By Geoffrey Hunt
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Additional info for Ethical Issues in Nursing (Professional Ethics)
We 48 PAUL WAINWRIGHT might prefer others not to see us in extremis, but even in death we may have little option but to reveal all to nearby strangers. Screens are not always available, and in any case are not soundproof. OBSERVATION OF CARE The nursing staff responsible for the care of a patient will have access to some personal knowledge about that patient and must have that access if they are to perform properly. From the professional point of view (and taking into account the reservations expressed above about the balance of power) this does not, if the restrictions are respected, necessarily involve any loss of privacy.
Laparoscopy includes risks such as pain, puncture of abdominal organs and blood vessels, gas/air embolus and infection. It is surely a matter for concern that not one of the patients interviewed mentioned any of the risks listed above. One man became aware of the risk of a blocked catheter only when it happened, and the man who bled so severely that he needed vaginal packs inserted was even then still oblivious of the risk of bleeding. 32 NURSING AND INFORMED CONSENT In addition to the surgical risks there are those associated with the patient being put in the lithotomy position.
The man who had had the reactionary bleeding necessitating a second operation did not know what operation he had undergone on either occasion. Operation on the women’s consent form: D & C and hysteroscopy 12; D & C and polypectomy 1; D & C2; D & C, hysteroscopy and polypectomy 1; laparoscopic sterilisation 1; tubal ligation, removal of intra-uterine contraceptive device (IUCD), D & C and hysteroscopy 1. Comparing the men’s consent forms with their statements we find that of those who were partially correct, one stated he had had a transurethral resection of the prostate and had signed his consent form for a TURP and retrograde ejaculation.
Ethical Issues in Nursing (Professional Ethics) by Geoffrey Hunt