Preview

Acute Myelocytic Leukemia Case Study

Satisfactory Essays
Open Document
Open Document
425 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Acute Myelocytic Leukemia Case Study
Peter a 15 year old boy has acute myelocytic leukemia, he became very dependant on the nurses near his death. The nurse on his unit at the time promised him that he wouldn't be allowed to suffer and he wouldn't be alone as he became sicker. As his condition worsened the staff decided he should have a primary care nurse, Sheri Martin. Over time Peter became sicker and his pain elevated causing him to need someone there to help him feel comfortable at night. Peter asked Miss Martin to stay with him when her shift was over, she did; another nurse called off causing there to be a shortage of nurses that day. Miss Martin promised Peter that if not her another nurse will be with him as he dies, other patients needed preparation for diagnostic test …show more content…
As a nurse providing false assurance is wrong but Sheri did everything she could to put the patient first. But it also puts Sheri in a bind because she can't take care of any other patients when she's in the room with Peter her whole shift. A dilemma that happens more often is families putting a loved one into a nursing home. They promise to person they won't put them into the nursing home then things get to hard to handle alone so they have no other choice. It may break the person's heart but sometimes it may be a better route, they get three meals a day, and get onsite care. To keep the promises made to Peter the nurses could make routine check in’s every 20 minutes or even less. Having a rotation with the nurses could also help so when one nurse isn’t in a room they could be in with Peter. Putting Peter in a room that’s close to the nursing station could also be an effective way of keeping his promise. Peters emotionally and physically drained so playing movies and going out of your way to get him any food that he likes for his meals could also pull his spirits us. Doing these things could make the other patients feel as if they are valued the same because they'll get the same attention as

You May Also Find These Documents Helpful

  • Good Essays

    The negligence produced by the nurse in the care of Mr. Ard was below standard of care, which resulted in the loss of a life. There’s no evidence of what stresses the nurse might have been going through with the shortages of nurses and extra duties that may have been a part of nurses jobs currently. The lack of care Mr. Ard was given without proper protocol could have been prevented if proper steps were taken with his care, and proper attention was…

    • 1345 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    The patient had an opportunity to raise the incident with nursing and medical team on the night and the following day, however she didn’t until her son came for a visit the following day.…

    • 347 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Dr. White ordered an unusual dose of a medication for a patient. May Patterson, RN, sees the order and believes it to be the wrong dose. She is afraid to call Dr. White because he can be abrasive at times. Nurse Patterson asks the charge nurse who is not as familiar with the patient to call the doctor. The charge nurse calls Dr. White. He insists that he knows what is best for the patient and insists that the medication will be given as written. The charge nurse calls you, the administrator on call for the weekend, to resolve the issue.…

    • 579 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    This week in the cardia pre-op clinic, a Nurse Practitioner (NP) named Dot told me about her patient needed child life and that she was not prepared for her surgery. The patient was an 8-year-old girl from Puerto Rico who spoke Spanish and some English. I met D.F. and her mother in the waiting area of the pre-op clinic. I accompanied D.F and her mother to the lab and assessed D.F.’s understanding of why she was coming to the hospital. D.F. told me that she had a murmur and when I said, “oh, a murmur in your heart,” she told me, “no, a murmur in my chest.” Then I went back up to the pre-op clinic and spoke to Dot, asking her if the other had shared her understanding of the surgery and if there was any reason why she was not prepared for her surgery. Dot shared that the surgery had been moved up one week, and when she asked the mother that morning if D.F. had been prepared she did not realize the importance of preparing her child. I decided it would be best to talk with the mother first about preparing D.F. and giving her the option of preparing D.F. herself.…

    • 1840 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Sharna needs to demonstrate professional values of respectfulness by respecting Ginty’s decision to refuse treatment and demonstrate compassion to Ginty by supporting her decision and providing care that enhances her quality of life. • Element 2:  Element 2.1 clarifies that nurses carry responsibility and accountability for nursing practice (ICN code of Ethics for Nurses, 2012, p.3). Hence, Sharna is responsible and accountable for her actions/ inactions to report the child abuse and neglect. 2.3 Legal Issues The first legal issue to discuss is Ginty’s refusal of treatment. Two sources can be applied to this case: Statute Law (Guardianship and Administration Act, Sch 4) and Common Law (Re B (adult: refusal of medical treatment).…

    • 1626 Words
    • 7 Pages
    Good Essays
  • Good Essays

    According to, “The American Nurses Association Code of Ethics”, this document sets standards for nurses. It exemplifies the role of the nurse and duties to be maintained. For instance, patient advocacy is an important factor to the code of ethics. Patient safety is to be a primary goal for the nurse. I believe this is crucial for all nurses to practice. Individuals in the hospital are not necessarily capable of always expressing their needs. Therefore, it is the nurses responsibility to advocate for the patient during times they cannot. For example, one time I was caring for a patient who did not understand their diagnosis. A team of residents came into this person’s room and overwhelmed them with information. Confused, the patient was unable to understand the complexity of the illness. However, I witnessed the nurse advocating for her patient. She stepped in as a voice, making sure the patient’s questions were answered before they left. For a patient it can be quite intimidating when a group of doctors come in talking about a disease process they have never encountered. So, it was satisfying to see the nurse advocate for the patient.…

