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Nursing Manual Rights and Risks The values of personal choice and independence may, at times, conflict with the values of keeping people in the safest environment or optimizing their health. Our society allows individuals to make bad personal choices within certain limits. A well-known example is cigarettes. People are allowed to risk their health with tobacco, but smoking is limited to people over the age of 18 and limited in certain environments.People with disabilities also have the right to make their own decisions, as long as they have a reasonable understanding of the consequences of that decision. At times, the ISP team will be required to consider whether a person has the capability to make a decision. In addition, the ISP team may need to carefully weigh a person's preferences against an optimal plan to keep the person safe. For example, a consumer who values his privacy but also has difficulties with constipation may not wish to have staff flush and record bowel movements (BMs). In order to protect his privacy, the ISP team may decide that it is safe, even if not optimal, to have the person self-report the frequency of BM's or the lack thereof. |
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