JOURNAL 1 And 2

Running head: JOURNAL 1 & 2 1

JOURNAL 1 & 2

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JOURNAL 1 & 2 2

Journal 1

Part A (problematic patient/family or staff situation)

Euthanasia ethical dilemma is one of the most challenging to deal with in the nursing

profession. In my last shift, I got myself faced with this kind of dilemma. The patient I was

caring for had sepsis after he had undergone a lumbar stenosis surgery, had C.Difficle,

leukocytosis as well as acute renal failure. All this combined makes the patient sound terminally

ill and hard to heal. However, from my assessment and the care I had provided him with I had

already observed some positive changes in his health and hence there was room for more

improvement. On observing the pain that had the patient was undergoing, and the different

illnesses the patient was suffering from the family had given up and decided to provide palliative

care for the patient.

Part B (personal thought/feelings resolution and learning)

I had committed a significantly adequate time in caring for the patient and I was hopeful

he would recover. On realization that his family wanted palliative care carried out I felt bad

about it. With the knowledge that there was a possibility for the patient to heal I felt hard to let

go the patient on euthanasia. Unfortunately I could not stop the move, overturn the decision or

discourage the family from doing it given that they had the right to do it. This confused me since

I did not want to infringe on the rights of the patient and the family and neither did I want the

patient dead. To overcome all this, I decided to hold a discussion with the family so as to listen

JOURNAL 1 & 2 3

to their thoughts and sell my ideas to them with an aim to come up with a medically reasoned

and informed decision about the patient.

Part C

The family expressed their sincere will and wish to let their old father peacefully die after

learning how critical his condition was. I carefully listened to the rationale or the reasons behind

their resolution and although I didn’t fully like the idea I gave in and supported it. The reasoning

that the family did not want their father to continue suffering and also spend a lot of money on

his medical bill sounded as substantial grounds to me to let go the patient. I learned to respect

family’s’ and patient’s rights on the issue of euthanasia. When faced with the same situation

again I will provide advice to the deciding family first then uphold their decision as I did in this

case.

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Journal 2

Part A (problematic patient/family or staff situation)

As a nurse, it feels awkward and is also disturbing to abandon a patient who is in dire

need of care that you can provide. In my last shift, I happened to experience this kind of

scenario. I received a patient who had been involved in a fatal accident whereby he was hit by a

car while trying to cross the 15 freeway. The 31-year-old female patient had her liver physically

injured and was diagnosed of liver laceration grade 111. Additionally, the patient had an open

wound. Unfortunately, the patient was very aggressive and combative as well. She gave no

chance for medication. On touching her, she would scream very loud. Even after leaving the

room and coming back later she would still behave aggressively and yell at the top of her voice

on seeing us.

Part B (personal thought/feelings resolution and learning)

The charge nurse directed my preceptor and me to leave the patient’s room after

observing how difficult it was to provide medication and care to the patient. This troubled me

seeing that I was abandoning a patient who needed urgent attention. If the liver was left

unattended, the health of the patient would deteriorate and possibly lead to other complications.

This is owing to the fact that the liver plays a broad spectrum of roles in the body including

digestive, detoxification and hormonal regulation functions among others. I felt it not fit to watch

the patient undergo more suffering and possible complications thereafter. From the look of the

patient, I concluded that she must have been traumatized something that made her aggressive and

scream at our sight.

Part C

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I reported the matter to the doctor to see what directions he would give us. The doctor, in

turn, ordered that we should use force to have the patient attended to. When force was applied,

the patient gave in although she was still aggressive. We got a chance to provide medication and

also change the patient’s wet pad. If I encounter such a patient again in future, I will apply the

same method the doctor advised here.

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