Mr. Burns: Re-Positioning Case

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Introduction: (250 words)
Mr Burns is a 56-year-old male suffering from a terminal illness. Due to his illness, he is in a great deal of pain and has a heavy medication regime. During his hospitalisation Mr Burns has begun to develop pressure areas and must be re-positioned every 2 hours as part of his care plan. Even though re-positioning is a simple procedure, it causes Mr Burns a great amount of pain and requires large doses of pain relief for him to tolerate it. Mr Burns has requested that he may not be turned anymore as he finds it distressing and dislikes the effect of the extra medications. The specialist in charge of Mr Burns case, states that he is possibly in a confused state of mind due to the heavy medication regime and that the …show more content…
The nurse’s duty of care towards Mr Burns is to re-position him according to the care plan directive, although Mr Burns has requested that it stops due to increase amount of pain and discomfort he receives from the extra pain relief. Even though the benefit of re-positioning decreases the development of further complications.

Conclusion: (250 words)
In Mr Burns case, there will always be a risk to benefit ratio. The outcomes of re-positioning Mr Burns every 2 hours due to his development of pressure ulcers during his hospitalization is the amount of pain and the extra doses of pain relief for him to tolerate. However, repositioning Mr Burns will delay further complications in the future.
Reference List:
• Chaboyer, W., Gillespie, B., Kent, B., McInnes, E., & Whitty, J. (2012). Repositioning for pressure ulcer prevention in adults. Cochrane Database Of Systematic Reviews. …show more content…
(2018). En.wikipedia.org. Retrieved 2 March 2018, from https://en.wikipedia.org/wiki/Duty_of_care

• Hughson, J., Koutoukidis, G., & Stainton, K. (2013). Tabbner's nursing care: theory and practice (6th ed., p. 34). Chatswood, N.S.W.: Churchill Livingstone.

• Johnson, K., Meyenburg, T. (2009). Physiological rationale and current evidence for therapeutic positioning of critically ill patients. AACN Adv Crit Care, 20(3), 228-240.

• Queensland Council of Social Service. (2017). CHCCS402A: Implementing duty of care and ethical behaviour standards. QCOSS Community Door eTraining. Retrieved 15 March 2018, from https://etraining.communitydoor.org.au/mod/page/view.php?id=156

• Schoelles, K., & Sullivan, N. (2013). Preventing In-Facility Pressure Ulcers as a Patient Safety Strategy. Annals Of Internal Medicine, 158(5_Part_2), 410. http://dx.doi.org/10.7326/0003-4819-158-5-201303051-00008

• Sprigle, S., & Sonenblum, S. (2011). Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review. The Journal Of Rehabilitation Research And Development, 48(3), 203.

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