Legal Issues - Surgical Assessment Answer

Legal issues - Surgical Ward - Ethical Concerns  - Essay Writing - Assessment Answer

Assessment Task:

Instructions

An essay to be written on Ethical and Legal issues in nursing based on the case study given below. This assessment has a weighting of 40%.

Case study:

It is a busy morning on the surgical ward and one of the patients, Mavis, a 70-year-old retired nurse, has undergone a laparotomy for an acute bowel obstruction. She is first-day post-op and her recovery so far has been uneventful with all vital signs being within normal limits. 

This morning however, her vital signs have altered somewhat; her heart rate has increased to 92bpm, her blood pressure has decreased to 105/70; her temperature is 38.0 C, although she looks a little pale. She has not passed urine for nine hours although she has an IV infusion in situ. When you attend Mavis to take her vital signs, she seems quite confused, disorientated and anxious. Her condition is markedly different from the last time you attended to her, less than an hour ago when she seemed fine. Mavis informs you that she wishes to go home, as she is due to start work. She becomes frustrated and tells you aggressively to ‘go away’.

You review her medication to determine if she has been given drugs that may have affected her behaviour and report your findings to the shift coordinator; then return to Mavis. Mavis, however, is not in her room and you locate her in the visitor’s room. As you approach Mavis, you see her gown is open (and back to front), she has removed the dressing from her wound site, and is smearing faeces across her abdomen and onto her surgical wound. Additionally, she has pulled out her IV cannula and is bleeding from the insertion site.

You immediately close the door to give her privacy and attempt to cover her, with the intention of guiding her to the bathroom to attend to her hygiene needs, informing her that you need to help her to wash. Mavis refuses any assistance and states, “I don’t want a wash”. You try to encourage her to accompany you to the bathroom but, she yells “leave me alone and go away, don’t touch me, I need to get home, or I will be late for work”.

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