Social Justice Principles in a Life Crisis Case Study
Added on 2022-11-25
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NGAIRE SMITH STUDENT ID: 1111996
NUR312 Assessment Task 2
NUR312 Assessment Task 2: Template
Please refer to the assessment task 1 instructions and rubric for guidance to complete your work.
Name:
Student Number:
Step 1: Look back at the experience, present a brief overview of your life crisis case study and
identify 2 social justice principles related to your case study (300 words).
You must not include any identifying information in the case study related to a patient or
organisation.
In this section, an overview of the case study is being provided by using Kanel's four components of
crisis. The four parts of crisis used in this text are 1) the occurrence of the precipitating event 2)
person having a perception of the event to be threatening, 3) that leads the person to emotional
distress 4) and emotional distress causing impairment in the functioning due to failure of the coping
method of an individual. The case study centers on Mrs. Brown, who was suffering from chronic
bronchitis when she was under the treatment of a palliative care unit. She had displayed signs of loss
of appetite and alteration in the urinary and the bowel movement. With each passing day, Mrs.
Brown became weak, often meeting with fever. Complications like delirium were displayed by the
patient due to the imbalance in the sodium-potassium. As a result, her immune system became week
and she was easily attacked by common cold and other viral fever. The compromised immune system
and the minimal care received by the patients made her emotionally weak. Due to the negligence of
the nurses, the son of Mrs. Brown had to take up the treatment and provided her with an aspirin.
Due to the loss of functioning of the kidney, the dose of aspirin initiated an adverse drug reaction
causing symptoms like abdominal pain and vomiting.
Following Kanel's four components of crisis, all these led to physical as well as emotional distress in
the patient.
Followings are the two social justice principles that have been breached in this life crisis.
Equity
The patient was an Indigenous Australian from the Torres Strait Island. Hence she has belonged from
socially deprived class and was not getting standardized care. The negligence and the indifference of
the nurses were due to her aboriginal background.
Rights
As per the International convention of human rights, every human being is eligible for a standard of
living adequate for the wellbeing of himself and the family. The patients could not talk in English,
NUR312 Assessment Task 2
NUR312 Assessment Task 2: Template
Please refer to the assessment task 1 instructions and rubric for guidance to complete your work.
Name:
Student Number:
Step 1: Look back at the experience, present a brief overview of your life crisis case study and
identify 2 social justice principles related to your case study (300 words).
You must not include any identifying information in the case study related to a patient or
organisation.
In this section, an overview of the case study is being provided by using Kanel's four components of
crisis. The four parts of crisis used in this text are 1) the occurrence of the precipitating event 2)
person having a perception of the event to be threatening, 3) that leads the person to emotional
distress 4) and emotional distress causing impairment in the functioning due to failure of the coping
method of an individual. The case study centers on Mrs. Brown, who was suffering from chronic
bronchitis when she was under the treatment of a palliative care unit. She had displayed signs of loss
of appetite and alteration in the urinary and the bowel movement. With each passing day, Mrs.
Brown became weak, often meeting with fever. Complications like delirium were displayed by the
patient due to the imbalance in the sodium-potassium. As a result, her immune system became week
and she was easily attacked by common cold and other viral fever. The compromised immune system
and the minimal care received by the patients made her emotionally weak. Due to the negligence of
the nurses, the son of Mrs. Brown had to take up the treatment and provided her with an aspirin.
Due to the loss of functioning of the kidney, the dose of aspirin initiated an adverse drug reaction
causing symptoms like abdominal pain and vomiting.
Following Kanel's four components of crisis, all these led to physical as well as emotional distress in
the patient.
Followings are the two social justice principles that have been breached in this life crisis.
Equity
The patient was an Indigenous Australian from the Torres Strait Island. Hence she has belonged from
socially deprived class and was not getting standardized care. The negligence and the indifference of
the nurses were due to her aboriginal background.
Rights
As per the International convention of human rights, every human being is eligible for a standard of
living adequate for the wellbeing of himself and the family. The patients could not talk in English,
NGAIRE SMITH STUDENT ID: 1111996
NUR312 Assessment Task 2
hence the medical staffs including doctors and nurses did not agree to share the information about
her treatment procedure. They also refused to provide her with standardized palliative care due to
the poor economic background. This was a direct breach of the nursing codes of ethics, which stated
that nurses are accountable to provide quality care to the patient irrespective of their caste, creed,
and ethnicity.
