NUR 3306 – Deliverable 1 – Ethical Dilemmas in Professional Nursing Practice
Registered Nurse with ten years of experience as an outpatient behavioral License Practical Nurse started working in an Emergency Room. She is still in training. Today, she is assigned to a registered nurse; her preceptor asked her to go to Mrs. Smith to check on him. The Patient was treated by paramedics with Narcan for opioid overdose and brought to the Emergency Room. The Nurse asks the new Nurse to take the patient vital signs and inform him about soon discharge. The Nurse remarked that this is a frequent flyer and he would be back soon with an opiate overdose again. “Those rich people do not know what they are doing.” The Patient is a well-known politician, and he has access to high-quality heroin.
When you walk into the room, the patient is weak, and his vital signs are stable at 100/60, pulse 62, respiration 12, temps 98.9. You start a small talk. Since you have an addiction experience, you know how to talk to a patient who overdoses. The Patient opened up to you and stated that he just wanted to forget it and have a good night’s sleep every time something went wrong. Like again, tabloids got his pictures with his new mistress, and his wife created a Jerry Springer show. His surgeon prescribed Percocet for post-surgery back pain. He likes the effect; it relaxes him, and since he still has back pain, he takes extra one or two pills when he has a lot of stress. When he noticed a relaxing effect and a prescription was not enough, a friend of a friend during a golf meeting told him about heroin enemas so it wouldn’t leave a needle mark. Before seeing a patient, you look up in the chart that the patient is, on average, twice a month in the Emergency Room after the opiate overdose. The patient asked for confidentiality and asked about not relaying anything that a nurse heard to the provider about heroin enemas because the provider is puzzled about how he overdoses so easily. The Patient promised the Nurse that he would stop using heroin because he was aware it could be the last time.
No one becomes addicted to opioids overnight. The stigma associated with opioid use disorders, lack of addiction knowledge, and treatment cause patients not to seek help. (Lyden, Binswanger, 2019).
Addiction is a disease; it is easy to become dependent on opiates after surgery if the information is not given to the Patient about side effects and stressed not to exceed the prescribed dosage and not use it long term. According to Ryan Hampton in American Fix, Many people do not understand that negative pain medication consequences do not show up immediately. Opiate addiction is a disease. Usually, people think of symptoms like fever, rash, and tumors. Addiction progresses in an asymptomatic way, and that is what makes it so dangerous. (Hampton, p16).
NUR 3306 – Deliverable 1 – Ethical Dilemmas in Professional Nursing Practice
According to the National Institute on Drugs Abuse data from 05/2020, roughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them. Between 8 and 12 percent develop an opioid use disorder. An estimated 4 to 6 percent who misuse prescription opioids transition to heroin. Improve access to efficacious treatment options, specifically methadone, and buprenorphine, and reduce opioid overdose fatalities with the distribution of the opioid antagonist and overdose reversal agent naloxone. (Lyden, Binswanger, 2019).
This is a high-profile patient; he asked a nurse for confidentiality. The nurse is an experienced additional health care worker, and she is aware that this is a frequent overage and may be crying for help. The nurse does not have to say anything since the Patient asked her not to, or she can ask the preceptor what a hospital protocol for overdose is or if there are any resources. This is an example of an ethical dilemma. This is a high-profile person; if the Nurse does not address an issue and does not bring anything to a preceptor’s attention next time, the patient can overdose, and there is no rescue. The nurse will be reading in the newspaper about this person and his additional issue. Family members can do the law committee, and the Nurse can be on the deposition that she was the last one seeing the Patient in this hospital and why she did not ask preceptors for guidance on how to admit the patient for detox. Why was the Patient not admitted to the behavioral unit? Why the social worker, psychologist, and psychiatrist did not team up to help this Patient? Hospitals can have a horrible opinion as a hospital where there is no help. As an ethical dilemma, this is confidentiality, and nurses can be accused of not keeping [patient confidentiality.
Strategies that support person and family-centered care. Support with credible referencing. A clearly stated, detailed description of the ethical dilemma. A clearly stated, detailed description of the ethical issues related to the dilemma. Supported with credible referencing. Cleary provided a detailed explanation of the impact on nursing and patient care. Supported with credible referencing.
Clearly stated, detailed explanation of strategies that support person and family-centered care. Supported with credible referencing. Formal style reflected throughout the document, including no spelling, grammar, or APA format errors present. No in-text citation & referencing included.
References
Hampton, R. (August 2018). American Fix: Inside the Opioid Addiction Crisis – and How to End It. All points book
NIDA. 2020, July 24. Heroin DrugFacts. Retrieved from https://www.drugabuse.gov/publications/drugfacts/heroin on 2020 September 1
Lyden, J., & Binswanger, I. A. (2019). The United States opioid epidemic. Seminars in perinatology, 43(3), 123–131. https://doi.org/10.1053/j.semperi.2019.01.001
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Question 
NUR 3306 – Deliverable 1 – Ethical Dilemmas in Professional Nursing Practice
Identify ethical dilemmas encountered in professional nursing practice.
You are a member of your organization’s ethics committee. As a nurse preceptor and member of the ethics committee, you have been asked to do a presentation at the upcoming orientation to educate new nursing hires on ethical dilemmas they may encounter in nursing practice.
NUR 3306 – Deliverable 1 – Ethical Dilemmas in Professional Nursing Practice
The nurse manager wants to ensure that new hires understand essential considerations when facing conflicts over what is best for patient care. Therefore, the nurse manager has requested that you review issues, impacts, and nursing strategies related to ethical dilemmas in nursing practice. You are excited to share your enthusiasm and passion for the importance of ethics in client care.