PROFESSIONAL ISSUES Introduction This research a

This research addresses several professional issues related to medical-surgical nursing. These issues are addressed separately in the form of answers to specific questions.

Two values of nursing of special importance to me are (1) the obligation of the professional nurse to provide care to all persons requiring care regardless of the characteristics of the patient and irrespective of any personal preferences or predilections of the professional nurse, and (2) the extension by the nurse to patients of true compassion through the act of care. The significance of these values to me is addressed in the following discussion.

The growing diversity in the structure of the American population, an increase in the incidence of both incurable and highly communicable diseases among this population, and an evolving social milieu that to some people causes the unthinkable to be considered creates moral, ethical, and practical dilemmas for many in the nursing profession. Some nurses question the requirement that they provide treatment for all persons within a social environment wherein the incidence of both incurable and highly contagious diseases are present, and wherein the delivery of care in some instances would create personal values conflicts for the nurse.

As a recent arrival to the United States, the issue of providing care to immigrants who are infected with contagious diseases such as tuberculosis, and life-threatening disea

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who are afraid to make such a decision for fear of angering their husbands and extended families. The type of interventions that I have found to be the most effective are those of educating the women with respect to their responsibilities to themselves as well as to their families. The building of a strong self-concept among these women permits them to make better decisions. Lopez Case Mr. Lopez has already developed the labored breathing that is characteristic of the early stages of emphysema (Lerner, 1990, p. 149). Additionally, Mr. Lopez continues to smoke cigarettes, an established high-risk behavior associated with both the development and aggravation of emphysema (Lerner, 1990, p. 148). If the progress of this condition is not reversed, Mr. Lopez may expect reductions in breathing function, reduced vital capacity, and eventually acute and chronic respiratory failure which will lead to lifestyle limitations and a reduced probability of survival (Lerner, 1990, p. 149). The objectives of the teaching plan for Mr. Lopez will be to (1) prevent the condition from worsening, (2) eliminate factors that promote progression of the disease, and (3) involve the family in the development of coping strategies for both the patient a

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