NSG426 University of Phoenix Ethical Issues in Nursing

NSG426 University of Phoenix Ethical Issues in Nursing

Nurses face ethical issues often and in my current environment this is a relatively common occurrence, especially working with the Rural Health Initiatives. One issue that has increased in the clinic setting is patients coming in or being brought in with opioid addiction symptoms. I could say due to the increase in HIV patients we see, but this is not accurate. Individuals have come in with some of the typical symptoms: poor coordination, physical agitation, poor decision making, slurred speech, irritability, mood swings, and even euphoria. They come in requesting pain medications sweating, shaking complaining of insomnia due to their pain management provider discharging or “firing” them. We’ve had to call the police due to threatening physical violence, running after a provider and even holding a provider in a room. The patient got in front of the door when the provider tried to exit and would not move. Nevertheless, the company is getting narcan to be administered inside of the clinic settings. This was just told to us on yesterday. Of course we did not agree to this because it puts patients to sleep, then when they awaken they are very agitated and physically abusive. “The American College of Physicians policy statement on the prevention and management of substance use disorder as a treatable chronic medical condition included the following recommendations: (a) expand naloxone access for overdose prevention to opioid users, law enforcement, and emergency medical personnel; (b) improve access to medical-assisted treatment, and; (c) lift barriers that limit access to medications for treating opioid use disorder, such as methadone, buprenorphine, and naltrexone.”
Social Issues Impacting the Nursing Workforce. (2018). Journal of Nursing Regulation. Volume 8, Issue 4, Supplement,
Pages S20–S27. DOI: https://doi.org/10.1016/S2155-8256(18)30023-1.

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