Moral Distress and Nurse-Physician Relationships

was a registered nurse in the intensive care unit (ICU) at a large city hospital. Mrs. Smith was admitted to his unit with chest pain and shortness of breath. At 80, Mrs. Smith had no significant past medical history, apart from mild hypertension and arthritis. Upon admission, she was hypoxic and subsequently received supplemental oxygen. Otherwise her vital signs were stable. On physical exam, Mrs. Smith was noted to have bilateral rales, and the presence of an S3 was noted upon cardiac auscultation. Pertinent laboratory results included cardiac biomarkers (troponin, CK and CK-MB), which were elevated; a portable CXR revealed pulmonary edema; and a 12-Lead ECG demonstrated normal sinus rhythm with T wave inversions noted on the anterior precordial leads. Mrs. Smith was admitted for a non-ST elevation myocardial infarction, and started on standard medical therapy, which included a heparin drip

Bioethics · Distress · Family medicine · Medical ethics · Political science · Psychiatry · Clinical Psychology · Ethics in medical practice · Law · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology

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