Furthermore, this paper aims to provide a critical analysis of all aspects of care, including the medical management and the nursing interventions that are purposefully rendered to the patient. Hence, the bases for the discussion and analysis in due course of this paper were gathered from relevant literatures and reputable references, thereby exemplifying its intent.
Important Note: The data presented therein are with strict and utmost confidentiality to protect the client's rights. In this regard, the identity and other markers of the client and the hospital are intentionally obscured to ensure observance of confidentiality. As such, the Nursing and Midwifery Council (NMC, 2002) stated that, as nurses (and midwifes), we must protect the confidentiality of all information pertaining to the patients and all aspects of their care, thereby warranting us to guard against any breaches of confidentiality. Furthermore, the so-called "Confidentiality Advise Sheet", which was updated by NMC (2008), explicated the following valuable reminder, which is quoted below:
To trust another person with private and personal information is a significant matter. The person who is in the care of a nurse or midwife has a right to believe that information given to them in confidence is only used for the purposes for which it was given and will not be disclosed to others without permission. (NMC, 2008)
This is the case of Ms. ...
Currently, she is staying with her parents while receiving chemotherapy at home, as it was her choice. Chemotherapeutic agents include Docetaxel, Trastuzumab and Zoledronic Acid. Additionally, Zomorph was also given for pain management. Most recently, Ms. B was also recommended to start wearing a wig and/or a set of headscarves
Key words: confidentiality, respect for client's choice, choice for home chemotherapy treatment, advanced breast cancer, docetaxel, trastuzumab, zoledronic acid, zomorph, consent.
Discussion and Analysis
Ms. B's choice to be at home
After several hospitalizations, the patient (Ms. B) opted to have the continuation of her chemotherapy at home. This is because she does not want to cause distress to her elderly parents, which could be brought about by the hospital environment. In this regard, the health professionals, who were responsible for Ms. B's care, gave utmost respect to her decision, thereby freely giving the client to decide for herself as a sane and rational individual. Moreover, though the client is in the advanced stage of breast cancer, she is still deemed as capable of making decisions for her treatment. We can correlate this concept to the Mental Capacity Act 2005 (Department of Health [DH], 2007), where the following significant idea is stated:
A presumption of capacity - every adult has the right to make his or her own decisions and must be assumed to have capacity to do so unless it is proved otherwise (DH, 2007)
In addition, the Mental Capacity Act 2005 "makes it clear as to who can take decisions in which situations and how they should go about it It enables people to plan ahead for a time when they may lack capacity" (DH, 2007). In this manner, the client, though having some depression but undergoing weekly psychiatric