Terri was found in full cardiac arrest and taken to Humana Northside Hospital. Unfortunately, the then twenty-six year old Terri had suffered irreversible damage due to prolonged lack of oxygen to the brain. Terri is left in a persistent vegetative state and has a feeding tube and requires total care (Schindler v Schiavo, 2005). The next three years consist of her husband, Michael, and her parents Robert and Mary Schindler working together to take care of Terri. During this time Michael was appointed as Terri’s legal guardian without objection from her parents.
His heart stopped, and he was resuscitated two more times in the span of three hours. The patient’s family insisted that they wanted to do everything possible to save his life. However, after an EEG reading showed that brain activity had ceased, the attending physician expressed that he no longer wanted the medical staff to resuscitate. In this scenario the nurse is presented with a bioethical decision whether to carry out the doctors orders or the wishes of the patients family. A clear solution to this dilemma would be if the patient had a DNR (do not resuscitate) advance directive.
Nursing Management of Patient w/ Pain, Ambulatory Dysfunction & UTI S.L., a 31 year old female patient with a pertinent medical history of Lupus, Raynaud’s Phenomenon, Ablation for Supraventricular Tachycardia (SVT), Hypertension, Pyelonephritis and a mini stroke that has undergone surgical procedures of cholecystectomy, four C-sections and a hysterectomy, was admitted to the medical floor through the emergency department on January 12, 2010 with complaints of severe back pain. Patient reports that the pain began approximately two weeks prior to her arrival to the hospital. The pain became progressively worse and limited her ability to perform Activities of Daily Living (ADL’s). She was experiencing severe pain but was able to ambulate with the aid of a cane. For one week prior to her hospital admission she reports being bed bound and “couldn’t even get up to use the restroom”.
The method of so-called therapy landed Andre McCollin in the hospital in a nonresponsive state for three days. Cheryl McCollin now has a civil suit against the Center for the damaging treatment against her son. Who is now diagnosed with acute stress disorder and to her will never be the same. Since the Center
Occupation: Widowed, Mother Advanced Directives: No Code, DNR Medical History Reason for Hospitalization: 89 year old female patient was originally admitted long term to M.P.T.F. for pneumonia and the following: Primary Diagnosis: 1. Continue treatment for Dementia 2. Continue treatment for Depressive Disorder 3. Continue aftercare for healing of traumatic hip fracture Health History Past and Current: The patient was admitted with pneumonia and remains on palliative care.
Assignment Title: A case study of Miss Jones This essay will be exploring the case study of Miss Jones (Name changed for confidentiality reasons, as stipulated in the Nursing and Midwifery Councils professional code of conduct 2008) a forty four year old women woman who has been diagnosed with multiple sclerosis. She currently has to undergo tests, due to her condition deteriorating over the last year and the Doctors have decided to place a ‘Do Not Attempt Resuscitation’ (DNAR) on her file. This essay will firstly define what a ‘DNAR’ order is, identify the legal and ethical implications and apply them to this case study. It will also use the NMC’s code of conduct, which has set principles to which all health care professionals are to adhere to and highlight the elements of which pertain to Miss Jones’ case. A DNAR is a request not to have cardiopulmonary resuscitation (CPR) performed if the heart stops or breathing ceases (NursingTimes.net, 2009).
After two weeks in the hospital, Kate developed an infection that placed her in a coma on a respirator, which is “saving” her for the time being. Another part of this chapter that I found extremely interesting was the reaction of Anna when, after much argument about hockey camp, Sara said, “Anna, don’t make me do this” (269). Anna hotly responds, “Do what, Mom? I don’t make you do anything,” (269) hinting on how, throughout her
In 2006, approximately 212, 920 new cases of invasive breast cancer were diagnosed in the United States (Women’s Health Resource, 2011). The case scenario below will discuss ethical and legal issues regarding a female patient with breast cancer, which refuses treatment for breast cancer. Additionally, the scenario will cover the following four ethical principles: respect for persons/autonomy, justice, beneficence, and non-maleficence that relates to the case scenario (Bishop, 2003). A 25-year-old female patient made an appointment with her primary care physician because she discovered a lump on her breast. She went to her appointment with her primary care physician the following day.
1.0 Patient’s Identification Name : Fatin Izzatul Race : Malay Age : 3 months Address : Klang Date of Birth : 28/8/2012 Date of Admission : 17/12/2012 Weight : 5kg Date of Clerking : 18/12/2012 Gender : Female Source of referral : Biological mother 2.0 Chief complaint My patient Fatin Izzatul was brought by her mom to Hospital Tengku Ampuan Rahimah due to rapid breathing about 2 days prior to admission and associated with fever, cough and runny nose for 4 days. 3.0 History of presenting illness My patient, Fatin Izzatul was previously well child until she was having cough, fever and flu for 4 days. Then the mother brought her to the private clinic and was given medication but the symptoms did not resolve. 2 days before the admission, the mother was noticed that her child was having rapid breathing. Due to that, she brought her to Hospital Tengku Ampuan Rahimah for further investigation.
Universal Health Care: A necessity or a hindrance. Imagine having a weekly regiment of running a few blocks almost every day to stay healthy; after a week of running imagine feeling back pain. After having back pain for more than a month, imagine going to the doctor’s office for a regular check-up and after doing an x-ray because of the back pain, the doctor then explains that he found stage 4 neurofibrosarcoma (a malignant tumor) located on the spine, and to have at least a 50% chance of survival, extreme chemotherapy must be completed. Finally imagine receiving a letter from the insurance company saying that the chemotherapy will not be covered by the company and must be paid out of pocket. This is a problem that, as of the year 2010, more than 49.9 million Americans are experiencing due to lack of proper health coverage.