Nurse M does need to do something. Whether it be tell Joan the other options on her own or inform her that other ones are available and she could talk to the doctor about it. She should try and get Joan to talk to her doctor or maybe look up some information on her own thst she can present to Dr W. Nurse M should express her concern because Dr W did not do all that he should have for Joan. She was not given all options that she could have had.
Yes, I absolutely agree with Desiree. A nurse's job is to be the patient's advocate, even when the situation may be uncomfortable. It is her job to answer or explain any information that may be beneficial to the patient such as side effects, advantages, and disadvantages for each option. The nurse should encourage the patient to asks questions about her personal medical care and to initiate conversation with the doctor about other options. Nurse M should also confront Dr W about giving the patient other options and explaining each to her benefit. Only providing one option to the patient is not right because it does not allow them the freedom to chose what they want. Once again it is Nurse M's job to be her patient's advocate and a large part of that is standing up to assure she gets the best care. That doesn't mean that Nurse M needs to be nasty or rude to the Dr, but that she needs to politely explain she is just looking out for her patient and this is something she believes needs to be readdressed properly to her.
I agree with both of the girls above, like Lindsay said as nurses, we are expected to be the patient's advocate, the voice for the patient if you will. It is our job to assure that the patient is well informed and TRUTHFULLY informed. When we chose to become health care providers, we chose to stand up for the patient no matter how trivial the case may be. The patient has the right and deserves to be informed about all of her options, she is not paying money to be lied to, she is paying the money on the basis that she will be taken care of. The nurse should simply ask the doctor why he did not inform the patient of the other options, and strongly encourage the patient to revisit the doctor and talk about her options. The nurse should explain each of the options and the associated risks and benefits to the patient even if the doctor explains them also. It is our job to make sure the patient is cared for in the proper manner.
I agree with the people who posted previously that it is the nurse’s job as a patient advocate to be sure the patient is receiving the care that’s in his or her best interest. In this particular case the patient definitely needs to know her options. However, the nurse might want to discuss the fact that the patient wasn’t fully informed about her options concerning hormone treatment with the doctor before discussing it with the client. This isn’t about a power struggle between the nurse and physician, they should be working together to provide the best care possible, it’s about doing what is in the best interest of the client and that includes her being aware of all of the hormone treatment options and what risks and benefits are associated with them.
Personally, I think it is okay to share the conversation but not to the extremity of doing or altering things without the physician's consent as well. Nurse M should take the initiative and responsibility of confronting Doctor W about the issue professionally. May be the nurse can just go talk to Dr. W about the different options and also hear the reasons why the Dr. W prescribed just the estrogen to Joan! At the same time it is also Joan's responsibility to ask the doctor fully if there are any other options and what kind of benefits and risks are associated with each. That's why teamwork in areas like medical field is always of essence, but respect and understanding one another is at the same time paramount!
I absolutely agree with most of people on this post. Nurse M should provide information to Joan R. A part of being a nurse is teaching and if the doctor left out information the nurse should be able to fill that in for the patient. I also agree that the nurse should tell Joan R to make an appointment to talk to Dr. W. Most patients trust their physicians to give them the best possible care while giving them all the options. In this case, Joan R thought she was doing the only option available and trusted her doctor that it was the right option. I think Nurse M should approach the doctor by just asking about the patient and why he perscribed that certain medicine. If there is no paticular reason I think the nurse should ask the doctor to meet with Joan R and explain to her all her options and tell the doctor that she was confused when she came to get her perscription.
I believe that Nurse M has an obligation to share alternative treatments with Joan R. If Dr. W did not provide Joan with any options other than estrogen, he is denying her the right to choose which treatment she would like to pursue. Since Nurse M realizes this, she has every right (and obligation) to inform Joan that there are other options which Dr. W has not yet discussed with her, and to encourage her to make another appointment with him.
Nurse M should speak to Dr. W about why he did not offer Joan advice about other options. She should not approach him in a critical or accusatory manner, but should merely mention that Joan seemed very uninformed about any potential treatment other than estrogen, and that she thought it might benefit her to learn about every option before committing to one. Nurse M should emphasize that this is a respectful conversation about quality patient care, not that she is trying to criticize the doctor's behavior.
