very loudly. The cry sounds like an expression of pain. Christine enters the resident’s room and notices the resident is tightly restrained to the bed and is lying in excrement. From a quick assessment, Christine believes the resident is alert and oriented. Though she has tried to convince herself otherwise, lately, Christine has been thinking that Sylvia acts strongly paternalistic with her residents and her manner is abrupt rather than compassionate. Christine has seen at least two residents begin to cry when Sylvia fusses at them.

Questions:

1. What should Christine do about her findings?

2. What are the bases for your answers to question?

3. Does the Code of Ethics for Nurses with Interpretive Statements provide guidance in this situation? Explain.

4. Is paternalism always unethical when caring for long-term care residents? Explain.

5. Conduct a search of reliable literature about the use of restraints with elderly patients. From your search, develop an educational program 332 Appendix A Case Studies for long-term care nurses and aides about using restraints with their residents

Solutions

Expert Solution

1. Christine is required to inform them of what he discovers.

Explanation: Because it is not appropriate to restrain the sufferer too firmly, as this might give them undue discomfort. We, too, have a problem with patience.

2. My response to question one is based on the fact that I discovered the patient is being confined too tightly, which is causing her discomfort. When several of the patients saw Sylvia, they cried.

3. No, the code of ethics for nurses does not apply to the circumstances described above.

4. Paternalism is, without a doubt, always immoral.

Explaination: Even if they are elderly and unable to care for themselves, they have the right to make their own decisions. Giving them the proper care and treatment has a significant influence on them.

5. I will create an instructional programme for nurses, and aides assigned to long-term care facilities about how to use restraints properly with their residents by giving them with an instructive film or clip in which they can witness some nurses utilising restraints correctly. It's not too tight or too loose. To the benefit of both the patient and the nurses or aides assigned to the long-term care institution.

Explanation: It is critical to highlight to the employees of a long-term care facility the importance of providing proper care to their patients. Especially when they need to confine some patients to prevent invading their rights in the institution.

Nightingale answered 2 years ago

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