Case Study Javier Lopez was recently diagnosed with type 1 insulin-dependent diabetes and is to receive discharge plan about his condition. You are the nurse discharging the patient from the hospital and have worked with the diabetic educator in developing a wonderful diabetic teaching protocol for the hospital. Dr. Chow, one of the “good old boys,” tells you not to teach his patient anything. “He is my patient and I’ll teach him what he needs to know. I do not want you interfering in my patient’s care—not now or ever.” Case Study Questions 1.How would you proceed in this instance? Does Dr. Chow have the final say about his patient in all aspects of their care? 2.What are the ethical principles involved in working with this physician? What ethical principles does the nurse have with regard to the patient? 3.Can the nurse ethically not educate the patient about his diabetes, merely because the physician does not want the patient taught by the discharge nurse? 4.According to which standard or regulation would the nurse be negligent if he or she did not teach the patient? 5.Is this case appropriate for whistleblowing and why? Could this lead to negative consequences for the nurse? 6.If Mr. Lopez should later develop severe complications from his lack of patient education, what legal implications might there be for the nurse? 7.How do you see this situation finally being resolved?