Should she spread her time equally among all the patients? How should she decide about allocating her time?

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Should she spread her time equally among all the patients? How should she decide about allocating her time?

After reviewing the needs of all her patients on a medical/surgical unit, night nurse Ms C., decides she must set time among four needy patients. One, Mrs. K, is a 98-year-old woman with a CVA who is comatose and dying. She is in need of suctioning every 20-30 minutes. The second patient, Mr. J., is 39-years-old and has been admitted today with a GI bleed. He has already had several bloody stools and because of his religion is refusing any blood transfusions. The third patient, is a 55 year-old, Mr. H., who was admitted this am for uncontrolled blood sugars. He was diagnosed with diabetes mellitus and is currently on an insulin drip and requires frequent monitoring. The fourth patient, Ms. G., is a 25-year-old female who learned today that she has stage IV ovarian cancer with metastasis to the liver, brain, and spine. She has been suicidal in the past. Ms. C. realizes that these patients have different needs. Moreover, the amount she can do to help is different in each case. Should the nurse base her decision on how much she can benefit each patient or on how much need each patient has? Should she spread her time equally among all the patients? How should she decide about allocating her time?

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