Mr. X was an older man that had a history of alcohol abuse and was a resident of a nursing home. He enjoyed smoking cigarettes in the designated outdoor smoking area. There were specific times a day that the residents could smoke, which were supervised by staff. The smoking policy stated that all smoking materials owned by a resident had to be kept locked up in a room by a supervisor. The staff person that was to supervise the residents would get all the smoking materials and bring them to the smoking area.
Most of the residents obliged by the policy with a few exceptions, one which was Mr. X. Mr. X’s family would often buy cigarettes for him. Mr. X would hide the cigarettes and smoke in his room. There was a process in place if a resident violated the smoking policy. After 3 violations a resident had their smoking privileges revoked.
Mr. X didn’t only place himself in danger but he also placed other residents and staff of the nursing home in danger. The Administrator kept giving Mr. X chances even though his smoking privileges should have been revoked. The Administrator feared that Mr. X would get violent if his smoking privileges were revoked. The Social Worker didn’t agree with the Administrator’s decision because it was unfair to the other residents.
Why have a policy if it isn’t going to be followed? Should Mr. X loose his right to smoke due to his behavior?