Ethical dilemma - page 2

Hi nurses, Please give me your thoughts and advices on this. An 80 yrs old female is admitted to hospice program with the diagnosis of end stage COPD. She was also prescribed hypertension... Read More

  1. by   tnguy31
    Asst. Admin,
    My thought was she doesn't need the medication, maybe. I spoke to caregiver, and he stated that she has never had depression; her other caregiver stated the patient is a cheerful person to begin with, patient has friends and family visited her often, and pt talks and have conversations with them.
    This pt also has a lots of medication, and she is a very petite and old lady. I just want to look at her medications and try to understand why she needs them, if she needs them or not?
  2. by   tnguy31
    No, it's not your brain or the flu lol. I didn't make it clear, i think. The problem is I think she doesn't need to be on this med at all.
  3. by   blackvans1234
    It would've be good to have interviewed the patient and see what you could have gathered about her DX.

    She may have been depressed and not communicating her feelings to you.

    I might not have depression until I find out that i'm going to die. However Kubler ross may advocate to let the Pt go through the stages until they can come to terms with their DX.


    You can still ask her how she feels about being on the medication, and how she feels about the increase of dosage.
    Ultimately it is her choice to take the med or not.
  4. by   Sun0408
    See your last few posts gives us a better understanding of your question. I must say, you need to research this medication AND find out why the pt is taking it. You "believe" it is for depression but cymbalta treats other things than just depression.
  5. by   Esme12
    Quote from tnguy31
    Asst. Admin,
    My thought was she doesn't need the medication, maybe. I spoke to caregiver, and he stated that she has never had depression; her other caregiver stated the patient is a cheerful person to begin with, patient has friends and family visited her often, and pt talks and have conversations with them.
    This pt also has a lots of medication, and she is a very petite and old lady. I just want to look at her medications and try to understand why she needs them, if she needs them or not?
    There are many reasons for different meds......look up the meds compare to the diagnosis and see what you come up with.

    What are the drugs you are questioning maybe we can help.

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