I agree with the above postings. Nurse M. does have the duty to inform Joan R. of all her options. It is important that the pt. has a say in their treatment. Often doctors get in a habit of doing the same thing when they see a certain illness and disease because it is proven to work for them in the past. It is important to remind them that its not always the best for the patient, even if it has worked will in the past for other patients. The doctor could also be in the dark to how Joan R is feeling. Doctors can be intimating. If is important that nurses are approachable so that some one can express needs that they might be feeling.
I definitely think that Joan has a right to now what options are available to her whether she hears it from her physician or the physician’s nurse. I think it was somewhat irresponsible for her physician to not let her know what is available to help her with the symptoms of menopause. Nurse M was trying to be helpful when she told Joan about options and I wouldn’t fault her for sharing information. Maybe it would have been a good idea, however, if the nurse encouraged Joan to wait while she got the physician so Joan could ask a few questions. If that is not possible and Joan seemed extremely concerned, I think Nurse M might ask her to go home, look into her range of options and do a little of her own research and then schedule a follow up to speak with the physician to get more details. I say Nurse M did the right thing—she is an extension of the doctor and Joan is really “her patient”, too. I also say it makes sense to have Nurse M let the physician know what she shared with Joan. She should not be anxious about sharing information with a patient that Nurse M feels she has the right to know. I think Nurse M should be respectful in how she approaches the physician, but I also think she should let the physician know that women are seeking options and maybe she could even help in some way to get information to woman about the options.
As said above, I think the nurse has an obligation as a nurse to infrom the patient on what the nurse knows. I also believe it's the nurses job to speak up and tell the patient other options and at least suggest further speaking with the doctor. At least just suggest the patient ask the doctor why he didn't notify her of other available options. The nurse should at least try to find out themselves why the doctor decided not to disclose the other options to the patient. The nurse just needs to go up and politely ask why he didn't discuss other options with the patient and what his reasoning was for not doing it, just to keep a check on the doctor. Afterall, they are human and can make mistakes.
Like everyone else, I do agree that Nurse M does need to let Joan R that she was not informed on all of her options. Nurse M should scheduled a meeting between Dr. W and Joan so that he can discuss more options for her, and then she could decide what is the best one. It is a part of a nurse's job to act as another voice for the patient. Nurse M should just go up to the doctor and say politely that he didn't let Joan know all of her options and how she wants to meet with him again to talk about the other options. She shouldn't be mean because they all just need to focus on the right care for their patient, and not worry about who is higher above who in the health care system. What they do all focuses around the care for the patient, so they are on the same team.
Since the nurse does know the options and the benefits and risks of each she should definitely inform the pt of the options since the doctor has not fully discussed all of them with the pt. The nurse should also suggest to Joan that she have another discussion with the doctor to get all of the information available with each choice because it is her well being and she should know everything to protect herself. The nurse should also talk to the doctor and find out why he did not provide all the information and choices when he knows very well that the final decision is based on what the pt wants. She should approach him in a professional manner because both the nurse and the doctor are professional and both are there to make sure the pts get the best, most effective care possible.
I do believe that Nurse M should provide Joan R with that information just like stated from the people above. I believe that the patients should be able to access to all treatment programs. The reason for this is that different treatment programs will have alternate courses. If one med offers great results but the side effects are great also, she might want to look at another treatment because Joan might have kids that she is taking care of and she won’t want feelings of nausea, diarrhea, and vomiting when taking care of kids. I do think that the nurse should tell her patient that she should talk to the doctor about this. Not for the reason of going behind the doctor’s back, but because the doctor is obligated to define all possible treatment. The nurse should also talk to the doctor about this, once again, not to go behind his back and ridicule him, but to get a further understanding why the doctor wouldn’t tell the patient pertinent information. And even if the doctor does get pissed, it is the nurse’s job to look out for that patient and question doctor’s orders, if you think that there is “a better way of going about things”. The nurse should act professional when confronting the doctor, because acting like children will only bring on a power struggle which is not progressive.
