In ‘Please Don’t Tell!’ should Consuela be told that Carlos is HIV-positive,even if that means over

In ‘Please Don’t Tell!’ should Consuela be told that Carlos is HIV-positive,even if that means overriding Carlos’s confidentiality?  Why or why not?  What should you do, as a nurse involved in the case?  Which arguments speak in favor of your position, which go against it, and why does your position win out? The patient, Carlos R. was a twenty-one year old Hispanic male who had suffered gunshot wounds to the abdomen in gang violence. He was uninsured. His stay in the hospital was somewhat shorter than might have been expected, but otherwise unremarkable. It was felt that he could safely complete his recovery at home. Carlos admitted to his attending physician and to you, his nurse, that he was HIV-positive, which was confirmed. At discharge the attending physician recommended a daily home nursing visit for wound care. However, Medicaid would not fund this nursing visit because a caregiver lived in the home who could adequately provide this care, namely, the patient’s twenty-two-year-old sister Consuela, who in fact was willing to accept this burden. Their mother had died almost ten years ago, and Consuela had been a mother to Carlos and their younger sister since then. Carlos had no objection to Consuela’s providing this care, but he insisted absolutely that she was not to know his HIV status. He had always been on good terms with Consuela, but she did not know he was actively homosexual.  His greatest fear, though, was that his father would learn of his homosexual orientation, which is looked upon with great disdain by his father. Consuela agrees to care for Carlos, and comes in to the hospital to receive basic information from you about how to do so.  Carlos reiterates to you in private that Consuela is not to be told about his HIV status. Health Science Science Nursing GPNG 526 Share QuestionEmailCopy link Comments (0)

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