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Ethical and Legal Issues
Submit 1- to 2-page essay.
Case Study
:
Ann is a seventy-seven-year-old grandmother. She has one
daughter and three grandchildren. Two years ago, she was
diagnosed with moderately advanced Alzheimer's disease, which
causes her to have periods of confusion, frustration, anger, and
obsessive thinking. When speaking, she is uncertain and her
speech patterns are choppy. Before her mental deterioration,
Ann was a woman of love, intelligence, and patience. Realizing
they were getting older, she and her husband, Frank, discussed
their wishes should anything happen to them. She told Frank
that if there was no chance of survival, she would not want to
be hooked to a breathing machine. They never got around to
filling any papers.
Frank is a sweet and sensitive man. His wife's state frightens
him. Ann's love for him has been the focus of his life for sixty
years. His urgent desire for the best care for Ann shows his
devotion and love. Their daughter, Sarah, is a businesswoman.
She is a hard worker and a good mother. She is forty-five,
successful, and intelligent. Although she loves her parents
dearly, she lives ten hours away. She regrets not seeing much of
them, especially recently. Frank feels his role is to take care of
Ann. He has spent the past year with her, watching after her,
cooking for her, cleaning the home, and witnessing her
deterioration. Finally, Ann is unable to walk alone safely and he
finds he must have her admitted to a long-term care facility. He
calls Sarah to come and help with the arrangements. After
having Ann admitted to a local nursing home, both Frank and
Sarah remember the pleading look in Ann's eyes as they walk
away.
After three weeks in the nursing home, Ann starts to cough and
run a fever. She is seen by doctors and diagnosed as having
pneumonia. She is transferred to a local hospital, where she is
given intravenous antibiotics. Although the progress of her
pneumonia is halted by the antibiotics, she stops talking and
refuses to eat. The physician calls Frank to insert a feeding
tube. Frank calls Sarah to ask what to do. They wonder, Is a
feeding tube equivalent to a breathing machine? Would it be
possible to allow Ann to lie there and die of starvation? Is that
murder? What would she want? What is the right thing to do?
(Burkhardt & Nathaniel, 2008).
Respond to the following with these headings:
Discuss the ethical decisions you would make.
Discuss the legal decisions you would make.
Explain, as a nurse, what advice would you give to Frank and
Sarah.
Support your responses with examples.
Cite any sources in APA format.
Assignment Grading Criteria
Maximum Points
Discussed the ethical decisions you would make.
5
Discussed the legal decisions you would make.
5
Explained what advice you would give to Frank and Sarah.
5
Presented well-focused and coherent arguments.
5
Supported answers with relevant examples and journal articles.
5
Articulated clearly all judgments and lines of reasoning.
5
Demonstrated insight and analysis.
5
Written components.
5
Total:
40

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  • 1. Ethical and Legal Issues Submit 1- to 2-page essay. Case Study : Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer's disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filling any papers. Frank is a sweet and sensitive man. His wife's state frightens him. Ann's love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann's eyes as they walk away. After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is
  • 2. given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008). Respond to the following with these headings: Discuss the ethical decisions you would make. Discuss the legal decisions you would make. Explain, as a nurse, what advice would you give to Frank and Sarah. Support your responses with examples. Cite any sources in APA format. Assignment Grading Criteria Maximum Points Discussed the ethical decisions you would make. 5 Discussed the legal decisions you would make. 5 Explained what advice you would give to Frank and Sarah. 5 Presented well-focused and coherent arguments. 5 Supported answers with relevant examples and journal articles. 5 Articulated clearly all judgments and lines of reasoning. 5 Demonstrated insight and analysis. 5