Contact the institutional ethics committee.-rationale: the institutional ethics committee can help the staff develop strategies to resolve their ethical dilemma. the patients bill of rights states that the client (not the family) has the right to make decisions about the care plan and to refuse recommended treatment. arranging a meeting with the clients family is inappropriate, whether or not theyre in agreement with the clients wishes. the physician must comply with the clients wishes, so scheduling a meeting with the physician isnt beneficial to the staff. reinforcing to the staff that the decision is the clients to make dismisses the staffs concerns. client needs category: safe, effective care environment client needs subcategory: management of care cognitive level: analysis reference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care,6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 113.
