TRUTH TELLING AND THERAPEUTIC LYING AN ETHICAL CASE STUDY BY :.
Added on 2022-12-19
16 Pages3539 Words1 Views
Disease and DisordersHealthcare and Research
|
|
|
TRUTH TELLING AND
THERAPEUTIC LYING
AN ETHICAL CASE STUDY
BY :
In the following presentation the presenter will look into the following sub-topics in
order to examine truth lying and therapeutic lying;
• A description of the case scenario
• Definition of the term therapeutic lie and its prevalence.
• Use of ethical framework in examining the case scenario
• Process of decision making
• Nursing legal ethics and a guidelines relevant to the case scenario
• Comparison between truth telling verses therapeutic lying
• Outcome and recommendations
• Conclusion .
1
THERAPEUTIC LYING
AN ETHICAL CASE STUDY
BY :
In the following presentation the presenter will look into the following sub-topics in
order to examine truth lying and therapeutic lying;
• A description of the case scenario
• Definition of the term therapeutic lie and its prevalence.
• Use of ethical framework in examining the case scenario
• Process of decision making
• Nursing legal ethics and a guidelines relevant to the case scenario
• Comparison between truth telling verses therapeutic lying
• Outcome and recommendations
• Conclusion .
1
Mr. X case scenario
A 79 year old.
Has two daughters (the eldest has a son)
Wife died 4 years ago
Mood swings
Physically functions well
Hx of Hypertension and depression.
Reasons for admission in the psychiatric hospital
This is a case study of a male patient Mr X and his family of two daughters and a grandson.
The eldest daughter has the power of attorney over his father Mr. X. He is considered
“incapacitated" as he cannot decide things for himself (Fetherstonhaugh. Et al. 2017;
Brinkman-Stoppelenburg. et al.,2014). This daughter by the name carol who has a son aged 2
years. Mr X is 79 years old with second stage dementia diagonized three years ago. He has
the following signs and symptoms; forgetting recent events and people's names, getting lost
at home and, increased difficulties in communication. His behaviour change is accompanied
by wandering and repeating questions that were asked before. Mr X is still well physically
and has long lucid periods. He can, therefore, follow a conversation and social cues at a high
standard. He usually wakes up while okay but mood changes along the way as the day
progresses, known as bipolar disorder. Mr .X starts the day while manic high then gets
depressed. He has a history of hypertension diagnosed five years ago. The hypertensive
condition has been managed by administration of amlodipine intravenously at a dosage of 10
mg once daily since for the time he has been in the psychiatry hospital., Alzheimer's disease
and depression. He is in a psychiatric hospital due to the daily conflicts that cause increased
blood pressure due to his hypertensive condition.
Mr X could wake up while okay take a substantial breakfast, however whenever it reaches
9:00 am he could lose track of time and starts calling his daughter as his wife. Whenever the
daughter reminds him that his wife passed some years back he could get agitated and kept
on forcing that she is her wife and the son she has is his only son He has, and he is soon
2
A 79 year old.
Has two daughters (the eldest has a son)
Wife died 4 years ago
Mood swings
Physically functions well
Hx of Hypertension and depression.
Reasons for admission in the psychiatric hospital
This is a case study of a male patient Mr X and his family of two daughters and a grandson.
The eldest daughter has the power of attorney over his father Mr. X. He is considered
“incapacitated" as he cannot decide things for himself (Fetherstonhaugh. Et al. 2017;
Brinkman-Stoppelenburg. et al.,2014). This daughter by the name carol who has a son aged 2
years. Mr X is 79 years old with second stage dementia diagonized three years ago. He has
the following signs and symptoms; forgetting recent events and people's names, getting lost
at home and, increased difficulties in communication. His behaviour change is accompanied
by wandering and repeating questions that were asked before. Mr X is still well physically
and has long lucid periods. He can, therefore, follow a conversation and social cues at a high
standard. He usually wakes up while okay but mood changes along the way as the day
progresses, known as bipolar disorder. Mr .X starts the day while manic high then gets
depressed. He has a history of hypertension diagnosed five years ago. The hypertensive
condition has been managed by administration of amlodipine intravenously at a dosage of 10
mg once daily since for the time he has been in the psychiatry hospital., Alzheimer's disease
and depression. He is in a psychiatric hospital due to the daily conflicts that cause increased
blood pressure due to his hypertensive condition.