I also agree with everyone else who has commented on this case. The nurse has the duty to tell the patient about every option possible. Another thing that the nurse can do is either tell the doctor that he was wrong about something and he needs to tell the patient what other options there are. (like we were discussing in class the one day about who would go up to a doctor to tell them they are wrong) it is important that the patient gets to put their own input about the treatment that they are about to receive. The doctor should not just jump to conclusions about what they patient wants. So that is where the nurse needs to come in and tell the patient all possible options for treatment.
I believe that nurse N should provide the information to the patient. It is a nurses responsibility to be a patient advocate. That is what nurse N would be if she told Joan about her other options. Once Joan figures out her other options she could be totally against estrogen therapy and want to do something else. The nure should definatley tell Joan to schedule another appointed and talk to Dr. W to obtain more information. This is Joan's life, she has the right to know all information possible about the treatments there are for her going through menopause, it is only fair. I believe Nurse M should approach Dr. W in a professional way. She could say something along the lines that there are plenty more options for Joan to consider and as her advocate I believe it is only right for you to explain all of those options to her before concluding yourself what she wants. The nurse needs to be able to stand up for what she believes in and make she that her patient is a priority. The nurse confronting the doctor allows the patient to get her input on the subject matter and allows her to have more freedom and choice to do what she wants to do.
I think nurse M should tell Joan R the information about the other options. The doctor should have explored all options with Joan in the begining and Nurse M would be acting as a patient's advocate for Joan. If the doctor does not do his part then the Nurse needs to fill in for the patient. Nurse M should suggest to Joan that she should initiate a conversation with the doctor. Joan has a right as a patient to know all her options. It is Joan's life and she gets to decide how her health will be taken care of. I think Nurse M should express concern to the doctor and question why he choose not to discuss the other options. She should approach him in a way showing cincern for the patient. Nurse M needs to understand that she can stand up for what she believes in and know that being a patient's advocate is her job.
I agree with what seems to be the consensus that Nurse M needs to say something. I do not feel that it is her place to go directly to the patient though, because there may be some reason that we don't know why the doctor didn't mention other treatments (medical history, allergies, etc), and so I think the best thing to do would be to talk to the doctor about the patients options. She should of course be polite, and not make it seem like she is undermining his opinion, but merely just asking in order to gain more knowledge. If the doctor gives a good reason why that option was the only presented, then she can feel okay about the care. If he does not though, she needs to encourage him to better discuss options with the patient. It would not be appropriate for her to tell Joan herself though, because an important part about health care is presenting a united front to the patients. She should first discern the reasoning behind estrogen therapy, and then go from there based on the answer.
I agree that Nurse M has the right to say something to Joan , bust should talk to the doctor about the situation first. If the Nurse goes directly to the patient , there may be confrontation where the patient wants to know why the doctor never mentioned another source of treatment. I agree with Marion when the nurse may just ask questions to the doctor about the patient just to gain clarification and learn more about being rude and bringing it up in his face. Even though as a nurse you are supposed to be the one to bring up all the problems that the patient has with everything, it’s smart to know all the information behind everything before bringing it up with the patient. I believe the Dr. W didn’t give Joan the advantage that she should have had and that’s why the nurse should speak up.
I believe that the nurse should confront the doctor. It is the patient's right to know that there is another treatment to be given. I believe that Nurse M should express this concern to doctor W, possibly in a questioning manor to obtain more information herself. The nurse should not, however, just run to the Joan R and tell her of this information without consulting the doctor first. Once Joan R knows and understands the different therapy options available, she can then make the therapy decision that is correct for her.
I agree with Brittany on this one.. It is the MD's occupational responsibility to inform the patient of all possible treatments prior to deciding which tx to proceed with. The nurse should not go against what the MD has said to the pt because then the pt is seeing the MD and Nurse as opponents, when they are really on the same team. The nurse needs to consult the MD and then if he still chooses to withhold information, then she should report him to their supervisor.
Nurse M does need to do something. Whether it be tell Joan the other options on her own or inform her that other ones are available and she could talk to the doctor about it. She should try and get Joan to talk to her doctor or maybe look up some information on her own thst she can present to Dr W. Nurse M should express her concern because Dr W did not do all that he should have for Joan. She was not given all options that she could have had.