    • 574 Words
    • 3 Pages
    Good Essays
  • Good Essays

    BSN Degrees

    • 754 Words
    • 4 Pages

    Miss R was married but separated from her husband. She had two young children that were in the care of her parents due to the husband’s abusive nature. Miss R was suffering from Renal Cancer and at the end of her life. She was still able to speak for herself, but pain was becoming an extreme problem. She decided to put herself on our “Comfort Care” orders, which are the equivalent to Hospice. At this time her husband showed up and started wanting to become part of her care. This scared and worried her terribly. Immediately I contacted the charge nurse and the Ethics Committee was notified. This committee consists of social workers, BSN nurses and hospital pastors. They were able to address the situation, the law, the patient’s current needs and quickly develop a plan. A DPOA was drawn up and signed while patient was still conscious and of sound mind. She made all her wishes made very clearly and succinctly, and the decisions for her care were then legally transferred from her husband to her mother. I am sad to say that Miss R passed away less than one week later, but am glad to be part of a team that was able to pull its resources and do an amazing job. I think earning my BSN will make me a more valuable part of that…

    • 754 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    assignment form

    • 515 Words
    • 2 Pages

    I was just starting out working as getting my clinical hours and I remember looking at my patients care plan and I didn’t see anything about this particular patient being a DNR = Do Not Resuscitate and I went into the patients room to check on this man and I realize that he isn’t breathing and I called the nurse as quick as I could and I went into the room and was about to start chest compression and as I was about to start I heard the nurse shouting at me don’t touch him. The nurse didn’t do anything as well I was upset because I was under the impression that we suppose to do everything in our power to keep these patients alive. Me and the nurse argued because I didn’t see the DNR on the man’s chart and as I sat down with the charge nurse she showed me where it was located.…

    • 515 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    My duty as a nurse is to promote good and do no harm and respect the patient as the most basic and universal principle. According to the code, my most fundamental accountability is to the patient. In addition, it is my duty to make the most wise and ethical decisions for what is best for the organization. As a leader, I am self-aware of my values and basic beliefs about the rights, duties and goals of human beings. Unfortunately, here utilitarianism of what is best for the common good outweighs what is best for the individual. Mr. Cole has the right to leave against medical advice and it saddens me the issues they may face being denied home health care, however, it is not justified to withhold information from the physician. I could be risking…

    • 242 Words
    • 1 Page
    Good Essays
  • Good Essays

    the shift before did things that jeopardized my life. First she failed to give me report that this patient…

    • 758 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Ethics

    • 1383 Words
    • 6 Pages

    An ethical dilemma exists when the right thing to do is not clear or when members of the health care team cannot agree on the right thing to do (Potter, Perry, Stockert, & Hall, 2011). S.Z. is a 65-year-old Hispanic man who was admitted to the hospital for the third time in 6 months, for hyperglycemia. He is now scheduled to be discharged but his daughter pleads with the nurse that she does not want her father discharged because he is non-complaint with his medications and diet at home. She says she has small children at home and can’t be responsible for him, too. She is worried sick that he is doing this on purpose because he has been so depressed since her mother, who did everything for him, passed away. She says that her father has been seeing a curanderos, who treats him with traditional methods and that he refuses to take his medicine and only follows what the curanderos tells him to do. She does not agree with this and confides that she hopes to find a way to prevent her father from seeing this person and wants to know if the nurse can have her father’s discharge canceled and to ask the doctor to admit him to a nursing home where they can ensure he eats right and takes his medicine and not the herbs he has been using. Then she pleads, “Please just tell the doctor he won’t take his medicine.” Many years ago he was diagnosed with Diabetes Mellitus Type II and has been on insulin for two years. His blood sugar on admission was 589. He is retired and was widowed one year ago. He’s active in his church, gardens, and likes to work on small projects around the house. His medical history includes Diabetes Mellitus Type II, insulin dependent, Hyperlipidemia, and Osteoarthritis.…

    • 1383 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Mary (changed name) was admitted with right cerebrovascular accident (CVA) and was now just waiting for residential placement. One of the side effects left over from her stroke was that she had a drop-foot for which she had a splint and a walking stick; she had declined to use a frame. Mary was one of the patients on my team so I was getting to know her quite well during my first two weeks on the ward. I was working with another patient when I saw Mary twist on her ankle and try to steady herself on her stick. This had the effect of spinning her round and she fell to the floor onto her left hip. I ran to help, she was in a lot of pain and slight shock, I called down the ward for help several members of staff came to help saying "do this" and "do that" all at the same time, I was quite over whelmed. Mary was rolled back and forth onto a sling, hoisted up and placed on her bed, all the while I was looking after her head, I did not know what else to do so I talked to her to calm her down, which was difficult due to all the commotion. On initial examination the senior nurse on duty said it looked like she had broken her femur, which was later confirmed. Her residential placement was cancelled and she was transferred to stepping hill.…

    • 1492 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    P3

    • 1426 Words
    • 4 Pages

    Ways in which Peter’s behaviour in the health and social care setting can be minimised is to let him scream whenever he feels the need to. This is because if you were to get in Peter’s way and to try and stop him from screaming etc. it would make him want to do it twice as much, by letting him scream and let his emotions out it makes him more relaxed in the end, which would make him want to settle down more and listen to what is actually happening around him.…

    • 1426 Words
    • 4 Pages
    Good Essays
  • Better Essays

    You are the manager of the Cancer Center in a small suburban hospital. For the past two weeks you have worked closely with your nursing staff because they have been expressing “Burn Out” (frustration, dissatisfaction, or lack of interest in a job) as a result of the increase in the number of patients coming to the center who were diagnosed with terminal cancer. Nancy Nurse confided in you that she is particularly saddened about the rapid decline in Mrs. Jones’ health, a 30 year old single mother. She decided that the next time Mrs. Jones comes in for her treatment; she is going to give her an extra dose of a narcotic that could potential end her life.…

    • 1570 Words
    • 7 Pages
    Better Essays