Patient Rights and Autonomy

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Recommended: Maintaining confidentiality in nursing

Caitlin enters the room with her significant other Isaiah to wait for the nurse in the family planning clinic. Elise is a nurse who has been working for the family planning clinic for a few years, enters the room to meet her next patient of the day. To Elise’s surprise, she notices her best friend Kim’s husband sitting with another woman in the waiting room which happens to be Caitlin. As Elise calls out the name of her next patient, she hopes it is not the woman that is sitting with Isaiah, but to her surprise the patient she is looking for is the woman sitting with Isaiah. Elise quickly grabs Caitlin, and as they begin walking into the exam room, Isaiah begs Elise for mercy stating “please don’t tell Kim, it was just a one-time thing. You need to force Caitlin to terminate this pregnancy”. Elise stresses Isaiah stay out into the waiting room while she collects Caitlin’s information.

As Caitlin arrives in the exam room and sits in the chair and waits for Elise as she goes over Caitlin’s past medical history and reason for her visit. Elise opens the conversation by stating “Caitlin, I’ve read in your chart that you are here today for termination of pregnancy and I’d like to go over policies and procedures with you”. Caitlin displays her emotions all over her face stating how she is unable to go through with this termination and how Isaiah has declared her that he would leave his wife, but to her surprise he will not. Caitlin desperately asks Elise if termination of pregnancy is her only option in her situation and Elise is quick to respond that it is Isaiah’s right too, and he has expressed he would like to go through with the termination, so unfortunately this is her only option.

It is evident that Caitlin is devastated by El...

... middle of paper ...

...der for patients if there is a conflict of interest. By Elise giving up the patient assignment to another nurse who had no insight as to who it was seeking care, she would have avoided any conflict of duty to not only that patient but the duty to her friend as well. Also, the patient would have had her right to autonomy upheld and receive the best patient centered care because information was not being withheld.

References

Huber, D. L. (2014). Leadership & Nursing Care Management. Saunders.

Principles of Patients’ Rights and Responsibilities. (1995). Retrieved from http://www.nationalhealthcouncil.org/pages/page-content.php?pageid=66

Rainbow, C. (2002). Descriptions of Ethical Theories and Principles. Retrieved from http://www.bio.davidson.edu/people/kabernd/indep/carainbow/theories.htm

Singleton, M. B. (2008). Promoting a patient’s right to autonomy. 6.

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