In the case of a 78-year-old client refusing chemotherapy, what should be prioritized by the nurse while addressing family concerns?

Prioritizing the client’s autonomy regarding their health decisions is essential in nursing practice, especially in the care of older adults. Autonomy refers to the right of individuals to make informed choices about their own lives and medical treatments. In this scenario, the 78-year-old client has expressed a refusal of chemotherapy, which indicates their personal values, preferences, and understanding of their health situation.

Respecting the client's decision is crucial, as they are ultimately the ones who will experience the outcomes of the treatment, whether positive or negative. The nurse's role includes advocating for the client’s preferences while also providing the necessary information to help them make well-informed choices. By supporting the client’s autonomy, the nurse fosters a therapeutic relationship based on trust and respect, and empowers the client rather than applying pressure based on external factors or opinions.

While the family’s concerns may be valid and important for the overall support structure of the client, it is essential to place the client's wishes at the forefront, ensuring they feel heard and respected in their choices. This approach promotes patient-centered care and aligns with ethical standards in nursing practice, focusing on the individual’s rights and values related to their health care decisions.