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An etiquette in treating patient with diabetes and learning disability: The case of Mr. Stephens

   

Added on  2020-05-11

9 Pages2180 Words231 Views
Running head: CASE STUDYCASE STUDYName of the StudentName of the universityAuthor’s note

1CASE STUDY NURSING ETHICS IN TREATING PATIENT WITH DIABETES AND LEARNINGDISABILITYThis paper focuses on the case study of Mr Stephen, who is a young man suffering fromlearning disability, who had been commenced on once daily long acting insulin for his type 2diabetes. After the surgery Mr. Stephens is once again diagnosed with an elevated blood glucoselevel. Stephen becomes distressed whenever there is a session of insulin administration whichleads to discontinuation of the treatment. This paper sheds light on the ethical framework ofnursing that addresses the treatment plan of Stephen. It also provides with information regardingthe altered pathophysiology in diabetes patient. The paper finally provides with a plan of carethat is suitable for treating a patient like StephenEthical frameworkNurses play a major role in patient safety. They are the professionals who are presentwith the patient around the clock. They act as the bed side care givers and are also positioned forthe prevention of the medication errors, ensuring the patient to get safety treatment. There arecertain codes of ethics that each and every nurse should be able to uphold in her nursing practice.The different nursing codes are essential for the nurses to provide an effective and safe nursingcare to the patients. In this case we have referred to the four quadrant ethical framework toaddress the case study of the patient (Bernthal et al.2014) The four quadrant ethical frame work can be structured as-Indications for medical intervention- Stephen, who had moderate learning disabilities hadbeen diagnosed with type 2 diabetes after his surgery. Stephen does become distressed ifinjected with insulin, which has lead to discontinuation of therapeutics. As a nurse it is

2CASE STUDYimportant to assess whether adoption of any other means of treating diabetes is effectiveor not. Preferences of the Patient- Stephen have a learning disability, which does not mean thathe does not have the right to make decision regarding his treatment. In this case ifStephen is unable to take any decisions then he has his parents, who lives nearby and cantake decisions on behalf of Stephen. It is advisable to avoid any restraints to the patient.Quality of life- It can be expected that proper diet, exercises and therapeutics will be ableto bring about improvement on her previous standard of health. Contextual features- It is evident from the case study, each time Stephen is administeredwith insulin, he becomes distressed. Therefore it can be estimated that he might befrightened of needles and thus tries to avoid treatment.According to the NMC codes of ethics, the nurse should be able to recognize the needs ofthe patient and should assist in giving the appropriate care (Bernthal et al.2014). Acollaborative care approach is always suitable for providing patient centered care. Inorder to do that it is essential to act in partnership with the patient and the healthcareprofessional of the GP service.Cleaning reasoning and assessment to develop a care planNurses are confronted with ever increasingly complex problems. Codes of ethics andsome legal frameworks are there that act as fundamental guidance to the nurses (Holt andConvey 2012). There are different authentic international codes of nurses which involve their

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