Step 2: Elaborate and describe your life crisis case study (500 words)
What happened
Mrs. Brown was admitted in the emergency department, due to chronic bronchitis and abnormal
sodium-potassium balance due to water and electrolyte deficiency. Mrs. Brown came from an
aboriginal background and belonged to low socioeconomic status, which deprived the patient of
getting the minimum amount of care. The nurses did not pay heed to her complaint about constant
pain and headache. The negligence was evident from the fact that the patient suffered from an
adverse drug reaction, due to the intake of aspirin, even in the presence of other health care
professionals (Dal Pont 2015). I was asked to attend the patient and provide her with a pain-relief.
She was finally taken to the critical care unit.
Feelings
I was feeling extremely disheartened and awkward for the incident experienced by an elderly person.
It was noticed, that the cause behind the deterioration of the health condition of Mrs. Brown was
exclusively stimulated by the innate sexism and racism in the Australian health care system (De
Lepervanchen 2013). Being a nurse, it was a shameful event as nurses are legally as well as ethically
accountable to provide justifiable health service to the patient and address all their health care needs.
The practice of racism and discrimination not only compromises the care but also undermines the
essence of this profession (Allen et al., 2016). This was my feeling towards my profession and my
colleagues, with whom I had been working, and the patient might have felt the same justifying their
conception of westernized treatment to be rude and unacceptable.
Outcomes
The outcomes of the inappropriate palliative care provided by the health care staffs are that Mrs.
Brown turned weak day by day. The patient contracted a common cold and had a fever that
worsened her health. The nurses did not pay heed to the grievances when they faced a
communication issue with the patient. Racism and discrimination added up with socio-economic
NUR312 Assessment Task 2
hence the medical staffs including doctors and nurses did not agree to share the information about
her treatment procedure. They also refused to provide her with standardized palliative care due to
the poor economic background. This was a direct breach of the nursing codes of ethics, which stated
that nurses are accountable to provide quality care to the patient irrespective of their caste, creed,
and ethnicity.
Step 2: Elaborate and describe your life crisis case study (500 words)
What happened
Mrs. Brown was admitted in the emergency department, due to chronic bronchitis and abnormal
sodium-potassium balance due to water and electrolyte deficiency. Mrs. Brown came from an
aboriginal background and belonged to low socioeconomic status, which deprived the patient of
getting the minimum amount of care. The nurses did not pay heed to her complaint about constant
pain and headache. The negligence was evident from the fact that the patient suffered from an
adverse drug reaction, due to the intake of aspirin, even in the presence of other health care
professionals (Dal Pont 2015). I was asked to attend the patient and provide her with a pain-relief.
She was finally taken to the critical care unit.
Feelings
I was feeling extremely disheartened and awkward for the incident experienced by an elderly person.
It was noticed, that the cause behind the deterioration of the health condition of Mrs. Brown was
exclusively stimulated by the innate sexism and racism in the Australian health care system (De
Lepervanchen 2013). Being a nurse, it was a shameful event as nurses are legally as well as ethically
accountable to provide justifiable health service to the patient and address all their health care needs.
The practice of racism and discrimination not only compromises the care but also undermines the
essence of this profession (Allen et al., 2016). This was my feeling towards my profession and my
colleagues, with whom I had been working, and the patient might have felt the same justifying their
conception of westernized treatment to be rude and unacceptable.
Outcomes
The outcomes of the inappropriate palliative care provided by the health care staffs are that Mrs.
Brown turned weak day by day. The patient contracted a common cold and had a fever that
worsened her health. The nurses did not pay heed to the grievances when they faced a
communication issue with the patient. Racism and discrimination added up with socio-economic
NGAIRE SMITH STUDENT ID: 1111996
NUR312 Assessment Task 2
status lowered the quality of care to the patient. Due to over reluctance of the nurses, Mrs. Brown
also experienced adverse drug reaction, that caused swelling of the hands, feet, and legs and caused
shortness of breath, which left the patient panic-stricken. Mrs. Brown was so frightened, that she
even refused to take an IV infusion.
