Problem
Consider the following case study:
An ethical dilemma
Mrs. F is an 80-year-old Muslim woman admitted to your ward. She has limited English and is accompanied by her husband (also with little English) and their 2 sons who speak English fluently.
Mrs. F has advanced bladder cancer with urinary retention and pain score of 6/10. She requires an Indwelling Catheter (IDC) to be inserted to relieve her pain and urinary retention. She has no other medical conditions. From handover you know that she has no EPOA or ACHD and has Capacity.
Her doctor comes in and speaks to the sons who say that their culture means that there is no need to talk to their mother about the procedure and they can make the decision for her. The doctor agrees with them and orders an IDC on free drainage to be inserted.
When you come in to do her vital signs prior to the IDC being inserted and while her family are outside, she tries to ask you what is happening, grabbing her lower abdomen and crying.
What would you do in this situation?
In answering the question you need to make an Ethical Decision using the following as they relate to the case study:
1. Code of Ethics (ICN 2012)
2. Informed decision making and Consent.
3. Cultural Competency
4. Ethical concepts and principles in nursing
a. Autonomy - "Self-determination" - consider Mrs F's rights.
b. Beneficence - "above all, do good" - what is best in Mrs F's interests?
c. Non-maleficence - "above all, do no harm" - what is in Mrs F's interests?
d. Confidentially - who should have Mrs F's information?
e. Justice - "fairness" - what is fair for Mrs F?
f. Rights - what are Mrs F's rights?
g. Veracity - "telling the truth" - what does this mean for Mrs F?
You need to explain how each item (individually) affects Mrs F's care. do the same for every item in the list.