Question

Ben, a 69-year-old man was admitted to a hospital last night because of chest infection. He has had a history of chronic obstructive pulmonary disease for 10 years with regular follow up. His vital signs on admission were : Blood pressure/pulse: 130/70 mmHg / 80 beats per minute Respiratory rate SpO2 Temperature : 25 breaths per minute : 90% : 37.5 degree Celsius The doctor prescribed 2 litres of oxygen per minute through nasal cannula for David. At mid- night, Nurse Lily found that David was in a confuse condition that he removed the nasal cannula and tried to climb out of bed. When Nurse Lily tried to stop him, he hit her. Nurse Lily informed the doctor in-charge and verbal order was given to restrain David with limb holder and safety vest.

Describe the nursing obligations in ethical decision making with explanation in Ben’s case.

Answer 1

• Nurses should take consent of patient, if in emergency situations and disoriented cases explain to bystanders and take consent.
• Bony prominences should be covered with cotton before applying restraints.
• Appropriate restraints need to be selected according to patient.
• Frequent circulatory checks should be performed
• Restraints should be attached to bed rodes, not to side rails.
• Restraints should be tied away from the patient.
• Restraints should be changed when soiled or damaged.
• Restraints should be able to quickly release when needed.