Actual /potential social justice principles that impacted the life crisis
Social justice principles refer to equality, diversity and supportive environment. It refers to the values
that believe in the elimination of equity, social justice and provision of a supportive environment
(Cole, Wellard and Mummery 2014). In this case study, the hospital organization did not follow of
unity and diversity as none of the nurses, displayed an inclusive behavior and the hospital
environment also did not support inclusion.
Step 3: Analyze the outcomes of your life crisis case study (500 words)
Use your references in your analysis. The analysis must refer to the social justice principles related to
the life crisis case study.
There are small number of literature on strategies at the health service level for culturally respectful
care to the aboriginals (Hole et al. 2018). It is evident from this case study, that the health care staffs
lacked cultural sensitivity. The ICU admission of Mrs. Brown, could have easily been avoided by
adhering to the safety protocols.
According to (Tobiano et al. 2015), the two possible outcomes of the study are due to inequity Mrs.
Brown started to feel depressed and due to negligence in patient rights, her condition of ailments
became more serious and severe. It has already been mentioned that the right to equity has been
breached in this case study. This is because equity means that the resources are assigned under the
requirements of an individual and population (Mazel 2018). Another social justice principle that has
been breached in this case study is diversity, which refers to the differences existing between
individuals and community. Another important social justice principle that has been breached is
diversity (Roche et al. 2018). Diversity can be referred to as the differences that exist between
individuals and peer groups. It is evident from the case study, that Mrs. Brown could not speak English
which acted as a barrier to communication with the health care staffs. The health care staffs also did
not find it important to think of some way out to communicate with the patient or the family. An
interpreter could have been used to communicate with the students. Ross, Barr and Stevens (2013)
have stated that the health care professionals should remain grounded in a social view of health,
including advocacy and addressing the social determinants, employing the aboriginal staffs, creation
of a welcome services, supporting the access by appropriate communication, continuous improvement
policy (Best and Stuart 2014). The perception of the health care staffs includes influences the quality
NUR312 Assessment Task 2
status lowered the quality of care to the patient. Due to over reluctance of the nurses, Mrs. Brown
also experienced adverse drug reaction, that caused swelling of the hands, feet, and legs and caused
shortness of breath, which left the patient panic-stricken. Mrs. Brown was so frightened, that she
even refused to take an IV infusion.
Actual /potential social justice principles that impacted the life crisis
Social justice principles refer to equality, diversity and supportive environment. It refers to the values
that believe in the elimination of equity, social justice and provision of a supportive environment
(Cole, Wellard and Mummery 2014). In this case study, the hospital organization did not follow of
unity and diversity as none of the nurses, displayed an inclusive behavior and the hospital
environment also did not support inclusion.
Step 3: Analyze the outcomes of your life crisis case study (500 words)
Use your references in your analysis. The analysis must refer to the social justice principles related to
the life crisis case study.
There are small number of literature on strategies at the health service level for culturally respectful
care to the aboriginals (Hole et al. 2018). It is evident from this case study, that the health care staffs
lacked cultural sensitivity. The ICU admission of Mrs. Brown, could have easily been avoided by
adhering to the safety protocols.
According to (Tobiano et al. 2015), the two possible outcomes of the study are due to inequity Mrs.
Brown started to feel depressed and due to negligence in patient rights, her condition of ailments
became more serious and severe. It has already been mentioned that the right to equity has been
breached in this case study. This is because equity means that the resources are assigned under the
requirements of an individual and population (Mazel 2018). Another social justice principle that has
been breached in this case study is diversity, which refers to the differences existing between
individuals and community. Another important social justice principle that has been breached is
diversity (Roche et al. 2018). Diversity can be referred to as the differences that exist between
individuals and peer groups. It is evident from the case study, that Mrs. Brown could not speak English
which acted as a barrier to communication with the health care staffs. The health care staffs also did
not find it important to think of some way out to communicate with the patient or the family. An
interpreter could have been used to communicate with the students. Ross, Barr and Stevens (2013)
have stated that the health care professionals should remain grounded in a social view of health,
including advocacy and addressing the social determinants, employing the aboriginal staffs, creation
of a welcome services, supporting the access by appropriate communication, continuous improvement
policy (Best and Stuart 2014). The perception of the health care staffs includes influences the quality
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