Real-Life Decision Making -- Solution
You explain that you won't give her more medication until the eight
hours are up.
This is a real-life decision that Arlene Kent-Wilkinson has had to make.
She is a forensic psychiatric nurse. "Custody and caring are equally important,"
she says. "You must be able to care, but not be naive. That comes with experience."
You think to yourself, "We have all agreed to limit Betsy's painkillers
to one every eight hours. Of course, if I think she is in serious pain, I
can give her the pills. But I know that people who are addicted to drugs will
manipulate to get their drugs. I won't really be helping Betsy if I give in
to her and let her have more medication."
You offer her a relaxation tape and a cup of herbal tea instead.
Betsy does not give up easily. First she begs and pleads. Then she becomes
angry and tells you that you are mean to her, just like everyone else. She
stalks out in a huff, refusing the tape and the tea.
At the next staff meeting, your supervisor compliments you on doing the
right thing. "Betsy does not ask for painkillers unless she thinks the nurse
is someone she can manipulate," says your supervisor. "I am glad that you
have taken a firm stand. It is the right thing to do."