Capacity should be assessed, and it should be determined whether or not the patient is able to make this decision based on this assessment.
If a patient does not have capacity, suitable approaches may be used to advocate for treatment.
You should discuss the issue in a calm and sensitive manner, asking them about their concerns, ideas and expectations.
Often, parents are stressed or anxious, and this could affect their judgement as to the best course of action for their child.
Nurses have skills and knowledge of disease and treatment; however, patients have the right to autonomy and have the final say in their own treatment.
When opinions oppose, this can create a challenging clinical situation.Unless the patient is at serious risk of harm, nurses should respect their wishes.This should be clearly documented in the notes, including necessary discussions with the patient prior to discharge.Regardless, you cannot force treatment on a patient or provide them medication covertly.This would be unethical and can constitute an act of harm or assault, which may have severe legal and professional repercussions.- Demonstrate an ability to weigh up evidence when serving the best interests of the patient.The main ethical principles of nursing are intended to guide decision-making to ensure the best outcomes for patients, while respecting patient rights.The parents may feel that alternative options are better or that further treatment or interventions may be too painful or distressing for the child.You should establish the reason why the parents’ opinion differs from medical advice.The following sections of this chapter will consider key situations where ethical treatment is complicated by conflicting rights and nursing obligations of care.One of the most commonly encountered ethical dilemmas in practice relates to differences in the way the nurse and patient may view a clinical decision.