You are caring for an older adult female in the medical/surgical unit the day she received the news that there is a possibility her cancer, which has been in remission for 15 years, could be present again. The internist explained to her that he would like to obtain a CT, MRI, and multiple laboratory tests. Your patient refuses the tests, saying, “I have lived a long and happy life. Even if the cancer is back, I don’t plan on wasting my time and energy on treatments. I would rather live each day to the fullest.” The internist is adamant that your patient should follow through with the testing because the diagnosis has not yet been confirmed, thus a prognosis cannot be formed. What would you do? caring for an older adult female in the medical/surgical unit

Care for an elderly adult woman in the medical/surgical unit

It is essential to honor the autonomy and wishes of the patient in these situations, but also acknowledge the value of the opinion provided by the internist. American Nurses Association states, “Nurses should be conscious of any ethical concerns that might arise during their practice and must work to learn about ethical principles and laws.” (2018). It is crucial to recognize the right of the patient not to be tested and respect her choice. The internist’s opinions are important, but it is equally important to inform the patient about the possible benefits and to ensure she is able to make an educated decision. The ANA code requires that nurses explain to patients the benefits and risks of each test, along with any possible consequences of declining them (2018). This is to help ensure they are fully informed. Cont…

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