Full Answer Section

• Non-maleficence:I have a duty to do no harm and prevent the patient from potentially harming herself through an unsafe abortion attempt.

Resolution:

Here’s how I might approach this situation:

1. Non-judgmental Listening:First, I would prioritize creating a safe and supportive space for the patient to express her concerns without judgment. I would actively listen to her story and understand her reasons for considering this risky option.
2. Providing Information:I would explain the potential dangers of self-induced abortion and the risk of serious complications, I would also emphasize the availability of safe and legal abortion services in the area.
3. Confidentiality vs. Mandatory Reporting:I would explain the limits of confidentiality and the mandatory reporting requirements for suspected child abuse or neglect (if the boyfriend is pressuring her). However, I would assure her that my primary concern is her safety and well-being.
4. Offering Resources:I would provide her with information and resources for local Planned Parenthood clinics or other healthcare providers who can offer safe and legal abortion services or confidential pregnancy counseling, I would also connect her with mental health support services if needed.
5. Collaboration:If the patient seems overwhelmed or confused, I might involve a social worker or mental health professional to offer additional support and guidance.

Outcome:

The ideal outcome would be for the patient to choose a safe and legal option for terminating the pregnancy or to receive support in continuing the pregnancy if that’s her ultimate decision.

Conclusion:

This scenario highlights the complex ethical dilemmas nurses can face. By prioritizing patient safety, offering non-judgmental support, and providing access to resources, nurses can help patients navigate difficult situations while respecting their autonomy.