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Ethical Reflection Paper

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Ethical Reflection Paper
February 04, 2013

Ethical Reflection Paper
As humans we will all face an ethical dilemma at some time, but as nurses we will face dilemmas unique to the medical field. How we handle these dilemmas will speak about our character and affect our future ethical decisions. Ethical dilemmas are difficult decisions that generally involve conflicting moral claims and usually provoke strong emotions on both sides of the situation. This paper will explore the ethical dilemma of nurses giving patients seeking medication placebos to placate them.
This dilemma occurred at my job while I was working on the long term care floor, the Summit. On this particular floor we have a resident who is very hard of hearing and also very demanding of certain medications. She often experiences itching episodes on her upper torso, back and thighs. No rash is present and we have not identified any source for her itching. Her physician has prescribed Atarax, a hydroxyzine anti-itch drug to be taken no more than three times a day as needed. She is quiet and content during the day but in the afternoons she can experience sundowners and become very adamant that she needs her itching pill. Because she is hard of hearing and gets agitated, it can be hard to communicate to her that she has already had her itching pill or that it’s too soon to have another. On this resident’s floor we had a full time evening nurse who decided that it would be easiest to give the resident a tic-tac that closely resembled the itching medication she wanted and she would be happy and stop asking. The nurse did get the response she wanted, the resident would leave happy with her ‘itching’ pill in hand and she would not have to deal with an agitated, angry old lady who couldn’t hear. This placating with the placebo went on for a while with the nurse who supplied them and the resident was

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