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On Saturday, you received a call from the nurse covering the weekend shift. Mr. Green had a significant change in pain and the recommendation is to change pain medications. However, Mr. Green is hesitant to change and refuses to take the new medication until talking to YOU. He will agree to the new medication if you tell him it is the best thing to do. The weekend nurse appears irritated by this development, but this nurse is always irritated when she calls on the weekend about similar situations. Obviously, this nurse does not know how to relate to the patients the same way you do. You will just have to take care of things like you always do. What are the different types of professional boundary issues in this case? What are the warning signs? And is there evidence of a pattern of behavior? How should this case be addressed by the team, the organization, and the weekend nurse? Be sure to include examples of the behaviors and the implications of care.
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