A.P. is a terminally ill 50-yr-old woman with metastatic breast cancer
who is hospitalized with severe bone pain. She moans at rest and
shows severe pain with any movement to reposition her. The present
dose of IV morphine is not controlling her pain. At the team
conference, the nurses discuss the need for more effective pain
control but are concerned that more pain medicine could hasten her
Ethical/Legal Points for Consideration
• Adequate pain relief is an important outcome for all patients,
especially patients who are terminally ill.
• The Code of Ethics for Nurses addresses the responsibility of the
nurse to relieve suffering and have conversations with patients
and families about pain and symptom management.
• The principle of beneficence means that we provide care to benefit
patients. The goal of adequate pain control in the terminally ill to
ease suffering is based on the principle of nonmaleficence
(preventing or reducing harm to the patient). The secondary
effect of hastening the patient’s death is ethically justified and
known as the double ef ect.
• Legally, the standard of care is used to define the nursing acts that
are required for safe and competent nursing practice. When the
actual nursing care falls below the standard of care, it is
considered negligent and unsafe, and the nurse is at risk for
being found incompetent.
• In a court of law, the standard of care in nursing is determined by
nursing experts and evidence-based practices. The increasing use
of technology to access the latest scientific findings is changing
the standard of nursing care to a national, if not global, standard
defined by research findings and nationally recognized expert
testimony. Standards for providing expert nursing care and
counseling at EOL are available.
• In A.P.’s situation the standard of care is that the patient will
have pain relief. Failure of the nurse to act assertively to achieve
pain relief for the patient and failure to effectively use resources
to obtain that pain relief will be considered below the standard of
care and unsafe and incompetent practice.
1. What types of discussions need to occur among the health care
team, patient, and family as the terminally ill patient
approaches this phase of care?
2. Distinguish between promotion of comfort and relief of pain in
dying patients and between assisted suicide and euthanasia.
We always make sure that writers follow all your instructions precisely. You can choose your academic level or professional level, and we will assign a writer who has a respective degree.
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document.
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension.A 100% refund is guaranteed.
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text.
Tutorpro support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
At Tutorpro, we have top rated masters and PhD writers who will help you tacke that homework and score A+ grade. Tutorpro services covers all levels of education : high school, college, university undergraduate, masters and PhD academic level.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Tutorpro academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. This is free because we want you to be completely satisfied with the service offered.