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This assessment requires you to identify pertinent legislation and ethical issues using the attached case study. You are required to integrate theory, demonst rate analysis using evidence and include other pertinent literature to support your answers.Identify the two most relevant and significant Acts or Laws relevant to the casestudy. Ensure you focus on the current time frame and situation and that identified legislation is current and valid in Western Australia.Choose one of the Acts or Laws you have identified above and explain why it applies to Mr Henderson’s current care and situation. Ensure the Act/Law itself isused to discuss and analyse why it is relevant and significant.Identify one ethical issue that you, as a student registered nurse, faces when caringfor Mr Henderson during the morning shift.Outline and discuss one strategy that you may use to deal with this ethically challenging situation. You can choose either a type of communication strategy or aconflict resolution technique.Case study:Patient: John Henderson20 year old DOB 02/10/1998Admitted via ED yesterday morning at 07.00am.ED Notes- Bought in by ambulance, following Mountain Biking accident – bike versus tree.No loss of consciousness, GCS 15 at scene and maintained throughout transfer to ED,complaints of pain to R) wrist, ribs, and R) ankle. Large open wound to R) ankle – ? opentibula/fibula fracture. Dressing soaked with blood on arrival to hospital. Gross deformitynoted despite splinting. IV analgesia given en-route to hospital.On arrival to ED, patient asked for mother and father to be called to be informed of thesituation but asked for them to be told to not attend the hospital. In ED primary andsecondary surveys were performed. Results of Cervical, Thoracic and lumbar x-rays are asfollows:Right distal radius fracture with intra-articular component confirmed. Orthopaedicteam consulted. Plan – theatre for Open reduction internal fixation (ORIF), postswelling decreasing (in approximately 5 days). For stop-sign sling and ice to helpreduce swelling.3⁄4 Fractures to right ribs # 4,5,6 – no displacement noted. Plan – Conservativemanagement, pain relief as required and rest in bed.3⁄4 Right Tibia and Fibula fracture. Orthopaedic team consulted. Plan – for manipulationunder anaesthetic to achieve alignment, washout in theatre and closure of openwound. Consent for theatre and blood transfusion if required obtained on Theatreconsent form.3⁄4 HB – 103. Plan – repeat Hb in 24hrs. All other bloods noted as Nil abnormalitiesdetected (NAD).3⁄4 IV ab’s commenced – QID Flucloxallin 1g.Current situation:You are caring for the below patient on this morning’s am shift.Handover by RN- Pain in right ankle has been hard to manage overnight, required review byAnaesthetist – further oral analgesia ordered. Given with good effect. Neurovascular status– unable to feel pulses due to POP, some tingling noted in toes (RN states that is from the nerve block used in theatre). Right leg raised with pillows. Systolic BP remains low butwithin modifications. Bloods taken at 06.00am. Right arm remains in stop sign sling with ice15mins on/1 hour off (patient tolerating). Rib fractures are limiting patient’s movement inbed and pressure area care required every 2 hrs. Mother phoned overnight to check onpatient – no information disclosed as not listed as NOK, mother became upset and toldnurse that patient should not be given any blood products as he is Jehovah’s Witness. RNquestioned patient about the mother’s information and the patient stated that he no longeridentifies with that religion and is estranged from his parents due to their beliefs. Fiancéearrived at 06.30am and is currently with patient.
Question Preview:
This assessment requires you to identify pertinent legislation and ethical issues using the attached case study. You are required to integrate theory, demonst rate analysis using evidence and include other pertinent literature to support your answers.Identify the two most relevant and significant Acts or Laws relevant to the casestudy. Ensure you focus on the current time frame and situation and that identified legislation is current and valid in Western Australia.Choose one of the Acts or Laws you have identified above and explain why it applies to Mr Henderson’s current care and situation. Ensure the Act/Law itself isused to discuss and analyse why it is relevant and significant.Identify one ethical issue that you, as a student registered nurse, faces when caringfor Mr Henderson during the morning shift.Outline and discuss one strategy that you may use to deal with this ethically challenging situation. You can choose either a type of communication strategy or aconflict resolution technique.Case study:Patient: John Henderson20 year old DOB 02/10/1998Admitted via ED yesterday morning at 07.00am.ED Notes- Bought in by ambulance, following Mountain Biking accident – bike versus tree.No loss of consciousness, GCS 15 at scene and maintained throughout transfer to ED,complaints of pain to R) wrist, ribs, and R) ankle. Large open wound to R) ankle – ? opentibula/fibula fracture. Dressing soaked with blood on arrival to hospital. Gross deformitynoted despite splinting. IV analgesia given en-route to hospital.On arrival to ED, patient asked for mother and father to be called to be informed of thesituation but asked for them to be told to not attend the hospital. In ED primary andsecondary surveys were performed. Results of Cervical, Thoracic and lumbar x-rays are asfollows:Right distal radius fracture with intra-articular component confirmed. Orthopaedicteam consulted. Plan – theatre for Open reduction internal fixation (ORIF), postswelling decreasing (in approximately 5 days). For stop-sign sling and ice to helpreduce swelling.3⁄4 Fractures to right ribs # 4,5,6 – no displacement noted. Plan – Conservativemanagement, pain relief as required and rest in bed.3⁄4 Right Tibia and Fibula fracture. Orthopaedic team consulted. Plan – for manipulationunder anaesthetic to achieve alignment, washout in theatre and closure of openwound. Consent for theatre and blood transfusion if required obtained on Theatreconsent form.3⁄4 HB – 103. Plan – repeat Hb in 24hrs. All other bloods noted as Nil abnormalitiesdetected (NAD).3⁄4 IV ab’s commenced – QID Flucloxallin 1g.Current situation:You are caring for the below patient on this morning’s am shift.Handover by RN- Pain in right ankle has been hard to manage overnight, required review byAnaesthetist – further oral analgesia ordered. Given with good effect. Neurovascular status– unable to feel pulses due to POP, some tingling noted in toes (RN states that is from the nerve block used in theatre). Right leg raised with pillows. Systolic BP remains low butwithin modifications. Bloods taken at 06.00am. Right arm remains in stop sign sling with ice15mins on/1 hour off (patient tolerating). Rib fractures are limiting patient’s movement inbed and pressure area care required every 2 hrs. Mother phoned overnight to check onpatient – no information disclosed as not listed as NOK, mother became upset and toldnurse that patient should not be given any blood products as he is Jehovah’s Witness. RNquestioned patient about the mother’s information and the patient stated that he no longeridentifies with that religion and is estranged from his parents due to their beliefs. Fiancéearrived at 06.30am and is currently with patient.
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