Mark a 35-year-old was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patients pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking If it were me I would proceed with the surgery and treatments proposed by the surgeon. The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patients decision.
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