This is a Case Study that should serve as a bit of a brain teaser for everyone. Based on your personal Code of Conduct, answer one of the associated questions.

As an alternative to the case study questions, you can choose to discuss an Ethical issue or present a review of information from one of the Web links related to Ethics, located on page 2 of this Module.

For your reply, use the tools for Ethical Decision-Making to either support the original posting or to show your classmate a more supportive decision.

The Curious Case of Mr. Tate
Mr. Tate, a 59-year-old patient with end-stage renal disease is well known to Jane Martin, RN the dialysis clinic manager and her nursing staff. Mr. Tate is hypertensive and overweight with a history of alcoholism. He often does not take his medications as ordered and almost never adheres to his prescribed diet. When Mr. Tate comes to the clinic, he often has excessive edema and is hypertensive. He admits to eating his favorite foods: hot dogs and potato chips. It is also not unusual for the staff to smell alcohol on Mr. Tate’s breath. He even admits to drinking an occasional beer with his hot dogs and chips. Although Mr. Tate listens politely to their concerns about his lack of adherence to diet and medications, he continues to be non-adherent. Many of the nurses begin to wonder and discuss to what extent they are obligated as nurses to spend time on patient teaching when the patient takes no responsibility for his own health. They also question whether or not the benefit of expensive medications and treatments for Mr. Tate outweigh the cost.

ANSWER THIS QUESTION:
Would it be good nursing practice to simply stop trying to get Mr. Tate to comply with his treatment plan?

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