On arrival to the holding bay, your patient Josie Chang (a young woman admitted for elective hysteroscopy and D&C), tells you she is unsure whether the planned surgery is still necessary. She is anxious that she has been admitted to the OR and it might now be too late for her to change her mind. a. Thinking about your role as patient's advocate, list the actions you can take to address Josie's
concerns in this situation. Provide rationales for your actions.
What will be an ideal response?
Answer:
It is important to assure Josie that you have listened to her concerns, particularly her fears that it may be too late to change her mind about the surgery. You can explain what you will do in response; for example, keep Josie in the holding bay, contact her surgeon, anaesthetist and the other nurses preparing for the procedure to explain the delay. It may also be appropriate to ask why Josie has changed her mind and it is very important for Josie to discuss these reasons with her surgeon. There may be good reasons why the surgery is no longer necessary or appropriate. For example, her symptoms or her condition may have changed since she last spoke to the surgeon. Her surgeon may agree that the surgery is no longer necessary.
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