Question

As a nurse, how can you incorporate the principle of nonmaleficence into practice when caring for a dying patient?

1) Providing comfort measures to the patient
2) Withholding pain medication when the patient has respiratory depression
3) Allowing the patient's family unlimited visitations until the patient is dead

Answer 1

The principle of nonmaleficence in healthcare involves avoiding harm to patients and is particularly pertinent when providing hospice care and pain management to terminally ill patients, with a focus on dignity and comfort.

Step-by-step explanation:

The principle of nonmaleficence, which is fundamental in healthcare ethics, dictates that nurses and other healthcare professionals should not cause harm to patients. In the context of caring for a terminally ill patient, this involves a careful balance between providing adequate pain management and not causing further harm, such as exacerbating respiratory depression. For instance, it may necessitate adjusting pain medication to prevent or mitigate respiratory issues. Additionally, hospice care often plays a critical role in promoting a dignified, comfortable death and may include measures like implementing DNR orders and ensuring patients can spend their last days in a preferred environment, whether it be a hospice facility or their own home with family present.