Nur 391 Case Study

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Case Study NUR/391 May 31st, 2010 Catherine Coyle Case Study ”Marianne is a 79-year-old woman who was admitted to the emergency department yesterday with a severe headache. Shortly after admission, she became unresponsive; a brain scan revealed she had suffered a hemorrhagic stroke. Marianne’s pupils are dilated and do not respond to light; she is breathing with the assistance of a respirator. Her elderly husband and three adult children are all assembled. The physician has recommended surgery to remove the blood clot but cannot offer much assurance that she will recover function. She has no advanced directives, but her husband wants to “try every-thing.” The children believe that she would not want to undergo this surgery only to be kept alive with poor quality of life, which they agree is the likely outcome. The ethics committee is assembled to assist the family in making the decision. Before meeting with the family, the committee meets to discuss the situation” (Professional Nursing: Concepts and Challenges, 2007). White cap- “What information do we have, what is needed, and how can we get it?” We know that the patient is a 79-year-old female admitted to the Emergency Department yesterday with a severe headache then shortly upon admission suffered a hemorrhagic stroke. Currently she is breathing with the assistance of a respirator. She has a husband and three adult children with and no advance directives on file. Surgery is an option, but doesn’t offer guaranteed results in improving the patient’s medical condition. The patient’s husband wishes to proceed with the surgery. Her three adult children wish not to proceed with the surgery if their mother’s quality of life is to be poor. Because the patient is unresponsive and currently does not have an advance directives we need to establish who has the legal right to make health decisions for her. We can

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