ReplyDeleteYes, I absolutely agree with Desiree. A nurse's job is to be the patient's advocate, even when the situation may be uncomfortable. It is her job to answer or explain any information that may be beneficial to the patient such as side effects, advantages, and disadvantages for each option. The nurse should encourage the patient to asks questions about her personal medical care and to initiate conversation with the doctor about other options. Nurse M should also confront Dr W about giving the patient other options and explaining each to her benefit. Only providing one option to the patient is not right because it does not allow them the freedom to chose what they want. Once again it is Nurse M's job to be her patient's advocate and a large part of that is standing up to assure she gets the best care. That doesn't mean that Nurse M needs to be nasty or rude to the Dr, but that she needs to politely explain she is just looking out for her patient and this is something she believes needs to be readdressed properly to her.
ReplyDeleteI agree with both of the girls above, like Lindsay said as nurses, we are expected to be the patient's advocate, the voice for the patient if you will. It is our job to assure that the patient is well informed and TRUTHFULLY informed. When we chose to become health care providers, we chose to stand up for the patient no matter how trivial the case may be. The patient has the right and deserves to be informed about all of her options, she is not paying money to be lied to, she is paying the money on the basis that she will be taken care of. The nurse should simply ask the doctor why he did not inform the patient of the other options, and strongly encourage the patient to revisit the doctor and talk about her options. The nurse should explain each of the options and the associated risks and benefits to the patient even if the doctor explains them also. It is our job to make sure the patient is cared for in the proper manner.
ReplyDeleteI agree with the people who posted previously that it is the nurse’s job as a patient advocate to be sure the patient is receiving the care that’s in his or her best interest. In this particular case the patient definitely needs to know her options. However, the nurse might want to discuss the fact that the patient wasn’t fully informed about her options concerning hormone treatment with the doctor before discussing it with the client. This isn’t about a power struggle between the nurse and physician, they should be working together to provide the best care possible, it’s about doing what is in the best interest of the client and that includes her being aware of all of the hormone treatment options and what risks and benefits are associated with them.
ReplyDeletePersonally, I think it is okay to share the conversation but not to the extremity of doing or altering things without the physician's consent as well. Nurse M should take the initiative and responsibility of confronting Doctor W about the issue professionally. May be the nurse can just go talk to Dr. W about the different options and also hear the reasons why the Dr. W prescribed just the estrogen to Joan! At the same time it is also Joan's responsibility to ask the doctor fully if there are any other options and what kind of benefits and risks are associated with each. That's why teamwork in areas like medical field is always of essence, but respect and understanding one another is at the same time paramount!
ReplyDeleteI absolutely agree with most of people on this post. Nurse M should provide information to Joan R. A part of being a nurse is teaching and if the doctor left out information the nurse should be able to fill that in for the patient. I also agree that the nurse should tell Joan R to make an appointment to talk to Dr. W. Most patients trust their physicians to give them the best possible care while giving them all the options. In this case, Joan R thought she was doing the only option available and trusted her doctor that it was the right option. I think Nurse M should approach the doctor by just asking about the patient and why he perscribed that certain medicine. If there is no paticular reason I think the nurse should ask the doctor to meet with Joan R and explain to her all her options and tell the doctor that she was confused when she came to get her perscription.
ReplyDeleteI believe that Nurse M has an obligation to share alternative treatments with Joan R. If Dr. W did not provide Joan with any options other than estrogen, he is denying her the right to choose which treatment she would like to pursue. Since Nurse M realizes this, she has every right (and obligation) to inform Joan that there are other options which Dr. W has not yet discussed with her, and to encourage her to make another appointment with him.
ReplyDeleteNurse M should speak to Dr. W about why he did not offer Joan advice about other options. She should not approach him in a critical or accusatory manner, but should merely mention that Joan seemed very uninformed about any potential treatment other than estrogen, and that she thought it might benefit her to learn about every option before committing to one. Nurse M should emphasize that this is a respectful conversation about quality patient care, not that she is trying to criticize the doctor's behavior.
