what's the best ethical resolution?

Nurses General Nursing

Published

Hi all,

MAy i have some opinions from anybody for the scenario below;

A 65 years old female was admitted to hospital after a fall. She was diagnosed with left CVA stroke. Patient refused to eat and drink and was in a denial stage for her condition. She tried to eat but unable to swallow properly, therfore, lead her to deny all food and drink served a couple of days. Intake / output chart showed unacceptable result.Doctor in charged thus ordered a ryles tube insertion for her to replace oral intake.

Upon insertion, patient refused the procedure, family members were contacted to persuade patients to undrego the procedure but they were not supportive of the idea as they feel that the patient was capable of ingesting orally.

Despite the family and patient disagreement of ryles tube insertion, the nurse incharge proceeded with the Dr's order.

What's your solution is your patients doesn't want to be tube fed and yet the dr's order is to do so.

Specializes in Corrections, Psych, Med-Surg.

"Originally Posted by BadBird

As I see it that nurse could be charged with assault."

More accurately, with assault and battery.

I completly agree with you s joe.Thats simple assault and battery.The pt refused.....and there was obviously discussion with the pr re:the procedure and that equivalates to assault when she refused and the nurse proceeded and it meets the criteria for battery.This doc doesnt even have the family's ok for the placement of the tube.What were they thinking?????What right does any healthcare professional have to place their hands on a patient against their wishes.Thats stepping over the ethical line .

Agree that this is assault and battery from nurse. Think facility is on thin ice. Also think DR is guilty of neglect and failure to offered approiate care. Pt needs swallowing eval, gag reflex eval. Also neuro/psych eval. Is there a living will? Has family been approached regarding patients wishes before CVA?

Too inferior care according to standards.

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