What should i do? a question of ethics

Nurses General Nursing

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i have become aware of a difficult situation and would appreciate some feed back on the view of what i should do, if anything about the situation. its fairly long winded but i would appreciate any advice. (sorry about the spelling)

The patient is a married women with physical disability of walking long distances due to an acident years ago.

Her husband works long hours as finantually they are not well off.

She needs carers three times aday to help with personal cares.

A spacific carer started looking after her 1 year ago and they became good friends.

The carer left her husband and moved in with her patient and her family and stoped caring for the patient on a perminant level, doing personal cares only when the agency could not get anyone else due to shortness of staff.

The husband was grateful as being away at work he was concerned that his wife would get lonely.

However it has come to my attention that the carer is sharing a bed with the patient nightly.

The husband got suspisions and accused his wife of having an affare with the carer ( although he did later appologies he says he still feels something is wrong with the relationship between his wife and her carer). The patient says she could never forgive her husband for saying such a thing and is devorsing her husband.

The husband is angry and feels the carer has abused trust. there is a 30 year age gap between the carer and patient and the husband is confused as to what to do if the carer leaves his wife to persue a relationship.

The patient and carer deny a sexual relationship but they sleep nightly together in a single bed and the patient does not like to go anywhere without her carer.

This is basically it and i dont know what to do, if anything.

I dont think what has happened is right but i dont know where i stand in this situation.

Please help

thank you Karen and LM. i guess i was just wanting someone to confirm to me that i would be right to step in and report this.

It will make my MIL mad at me, but better me than anyone else in the family who is blood related and better that shes mad than hurt in some way.

She is moving into a house with her carer and i dont like the way shes being moved from family and friends.

I worry she will see noone but this carer for days at a time.

If anyone knows about english procedures could they let me know?

but if not, i now feel i can bring this to the attention of social services or someone, justifiably and not just as an over paronoid person (which i probably am).

thank you

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Is there an ombudsman for the elderly in your area?

If she is receiving some kind of government income, is there a supervisory agency?

If you believe your MIL is not able to do what is best, then her next of kin-her husband? should be the one handling this.

Specializes in Med/Surg, Telemetry, Ortho.

If your MIL is divorcing her husband then most likey there will be a divorce lawyer who will be asking some hard questions. Questions pertaining to finances, and relationships that may be expensive. Seems like your MIL is being used, but if she is of sound mind then she will have to suffer the consequences. It must be hard to watch, but very little you can do about it I think.

Specializes in Neuro/Med-Surg/Oncology.

It sounds like the caretaker should be investigated for financial and emotional abuse. Your mil has isolated herself from her family and now money is disappearing. Something sure seems rotten in Denmark.

As for the bedsharing, it is definitely inapproproate. The caretaker has crossed the line. From your original post, it seems like she is no longer taking care of mil in an official capacity, so not much will probably be able to be done about that.

Is there an elder abuse agency that could look into the situation? Most of the time they take anonymous reports.

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