Conflict-of-Interest Case Analysis
There are a number of ethical challenges faced by Kathy's provider in this case. Issues of disclosure, truth telling, protection of patient rights, preserving the nurse's integrity (by not ordering diagnostic work that is not needed -- both the patient's mother and the hospital are putting pressure on her to order this), transparency, accountability, and conflict-of-interest are just a few of the ethical challenges faced by the provider in this case. Each should be met as it arises and dealt with in the order that it appears over the course of the presentation.
The first challenge appears when the mother requests a chest X-ray, which is unnecessary at this stage (but because she has requested it and the practice manager wants diagnostic test stats up, it could be arranged to please both the mother and the practice manager). However, to protect the integrity of the nurse, it should be refused: if a nurse compromises her own integrity by ordering diagnostic work that is unnecessary it places a strain not only on her own conscience but also on the system as a whole. Unnecessary diagnostic work does nothing but move money from the patient's (or insurer's) pocket to the pockets of the hospital -- without any real or needed service being provided. The nurse who has integrity will be transparent and honest with the mother at this moment and say that such a test can be ordered but that at this moment it is not necessary, as there are a number of alternatives that can...
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