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Noncompliance Versus Autonomy essay assignment
Cora is a 45-year-old woman who looks years older than her stated age. She has very limited monthly income and no health insurance. Cora smokes two and one-half packs of cigarettes per day. She has severe COPD with constant dyspnea and frequent exacerbations. The nurse who sees her at a local free clinic is interested in at least preventing further problems, and speaks to Cora often about the importance of quitting smoking. The situation becomes very frustrating for all involved when Cora returns repeatedly for increasingly severe problems, having failed to quit smoking. Cora, of course, becomes labeled as noncompliant. During a particularly severe exacerbation, the nurse says to Cora, “You know you are committing suicide by continuing to smoke.” Cora’s reply is, “You don’t understand. I live alone. I have no money, no friends, no family, and will never be able to work. I know the damage I’m doing, but smoking is the only pleasure I have in life.”
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Think About It
Do Nurses Coerce Patients?
· In attempting to persuade Cora to stop smoking, to what degree is the nurse violating Cora’s right to autonomy?
· Does Cora have the right to choose to continue smoking?
· If rights and responsibilities are correlative, how should the clinic respond to Cora’s continuing to smoke? Would you suggest that the clinic continue to serve Cora, even though she is not following the plan of care?
· To what degree is coercion employed in situations such as Cora’s ? Is coercion an appropriate strategy?
RESPECT FOR AUTONOMY
As you would expect, the ethical principle of respect for autonomy denotes the ethical obligation to honor the autonomy of other persons. The word autonomy literally means self-governing. Autonomy denotes having the freedom to make choices about issues that affect one’s life, free from lies, restraint, or coercion. Respect for autonomy is closely linked to the notion of respect for persons, and is an important principle in cultures where all individuals are considered unique and valuable members of society.
