The Registered Nurse should undertake responsible care delivery to the patient by encouraging Susan and her family to avail of the access to the modern healthcare practices those are available for their benefits in the country. The nurse will have to act on the basis of the Code of Ethics for Nurses as developed by the Nursing and Midwifery Board of Australia. In this case the major codes of ethics those will be pertinent to Susan’s treatment and the overall level of knowledge and awareness about diabetes in respect of Susan and her husband is the code that says “Nurses value access to quality nursing and health care for all people.” (Nursing and Midwifery Board of Australia, 2008). This code refers to the work ethics that the nurses must observe by encouraging the patients and their families to receive the array of healthcare facilities that the government has developed to ensure that affordable healthcare services are accessible to all the people of the country irrespective of his social class, culture or ethnicity.
In case of Susan and her husband, they were not aware of the symptoms of diabetes, its implications and the degree of risk that is involved if Susan is not treated effectively. The preliminary diagnoses have detected that there has been no proper care and treatment for diabetes in case of Susan due to lack of awareness and knowledge as they have not been aware of the healthcare facilities available to them in Australia. This lack of knowledge on the disease, the treatment facilities and infrastructure that is available to them has resulted in such a negligent behavior by them. Self-care can be one of the suggested interventions that can be offered to the elderly patients such that they are encouraged to monitor their own weight, blood glucose level, blood pressure and other vital signs. For this, the elderly patients suffering from diabetes need to have adequate knowledge and awareness on the disease and its implications, especially for patients like Susan who reside in the rural areas (Sukwatjanee et al., 2011).
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The Registered Nurse should discuss the issue with them empathetically and implement the Utilitarian approach of ethics to deliver such care that will offer the maximum possible utility to the nurse herself, Susan and her family. Nurses those offer services in rural regions play major part in promoting Diabetes Self-Management (DSM) programs those are undertaken to enhance the overall knowledge about diabetes to the elderly patients those cannot receive quick healthcare facilities in the main city hospitals owing to distance. Hence, the Registered Nurse should demonstrate effective leadership skills by offering mentorship and guidance to the patient and her family such that henceforth they are much serious about treating the disease and conduct frequent health checkups to stay updated about the health status of Susan. The registered nurse should voice participation of Susan and her family in the rural Diabetes Self-Management campaigns those are undertaken for the elderly people suffering from diabetes those cannot be treated in metropolitan diabetes care centers owing to spatial accessibility (Roberts et al., 2012).
Nursing and Midwifery Board of Australia (2008) 'Code of Professional Conduct for Nurses', Code of Professional Conduct for Nurses in Australia, pp. 1-9.
Roberts, D.P., Russell, D.J., Ward, B.M. and O’Sullivan, B.G. (2012) 'Accessibility and outcomes from a rural diabetes nurse-educator led self-management program', AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 34 Issue 4, pp. 26-34.
Sukwatjanee, A., Pongthavornkamol, K., Low, G., Suwonnaroop, N., Pinyopasakul, W. and Chokkhanchitchai, S. (2011) 'Benefits of a Self-Help Group for Rural Thai Elders with Type-2 Diabetes', Pacific Rim Int J Nurs Res; 15(3), pp. 220-233.