Question

Discussion Topic: Doing the Right Thing (minimum 250 words)

Imagine you are working on the nightshifts in a nursing home. This is your sixth straight day and you’re feeling very tired. One of the residents, Mannie, an 85-year-old male, has been in the home for ten years after having a stroke. Mary needs to be turned every 2-hours to avoid him developing pressure sores, but you and the other nurse you are working with decides to turn him irregularly. Your justifications of these decisions are to avoid disturbing his sleep as well as to protect your backs. At the end of the shift, you turn Mannie and record in his notes that you have done every 2-hours throughout the night. He has not developed a pressure sore, so what is the harm? Now consider this: you turn him at the end of the night and discover that a small area has broken down on his left hip. Is this your fault? If the manager asks if you have turned him every 2-hours, as stated in the care plan, what will you say? You could say you turned him every 2-hours – this would not change anything for Mannie but would make your life easier. Alternatively, you go to turn him at the end of the night shift only to discover that he has died sometime during the night. Mannie has been dead for a while based on how cold he is. You know you can just claim that you found him earlier in the night and prepare his body quickly before the day staff comes in to work. Surely this will not change anything; no one will be hurt, will they?

After reading the article, take some time to reflect on cultural diversity in healthcare, then answer substantively to the following questions.

1. Which, if any, of these scenarios are acceptable? Does the blame attached to any of them change because of the outcome?
2. What does your choice of actions say about you?
3. What values are being displayed here? Explain.

Answer 1

body is covered by the skin in order to protect internal organs. as age increase, skin's integrity is affected. moreover skin of older person is fragile and delicate, which get affected more when an olderperson confined to person.

according to the article, maanie has been suffered with stroke and confined in bed for last 10 years. the two nurses cares him irregularely such as turning him in the bed at the end of shift. justification of the the two nurses  is to avoid disturbance of his sleep and also to protect nurses back.

1. these scenario are not acceptable namely avoid turning him every 2 hours and charting in the notes for doing activities .old age's skin is delicate and fragile which is the main concern .this could lead to skin breakdown and caused pressure sore in the hip. further more, if the nurse turns him every 2 hours, nurse could identify patient's condition and protect his skin.

2.the choices of acton says about the nurse, is a sterotyped person who perceives old age as compromised,weeked in physically and mentally.more over, he affected with stroke. here the nurse showed sterotyped behaviour. she is not competent in providing care

3.here ethical issues are displayed such as negligence of care while caring for a older person such as turn him every 2 hours. and forget about 6 core values while caring for a patient. there are 6 core values namely altruism(selflessness) , honesty, dignity, integrity, social justice. honesty and integrity, altruism are not followed. nurses think about her back and easy life,she didnot turn him every 2 hours. she lied to the manager about turning of patinet. moreover she charted in the nurses note for not doing activities. she does not provide continuous care.nurses responsibility is caring for a person in a competent way.