White cap: Information Marianne is a 79-year-old woman with hemorrhagic stroke. She has been placed on a respirator, unresponsive, pupils dilated and non-responsive to light. Physician recommends surgery to remove blood clot but does not offer much reassurance that she would recover function. She has no advance directives. Husband wants to try everything, but children believe she would not want the surgery and a poor quality of life, which they agree is the likely outcome.
The patient is a minor and may not comprehend the severity of her diagnosis. The nurse as an adult needs to tell the parents so that the patient does not experience harm. The principle of autonomy is another principle that I would use to justify my position in this case. Autonomy is the ability of a patient to give informed consent and make their own decisions (University of California San Francisco School of Medicine, 2008). Because this patient is a minor she is not mature enough to understand all of the implications of her diagnosis and treatment.
The Nurse’s Dilemma: Being Asked Not To Tell The Nurse’s Dilemma: Being Asked Not To Tell Nurses face ethical dilemmas on a regular basis. As nurses work to provide health care services, we often are asked to participate in ethically questionable activities (Potter, Perry, Stockert, & Hall, 2012). Today, a patient who was newly diagnosed with Stage IV breast cancer with metastasis to her bones was admitted to the hospice unit. Her daughter is her primary caregiver and has asked me to deceive her mother by “turning over” my badge and telling her mother that I am from a home health agency. She specifically requested that I “do not say hospice” because she believes that her mother doesn’t know she has been admitted to the hospice unit.
Dr. Jack Kevorkian, also known as "Dr. Death", believed in assisted suicide. He believed that, with the consent of the patient, he was able to relieve the patient of their long time painful suffering. A 54 year old female from Portland, Ore., by the name of Janet Adkins was Dr. Kevorkian's first patient, or as some will say, his first victim. She had been diagnosed with Alzheimers disease. After going through experimental drug treatment, which were unsuccessful, Mrs. Adkins decided to contact Dr. Kevorkian.
She wants you to explain what must be done to treat the disease because her sister did not understand the doctor’s explanation. Complete the interview and case study below. Post your response to the Assignment link. Part 1: Interview Form Cardiovascular Disease Interview |Checklist for Symptoms and Signs of Cardiovascular Disease | |□ |1. Are you lightheaded?
In the article by Garrett, Baillie, McGeehan, and Garrett (2010), the health care professional’s obligation is to “provide the health care information and leadership to ensure that this distribution is accomplished in ways that allow the goals of health care to be achieved” (p. 71). Although the physician informed Ms. Selbstmord of the lifestyle changes she needed in order to improve her condition, he failed to inform her of other important treatment options. The physician decided against prescribing Ms. Selbstmord a medication for asthma because of the side effects that would result. However, the principle of double effect of nonmaleficence would suggest that improvement of her asthma by the medication would create more good than the harm of the side effects so it should have been given as an option for the patient to decide. If the health care professional would have provided Ms. Selbstmord of all of the options for treatment and their consequences, it would become Ms. Selbstmord’s responsibility if whether or not her condition improved or worsened.
Nurses are relied upon to advocate for our patients dignity, privacy, confidentiality, improper and incompetent care. The case of Marianne is a good example of how the ANA code of nursing ethics could help a patient that can't make convey their needs the healthcare team. The stroke has left Marianne unresponsive and without an advanced directive the healthcare team has no way of knowing what her desires would be for the plan of care. Her husband and children are in disagreement with which direction to go in regards to her care. The ANA code of ethics has provisions in place to assist in a decision for this case.
In 1996 a pregnant woman, Darlene Brown, was admitted to Ingalls Memorial Hospital by her caring physician, Dr. Walsh. Brown had consented to have a cystoscopy and have a urethral mass removed. Brown had also been informed that she would lose blood during the operation, but had not discussed with her Doctor that she was a Jehovah's Witness and that blood transfusions are not part of her belief system. During the operation she lost more blood than anticipated and as result her blood hemoglobin level dropped below normal levels. Her low hemoglobin level put her and her unborn baby at high risk of death.
She is a very lonely 19 year-old woman. She seems to have no interests in life except taking care of her long, red hair and reading. She has been diagnosed as having metastatic ovarian cancer that is not curable. This cancer sometimes responds very well to chemotherapy. If it does not respond to chemotherapy almost immediately, it is fatal and the patient dies within months.
when Cheryl Cole was diagnosed with Malaria and Jessie J suffered from a stroke when she was 18 years old leaving her unable to ever consume alcohol. This makes people more aware of illnesses as well of showing the public how important health is. (Health and Social Care, Book