I agree with the above postings. Nurse M. does have the duty to inform Joan R. of all her options. It is important that the pt. has a say in their treatment. Often doctors get in a habit of doing the same thing when they see a certain illness and disease because it is proven to work for them in the past. It is important to remind them that its not always the best for the patient, even if it has worked will in the past for other patients. The doctor could also be in the dark to how Joan R is feeling. Doctors can be intimating. If is important that nurses are approachable so that some one can express needs that they might be feeling.
ReplyDeleteI definitely think that Joan has a right to now what options are available to her whether she hears it from her physician or the physician’s nurse. I think it was somewhat irresponsible for her physician to not let her know what is available to help her with the symptoms of menopause. Nurse M was trying to be helpful when she told Joan about options and I wouldn’t fault her for sharing information. Maybe it would have been a good idea, however, if the nurse encouraged Joan to wait while she got the physician so Joan could ask a few questions. If that is not possible and Joan seemed extremely concerned, I think Nurse M might ask her to go home, look into her range of options and do a little of her own research and then schedule a follow up to speak with the physician to get more details. I say Nurse M did the right thing—she is an extension of the doctor and Joan is really “her patient”, too. I also say it makes sense to have Nurse M let the physician know what she shared with Joan. She should not be anxious about sharing information with a patient that Nurse M feels she has the right to know. I think Nurse M should be respectful in how she approaches the physician, but I also think she should let the physician know that women are seeking options and maybe she could even help in some way to get information to woman about the options.
ReplyDeleteAs said above, I think the nurse has an obligation as a nurse to infrom the patient on what the nurse knows. I also believe it's the nurses job to speak up and tell the patient other options and at least suggest further speaking with the doctor. At least just suggest the patient ask the doctor why he didn't notify her of other available options. The nurse should at least try to find out themselves why the doctor decided not to disclose the other options to the patient. The nurse just needs to go up and politely ask why he didn't discuss other options with the patient and what his reasoning was for not doing it, just to keep a check on the doctor. Afterall, they are human and can make mistakes.
ReplyDeleteLike everyone else, I do agree that Nurse M does need to let Joan R that she was not informed on all of her options. Nurse M should scheduled a meeting between Dr. W and Joan so that he can discuss more options for her, and then she could decide what is the best one. It is a part of a nurse's job to act as another voice for the patient. Nurse M should just go up to the doctor and say politely that he didn't let Joan know all of her options and how she wants to meet with him again to talk about the other options. She shouldn't be mean because they all just need to focus on the right care for their patient, and not worry about who is higher above who in the health care system. What they do all focuses around the care for the patient, so they are on the same team.
ReplyDeleteSince the nurse does know the options and the benefits and risks of each she should definitely inform the pt of the options since the doctor has not fully discussed all of them with the pt. The nurse should also suggest to Joan that she have another discussion with the doctor to get all of the information available with each choice because it is her well being and she should know everything to protect herself. The nurse should also talk to the doctor and find out why he did not provide all the information and choices when he knows very well that the final decision is based on what the pt wants. She should approach him in a professional manner because both the nurse and the doctor are professional and both are there to make sure the pts get the best, most effective care possible.
ReplyDeleteI do believe that Nurse M should provide Joan R with that information just like stated from the people above. I believe that the patients should be able to access to all treatment programs. The reason for this is that different treatment programs will have alternate courses. If one med offers great results but the side effects are great also, she might want to look at another treatment because Joan might have kids that she is taking care of and she won’t want feelings of nausea, diarrhea, and vomiting when taking care of kids. I do think that the nurse should tell her patient that she should talk to the doctor about this. Not for the reason of going behind the doctor’s back, but because the doctor is obligated to define all possible treatment. The nurse should also talk to the doctor about this, once again, not to go behind his back and ridicule him, but to get a further understanding why the doctor wouldn’t tell the patient pertinent information. And even if the doctor does get pissed, it is the nurse’s job to look out for that patient and question doctor’s orders, if you think that there is “a better way of going about things”. The nurse should act professional when confronting the doctor, because acting like children will only bring on a power struggle which is not progressive.
