Thesis on "Nurse Case Management Code of Ethics: HIV"

Thesis 3 pages (1056 words) Sources: 5 Style: APA

[EXCERPT] . . . .

Nurse Case Management

Code of Ethics: HIV Case Management

There have been many changes in the ethical codes of nursing and other medical/helping profession over the past few decades. While there is still a great deal of catching up to do in regards to this, ongoing discussion and refinement of current practices have come under debate and are adapting.

This debate is healthy as it challenges the nursing profession to focus on key issues... As more creative ways are developed to deliver consumer-focused quality health services, the traditional picture of the nurse, the doctor and the patient is being transformed. . (Adrian & O'connell, 2000, p. 41)

The following is a code of ethics that is primarily concerned with the case of a 30-year-old male client with HIV who refuses to take his medications

The nurse must at all times treat the patient with respect and dignity, following the code of conduct established by the hospital and state and federal laws as applicable.

a. Nursing care will serve the best interests of the patient highlighting patient confidentiality, respecting personal dignity, and in full consideration of the client's humanity and self-esteem.

Interpretation: While this is usually a general part of every code of ethics, it plays more importance in cases where living or dying with dignity is of paramount concern. This is often a critical component of caring for someone with HIV as it possibly develops into full-blown AIDS. It is important to establish an understanding in writing between the patient and nurse. An example of this is in the Ethical Standards of Human Service Professional: "Human service professionals negotiate with clients the purpose, goals, and nature of the helping relationship prior to its onset as well as inform clients of the limitations of the proposed relationship" (Codes, 2004, p.68). Negotiate is a key word here. The relationship should always be one of give and take and most of all, understanding. "Dignity can be considered as two values: other-regarding by respecting the dignity of others, and self-regarding by respecting one's own dignity or self-respect." (Gallagher, 2004, p.5)

2. The nurse has the responsibility to provide full access to all information from the health care providers about current FDA approved or other proven HIV / AIDS treatments as well as information concerning HIV-related social and support services.

Interpretation: It is important to realize that there is a large scope of care associated with HIV patients both within a hospital setting and outside in the community.

3. The nurse must allow the patient to have full access, understanding and control regarding his/her care plan.

Interpretation: Complete involvement of the patient in his or her care is crucial. It is also necessary to check for understanding as the medical issue may be complex and need a great deal of interpretation by the nurse, who should take advantage of other services available to do so.

4. The nurse must respect the patient's right to refuse services of any kind as well as the right to refuse treatment. The patient may change his/her mind after such refusal without affecting services in place.

a. Should the patient refuse treatment such as medication and such decision… READ MORE

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