A home health nurse is visiting a client who has colon cancer. The client states, “I do not want any further treatment.” Which of the following actions should the nurse take?
A.
Request a referral for a social worker.
B.
Ask the client why they do not want to continue treatment.
C.
Discuss the client’s wishes with their provider.
D.
Instruct the client that they need to change their advance directives first.
The Correct answer and Explanation is:
The correct answer is C. Discuss the client’s wishes with their provider.
When a client with colon cancer expresses a desire to discontinue treatment, it is essential for the nurse to ensure that the client’s wishes are respected and appropriately communicated. The best course of action is to discuss the client’s preferences with their healthcare provider. Here’s why this approach is appropriate:
- Client Autonomy: Respecting the client’s wishes is paramount in nursing practice. The nurse must recognize the client’s right to make decisions about their treatment options. By discussing the situation with the provider, the nurse ensures that the client’s autonomy is upheld while facilitating a conversation about the implications of their choice.
- Collaboration with Healthcare Team: Communication with the healthcare provider is critical in managing the care of the client. The provider may have insights into the client’s condition and alternative options that the client might not be aware of. A team approach can help the client understand the consequences of discontinuing treatment and explore supportive care options, such as palliative care, which may improve quality of life.
- Understanding the Client’s Perspective: Although it might be beneficial for the nurse to inquire about the client’s reasons for not wanting further treatment (option B), the immediate priority is to ensure that the client’s preferences are communicated effectively to the provider. This step can lead to a more comprehensive discussion that includes the client’s concerns.
- Advance Directives: While instructing the client to change their advance directives (option D) may be necessary if their wishes are not reflected in current documents, the immediate focus should be on understanding and communicating their current decision.
- Social Support: Requesting a referral for a social worker (option A) may also be a valid option later in the process, particularly if the client needs emotional support or assistance navigating decisions about care.
In summary, option C emphasizes a collaborative and respectful approach to care that honors the client’s wishes while ensuring that they receive appropriate medical guidance.