Introduction: Neglect by nurses toward patients with a history of addiction can hinder the provision of appropriate care and jeopardize the patient's health. Therefore, the aim of this study is to present a case report on an ethical challenge in nursing care of a patient with a background of social vulnerabilities admitted to the intensive care unit.
Case presentation: A 32-year-old female patient was admitted to the intensive care unit with a diagnosis of suicide attempt due to acetaminophen poisoning and a history of methadone use. Upon admission, she was intubated. Despite improvement in her level of consciousness, extubation was not possible due to metabolic acidosis. The attending nurse's lack of attention to the patient's condition and failure to perform effective suctioning led to deterioration of the patient's status, resulting in cardiac arrest and ultimately, death.
Conclusion: A history of multiple social vulnerabilities in patients can lead to the development of negative and biased attitudes among healthcare providers. In this case, the patient's unique circumstances and the subjective perceptions of the care team regarding her background contributed to a decline in the quality of nursing care, ultimately resulting in serious complications and the patient's death.
Type of Study:
Research |
Subject:
General Received: 2025/09/3 | Accepted: 2026/02/17 | Published: 2026/03/1