ReplyDeleteI also agree with everyone else who has commented on this case. The nurse has the duty to tell the patient about every option possible. Another thing that the nurse can do is either tell the doctor that he was wrong about something and he needs to tell the patient what other options there are. (like we were discussing in class the one day about who would go up to a doctor to tell them they are wrong) it is important that the patient gets to put their own input about the treatment that they are about to receive. The doctor should not just jump to conclusions about what they patient wants. So that is where the nurse needs to come in and tell the patient all possible options for treatment.
ReplyDeleteI believe that nurse N should provide the information to the patient. It is a nurses responsibility to be a patient advocate. That is what nurse N would be if she told Joan about her other options. Once Joan figures out her other options she could be totally against estrogen therapy and want to do something else. The nure should definatley tell Joan to schedule another appointed and talk to Dr. W to obtain more information. This is Joan's life, she has the right to know all information possible about the treatments there are for her going through menopause, it is only fair. I believe Nurse M should approach Dr. W in a professional way. She could say something along the lines that there are plenty more options for Joan to consider and as her advocate I believe it is only right for you to explain all of those options to her before concluding yourself what she wants. The nurse needs to be able to stand up for what she believes in and make she that her patient is a priority. The nurse confronting the doctor allows the patient to get her input on the subject matter and allows her to have more freedom and choice to do what she wants to do.
ReplyDeleteI think nurse M should tell Joan R the information about the other options. The doctor should have explored all options with Joan in the begining and Nurse M would be acting as a patient's advocate for Joan. If the doctor does not do his part then the Nurse needs to fill in for the patient. Nurse M should suggest to Joan that she should initiate a conversation with the doctor. Joan has a right as a patient to know all her options. It is Joan's life and she gets to decide how her health will be taken care of. I think Nurse M should express concern to the doctor and question why he choose not to discuss the other options. She should approach him in a way showing cincern for the patient. Nurse M needs to understand that she can stand up for what she believes in and know that being a patient's advocate is her job.
ReplyDeleteI agree with what seems to be the consensus that Nurse M needs to say something. I do not feel that it is her place to go directly to the patient though, because there may be some reason that we don't know why the doctor didn't mention other treatments (medical history, allergies, etc), and so I think the best thing to do would be to talk to the doctor about the patients options. She should of course be polite, and not make it seem like she is undermining his opinion, but merely just asking in order to gain more knowledge. If the doctor gives a good reason why that option was the only presented, then she can feel okay about the care. If he does not though, she needs to encourage him to better discuss options with the patient. It would not be appropriate for her to tell Joan herself though, because an important part about health care is presenting a united front to the patients. She should first discern the reasoning behind estrogen therapy, and then go from there based on the answer.
ReplyDeleteI agree that Nurse M has the right to say something to Joan , bust should talk to the doctor about the situation first. If the Nurse goes directly to the patient , there may be confrontation where the patient wants to know why the doctor never mentioned another source of treatment. I agree with Marion when the nurse may just ask questions to the doctor about the patient just to gain clarification and learn more about being rude and bringing it up in his face. Even though as a nurse you are supposed to be the one to bring up all the problems that the patient has with everything, it’s smart to know all the information behind everything before bringing it up with the patient. I believe the Dr. W didn’t give Joan the advantage that she should have had and that’s why the nurse should speak up.
ReplyDeleteI believe that the nurse should confront the doctor. It is the patient's right to know that there is another treatment to be given. I believe that Nurse M should express this concern to doctor W, possibly in a questioning manor to obtain more information herself. The nurse should not, however, just run to the Joan R and tell her of this information without consulting the doctor first. Once Joan R knows and understands the different therapy options available, she can then make the therapy decision that is correct for her.
ReplyDeleteI agree with Brittany on this one.. It is the MD's occupational responsibility to inform the patient of all possible treatments prior to deciding which tx to proceed with. The nurse should not go against what the MD has said to the pt because then the pt is seeing the MD and Nurse as opponents, when they are really on the same team. The nurse needs to consult the MD and then if he still chooses to withhold information, then she should report him to their supervisor.
ReplyDelete