The licensed practical/vocational nurse was working on a neurological unit

A client with Parkinson's disease (PD) was informed of a new treatment, which required autologous stem cell therapy to increase the levels of dopamine-producing cells to lessen the symptoms of PD. The client and family asked the nurse if this presents an ethical dilemma because they don't want to use human fetal stem cells. How should the nurse respond?
A) "The important thing to consider is participating in this treatment will improve your symptoms."
B) "The term 'autologous' means from the same individual, so the procedure involves using the client's stem cells and not cells from a human fetus."
C) "The ethical dilemma you are referring to is whether it is right or wrong to allow science to manipulate genetic tissue in order to improve a person's life?"
D) "Usually fetal tissue arises from umbilical cord blood, so no unborn babies were destroyed in the process of obtaining stem cells."


Ans: B
Feedback:
Autologous means that the tissue is taken from and transplanted into the same individual, so it is best that the nurse clarifies the misconception with the client and family that the tissue will arise from a human fetus . An answer that focuses only on client treatment suggests that the client is correct and there is an ethical dilemma. It is better to weigh benefits versus risks for the treatment. The nurse should try to determine if the client has another ethical dilemma and ignore the client's main concern about using fetal tissue. The type of tissue being used for the treatment the client was offered does not come from umbilical cord blood.

Nursing

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