Mr X could wake up while okay take a substantial breakfast, however whenever it reaches
9:00 am he could lose track of time and starts calling his daughter as his wife. Whenever the
daughter reminds him that his wife passed some years back he could get agitated and kept
on forcing that she is her wife and the son she has is his only son He has, and he is soon
2
taking him to school to learn and inherit him when he dies. He, therefore, keeps on asking
lunch whenever it reaches 9:00 am inconveniencing carol the daughter till she decided to
take him to a psychiatric hospital. The situation did not change while in the hospital despite
the management given b the nurses. Whenever his daughter, carol visited him kept on
insisting that she is his wife. It was at this point that the nurses and his daughter carol
decided to use the therapeutic lie to prevent him from exacerbating his hypertension
condition. The lying kept carol happy since she could barely see his father angry.
2
lunch whenever it reaches 9:00 am inconveniencing carol the daughter till she decided to
take him to a psychiatric hospital. The situation did not change while in the hospital despite
the management given b the nurses. Whenever his daughter, carol visited him kept on
insisting that she is his wife. It was at this point that the nurses and his daughter carol
decided to use the therapeutic lie to prevent him from exacerbating his hypertension
condition. The lying kept carol happy since she could barely see his father angry.
2
Therapeutic lie and its prevalence.
Therapeutic lie is when the nursing staff avoid an overt lie and instead, in
line with validation therapy, establish empathy with the feelings and
emotional content of patient’s conversation, but in so doing they deceive
the patient. (Hughes & Common, 2015).
There are 4 main therapeutic lie categories according to Blum’s
categories of deception, 1994).
(i) Going along the
(ii)Not telling
(iii)White lies
(iv)Tricks
Sperber, (2015) defined therapeutic lying as “the practice of deliberately deceiving
patients for reasons considered in their best interest .” The scholarly literature
categorizes lying in dementia into four. These four categories include going along with
the reality of the patient, telling the truth inactively, white lies and lastly is the
outright deception. In our case with Mr X, it is evident that the daughter used white
lies and went along with the patient's reality by accepting that she is his wife. They
finally understood him and went with what he found pleasant to his heart.
Different scholars have researched therapeutic lie in dementia patient and presented
their findings in different literature books and journals. The studies aimed at
determining the prevalence of therapeutic lie incidences and the nurses' perception
concerning the issue arising. Tuckett (2012), conducted qualitative research on the
experience of lying in dementia care. In these, 96% of the people taking care of
dementia patients, including nurses and psychologists admitted to being involved in
lying the patients with dementia. From these respondents, some are oka with it while
a smaller percentage of less than 10% said they were not okay with it. Whatever is
done by the nurses, therefore, is in contrast to what the nurses' code of ethics
states.(Cantone et al. 2019)
3
Therapeutic lie is when the nursing staff avoid an overt lie and instead, in
line with validation therapy, establish empathy with the feelings and
emotional content of patient’s conversation, but in so doing they deceive
the patient. (Hughes & Common, 2015).
There are 4 main therapeutic lie categories according to Blum’s
categories of deception, 1994).
(i) Going along the
(ii)Not telling
(iii)White lies
(iv)Tricks
Sperber, (2015) defined therapeutic lying as “the practice of deliberately deceiving
patients for reasons considered in their best interest .” The scholarly literature
categorizes lying in dementia into four. These four categories include going along with
the reality of the patient, telling the truth inactively, white lies and lastly is the
outright deception. In our case with Mr X, it is evident that the daughter used white
lies and went along with the patient's reality by accepting that she is his wife. They
finally understood him and went with what he found pleasant to his heart.
Different scholars have researched therapeutic lie in dementia patient and presented
their findings in different literature books and journals. The studies aimed at
determining the prevalence of therapeutic lie incidences and the nurses' perception
concerning the issue arising. Tuckett (2012), conducted qualitative research on the
experience of lying in dementia care. In these, 96% of the people taking care of
dementia patients, including nurses and psychologists admitted to being involved in
lying the patients with dementia. From these respondents, some are oka with it while
a smaller percentage of less than 10% said they were not okay with it. Whatever is
done by the nurses, therefore, is in contrast to what the nurses' code of ethics
states.(Cantone et al. 2019)
3
End of preview
Want to access all the pages? Upload your documents or become a member.
Related Documents
ISBAR Clinical Handover for Mental Health Patient | HLTH 1037lg...
|7
|2281
|291
5 EFFECTIVE & EVIDENCE BASED ACUTE CARElg...
|16
|3726
|22
Alzheimer’s Disease with Malnutrition in Elderlylg...
|17
|5049
|129
Human Development: A Case Study of Mr Khinlg...
|17
|5431
|3
Mental Health OSCA Assessment 2 - ISBAR Clinical Handoverlg...
|6
|1674
|204
Reflection on the Quality of Physical and Mental Health Research Paper 2022lg...
|13
|2500
|20