QA 1. Personal Response to Mr. Newcomb's Request

Mr. Newcomb's life seems to be too much complicated and would require special advice to ascertain that he does not lose his life too fast. As a professional oncologist and the health provider of the patients in the oncology, I will apply the use of all or the most important principles to ensure that the advice doesn't interfere with the lives of Mr. Newcomb either socially, physically or mentally.

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To keep the principles in work, I would give a positive advice that if possible, might help in sustaining the health of the patient. For instance, I would allow the patient to see her wife just as he needs in order to make him happy, but I will personally not make communication with the wife immediately but will do that on another day if by chance the patient will recovers.

In reality, I will not allow Mrs. Newcomb to come in the unit because, seemingly, she is the reason for all the bad health in the patient, just as highlighted in the case study. Ever since when I was taking care of the patient, his life seemed to improve with time, and was indeed promising for a better future, however, since the arrival of her wife, his life has been depressing with time.

QA 2. Bioethical principles; beneficence, non-maleficence, autonomy and justice.

The principle of no-maleficence could be used in this case to ensure that the decision causes no harm to the patient. Harms are always categorized into two broad categories, short term and the long term, in the case of Mr. Newcomb, a short-term effect would result to a vital effect of up to death, to the patient.

By promising the patient that he will be able to see her wife, is generally doing according to his will, this rule is contained in the principle of beneficence. It will create some relief of stress and pain in the body of Mr. Newcomb. At all times in nursing, this principle is very important, it may lead to life extension to those in bad conditions in the oncology units.

In addition, application of professional autonomy experience is also important. As an experienced and a professional oncologist, the advice given would be in accordance to the personal experience that I have since learned in the whole of my career, and the personal experience that I have gained from working with a number of patients. This helps because, in order to make such a decision, one must understand the possible effects of stress, and the subsequent effects it might lead to, in a patient in trauma.

Finally, I employed the use of the principle of justice to ensure that I was fair enough to my patient. Even though I knew the previous effects which had resulted while with her mistress, I still could not deny him the chance to see her, because it was his wish and maybe there could be a hidden reason behind his wish to see the mistress.QA 3 Personal Beliefs and Values

As a professional nurse who has worked in the adult oncology unit, for a long period of time. I have dealt with a number of patients, so however much I can testify that I have never witnessed a similar occasion in the past, I picked on the closely related instances that involved stress in the past, and how I dealt with those particular cases, to resolve them appropriately. (Hoffman, K., Donoghue, J., & Duffield, C. (2004).

Additionally, I have experienced a number of failures and success in the decisions that I made in the past experiences; therefore, the advice that I gave was as a result of the evaluation of the positive achievements in the past only. The wrongly made decisions in the past also helped me in realizing the possible negative harms and the principle of nonmaleficence helped me in doing so.

Also, having worked with a number of fellow professionals, I have also learned of various decisions that they once undertook, and the results that came out after the decisions made. Having this knowledge is very important as it will help in evaluating the best possible choice amongst many, and of course, this is what is referred to as (decision-making, the ability to pick up on a solution from a wide range of alternatives that best satisfies the situation). The personal beliefs and values thus helped me to in-cooperate the bioethical principles together for making the best decision.

QA 4. Strategies to Promote Health Care

In order to successfully achieve the self-care guidance in any adult oncologist patient unit. It is important to take care of some strategies in order to ensure that in the emergence of cases like that of Mr. Newcomb, best solutions can always be highlighted that promise a positive outcome. "self-care for nurses is important because it promotes individual health and wellness, offering an outlet for stress and creating a better work-life balance," ("Basic Strategies for Self-Care," 2017). Some o the three strategies that could be applied in this case include,

Keeping close contact with the family and friends

Planning for healthier meals and snacks

Choosing the best type of exercise enjoyed.

One major strategy to be taken by a nurse is to keep close contact with the family members and friends. In the oncology unit, where a number of activities are involved, shift cases and various call assignments by the patients are always mandatory, it is important to create a good rapport with these people since the work may at times come with a lot of stress. As a result, I decided to keep a good friendship linkage with my patients, so that in my free time, we can be making stories, have a lot of fun and laugh a lot.

Another strategy is taking good meals and snacks, to ensure that a healthy body is maintained at all conditions. Bad meals might lead to malnourishment of the body, and hence weak body functioning. In the unit, there are many activities that involve use of energy, missing some foods, for example, carbohydrates may result to deficiency of energy in the body and a nurse may not be in a position to handle all the activities effectively. Some effects that may result when a nurse fails to undertake his/ her meals accordingly are mental stress that may eventually lead to the death of the nurse of mental disorder.

Choosing the best type of exercise is yet another major concern and strategy to enhance self-care of nurses in various healthcare units. Arnold Schwarzenegger states that "training gives us an outlet for suppressed energies created by stress and thus tunes the spirit just as exercise conditions the body" ("Exercise Sayings and Exercise Quotes," n.d.). The need for physical fitness is very important to ensure that all the body parts work perfectly and that possible occasions of idleness, that might lead to stress are eliminated.

Conclusion

In conclusion, nurses do go through a number of continual antagonizing issues while in their daily activities of helping the patients. From these experiences, I am currently more watchful of the need to be self-confident, and apply expert professionalism in practice in solving various emerging issues like that for Mr. Newcomb.

The scenario also helped to understand the fact that at no point should a nurse, have issues with patients, because, at one time, you maybe become the only source of help to a patient. It is therefore important to give an upper hand and make stronger relationships between everyone that is in the oncology unit, this means, the link between patients and the professionals, and between professionals themselves because it can help in borrowing of ideas just as I did in coming up with the best solution in this particular scenario.

References

Basic Strategies for Self-Care. (2017, September 8). Retrieved from https://academicpartnerships.uta.edu/articles/healthcare/strategies-for-self-care.aspx

Exercise Sayings and Exercise Quotes. (n.d.). Retrieved from http://www.wiseoldsayings.com/exercise-quotes/

Hoffman, K., Donoghue, J., & Duffield, C. (2004). Decisionmaking in clinical nursing: investigating contributing factors. Journal of Advanced Nursing, 45(1), 53-62.

Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods. Lippincott Williams & Wilkins. Retrieved from https://books.google.com/books?hl=en&lr=&id=5g6VttYWnjUC&oi=fnd&pg=PA3&dq=various+principles+of+making+decision+by+the+nurse&ots=_-lSnOqmAy&sig=ow-j-uyynF0Y3tebEIBPx8qp7BY