mask on. Mr. Martin was asking me constantly to take the mask off and I had to explain to him that it was in his best interest to keep this on because of his worsening acidosis and low oxygen levels in his blood. Gelling (1999) says beneficence is the requirement to benefit the patient and is the underlying principles in medicine, healthcare and research, and non-malefiences assumes that no harm should come to the patient. This is a difficult situation as the principles of beneficence and non-malefience clash, as in the situation Mr. Martin’s blood gases and work of breathing were getting worse, which was a major contributor to his confusion. As the nurse my responsibility is to ensure that no harm come to him, so removing the face mask for a break would have …show more content…
& Ewens, B. (2001). Assessment of a breathless patient. Nursing standard. 15(16), p48-53.
Jevon, P. & Ewens, B. (2007). Monitoring The Critically Ill Patient (2nd ed). Blackwell Science Ltd: Oxford.
Lippincott, Williams & Wilkins (2008). Critical Care Nursing made Incredibly Easy (2nd ed). Lippincott Williams & Wilkins : Philadelphia.
Moore, T. (2007). Respiratory assessment in adults. Nursing Standard. 21(49), p48-56
Morton, P.G. & Fontaine, D.K. (2009). Critical care nursing: holistic approach (9th ed). Lippincott Williams & Wilkins: Philadelphia. National Institute for Health and Clinical Excellence. (2004). chronic obstructive pulmonary disease: Management of chronic obstructive pulmonary disease in adults in primary and secondary care. NICE; London: [online]. Available at: http://www.nice.org.uk/nicemedia/live/13029/49425/49425.pdf [Accessed 21. 01. 2011].
Nursing and Midwifery Council (2008). Code of Professional Conduct: Standards for conduct, performance and ethics. London: NMC
Preston, R. (2001). Introducing non-invasive positive pressure ventilation. Nursing Standard. 15(26), p 42-45.
Pearson, P.E. & Wiener, J.P. (2003). Critical Care Secrets (3rd ed). Hanley and Belfus: