This is primarily because of the fact that nurses are the members of the health care team that are constantly with the patients during the time of their utmost vulnerability. It is in these moments of…
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ned by the performance of nursing functions with outmost care and diligence but that it moves toward the moral perception and awareness of nursing care. With this shift in the appreciation of nursing care – from performance of duties to moral perception of nursing care - the centrality of the nurse –patient relationship becomes more poignant and pivotal in the understanding of nursing (Gastmans et al, 1998; ; Covington 2005).
In the context of nursing care perceived not just as a performance of duty but as a moral awareness, nurses rise up to the demands of care, respect and achieving the goal of holistic well-being for the patient. Thus, nurse-patient relationship opens a “comportment of the self towards others, which has the inherent goal of enhancing the existence of those others” (van Hooft 1999, p 190). However, the nurse-patient relationship is often plagued with quandaries that time and again challenges nursing care. One of these dilemmas that nurses have to contend with as they practise the profession day in and day out is truth telling in the context of patients undergoing palliative chemotherapy.
Recognising the importance of truth telling in the nurse-patient relationship and the dilemma that nurses frequently encounter with it, this paper will look into the concept of truth telling in relation with patients undergoing palliative chemotherapy.
In lieu of the significance of truth telling in nurse-patient relationship, this paper aims to understand the intricacies of truth telling vis-a- vis nurse-patient relationship. It intends to gain deeper comprehension of utilitarianism, deontology and the four basic ethical principles of justice, autonomy, non-malfeasance and beneficence. Finally, to attain a clearer comprehension of the impact of truth telling in the nurse-patient relationship in the cancer setting (palliative chemotherapy).
As this paper will look into the concept of truth telling vis-a-vis nurse-patient relationship in the context
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Telling the truth to the patient by doctors may sound too simple to common men, but it is always a complex and stressful aspect for physicians. Generally, lying to the patients or deceiving them can be considered as a bad act. But a doctor in order to save the patient from stress, fear and complexities keep the truth about their disease far from them.
A survey found that only half of hospitals conducted investigation into chemotherapy-induced neutropenic sepsis (Cameron, 2009, p101) and this suggests that educating those in the healthcare profession about the signs and dangers of the condition could decrease morbidity and mortality for those patients who are affected.
However, the cancer returned and upon initial diagnosis had metastasized to the lungs, bones and liver. The patient underwent several rounds of chemotherapy with little improvement. Prognosis is extremely poor for this patient due to the metastasis and the non-response to traditional chemotherapy, and therefore she has been given a terminal diagnosis.
The term encompasses helping an individual be functional, healthy, and independent and as comfortable as is possible despite diseases’ including chronic and debilitating disease such as is frequently treated in the field of oncology. In diseases that are not curable care is always considered palliative care.
Truth telling is a social virtue thus is a prerequisite to the creation of an ideal society. Everyone in a society must therefore learn to tell the truth at all times. However, this is not always the case as different scenarios present different diverse challenges thereby prompting people to reveal their facts sparingly.
In addition to the uncontrollable growth of cells once the body is inflicted with cancer these cells grow at an explosive rate. This is one of the reasons the disease is so difficult to manage if it is not detected at an early stage. Even in the cases where the cancer has been detected early it is still difficult to treat and manage.
In order to do this, it has to determine its deferred tax assets as well as investigate evidences to determine if and what valuation allowance is required. Based on evidences, more weight should be put on positive evidence that indicates that the company has returned to profitability, which mean no or only partial valuation allowance need to be determined.
Trust plays a major role in patients' life as it is the only way that patient will be able to cooperate with the medical staff to perform treatment. For instance, the patient should be able to trust in the capability of the nurses that the medicines that are administered on them are correct.
It is best delivered by an interdisciplinary team which can offer integrated focus to physical, psychological, social spiritual and practical dilemmas of both the patients and their families.
However, does a person have to be dying to receive palliative care Palliative care is meant for people who are fatally or incurably ill, seriously ill, or chronically ill with life-limiting conditions that cannot be remedied by surgery or therapies.
The end-stage of life, when the patient and his/her family members know about the proximity to death, evokes certain feelings and emotions like rage, denial, bargaining, envy, depression and acceptance (Aranda,
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