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Earl is a 63-year-old man with end-stage renal disease who has been on hemodialysis for a year. He has a history of medical issues including diabetes, heart disease, and early dementia. Earl has recently had several infections related to his dialysis shunt. When a new shunt was to be inserted, Earl resisted and said he no longer wanted dialysis. It is unclear if Earl has decision-making capacity. The ethics committee was consulted to determine if dialysis could be stopped over Earl's objections.
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the worst Medical Errors and how to mange them.pptx
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Description For the case provided, read the information and answer .pdf
Description: For the case provided, read the information and answer the associated questions as a
group.
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Part 3
Recommendations for Actions (1 page maximum)
Provide your evaluations and recommendations with rationale. Recommendations should be
supported by findings from the analysis..
2 page paper double spaced...The patient is a 45 year old woman .docx
2 page paper double spaced...
The patient is a 45 year old woman who presented at the Emergency room at St Martha’s hospital with acute abdominal pain and some rectal bleeding. Pain medication were given and a lower GI series of test were ordered.Test indicates a blockage in her Transverse colon which could be cancerous tumor or non-cancerous Polyp. A gastroenterologist named Dr. Smith was consulted and evaluated the Patient. Dr Smith recommended a Colonoscopy to evaluate and possibly treat the patient. A colonoscopy was performed a day later and a sizeable Polyp was removed; a Pathology report was ordered to identify if the Polyp was cancerous or not. The report confirmed the the Polyp was precancerous. The patient’ medical history contained nothing remarkable. She came through the anesthesia without incident and the likely prognosis of a complete recovery was excellent.
Mary R and her husband and their two daughters were visiting United States from Thailand. Robert R works for a large oil company headquarters in the US and they come here from time to time mixing business with some sightseeing. Robert R is the medical power of Attorney.
It was decided to keep the patient overnight from observation with the likely discharge in the morning. Slightly after midnight the patient began to complain of acute abdominal pain, the night nurse noted a drop in her blood pressure (65/45) the patient became less responsive and was
taken to the ICU unit. Blood work indicated a very elevated white blood cell count and anemia. The patient was given blood transfusion with a signed permission from her husband.She was also put on antibiotic and given medication to increase her blood pressure. Because of the pain the patient was heavily sedated and put on the ventilator her immediate critical situation was somewhat stabilized.
A perforated Bowel was suspected as the cause of the event. A general surgeon was contacted to consult on the case and evaluate the patient treatment. Doctor Johnson’s evaluation confirmed the opinion by the medical residents and the staff that the patient was septic and that without the surgery the patient will die. Dr Johnson felt that is was quite likely that the patient would require at least a resection of her Colon but also could end up with a colostomy. Dr Johnson felt that the surgery needed to be done right away.
The husband was contacted by the staff and a meeting was held with Dr Johnson and the resident of the case. All the possibilities were discussed with the husband. His response to request to fill out paperwork for the surgery shocked the Medical Team. Robert R was not sure if his wife wants the surgery. In his country having a Colostomy was not acceptable, both in his religion and his culture. He would not be able to take her home in the condition to her relatives and friends, She would nt want to live with such daily reminder f her sorry condition. If DR Johnson could guarantee that he could simply repair the per.
Roebuck 1 Brittany Roebuck Professor Bertsch ENG.docx
Roebuck 1
Brittany Roebuck
Professor Bertsch
ENGL 1100
8 April 2018
Should Physician-Assisted Suicide Be Legal?
In 1997, Oregon became the first state to enact the Death with Dignity Act (DWDA).
This act allows a person with a terminal illness to make the decision to end their own life with a
lethal medication prescribed by a physician. Since then, only four other states have legalized
physician-assisted suicide. I’m interested in this topic for two reasons. The first being I am
currently making a career change and going back to school for nursing. I ultimately want to
become a hospice nurse. I believe this is a very relevant topic in the field of providing comfort
care to terminally ill patients. The second reason is because my grandpa died of lung cancer and I
spent the majority of his last three months taking care of him. His time between diagnosis and
when he passed was very quick but also very painful. I can’t imagine if he had lived for another
year or more how difficult it would have been for him, myself, and my family. We never
discussed the option of physician-assisted suicide because it is not an option in the state of Ohio.
My grandpa had a passion for life and living it to the fullest. Knowing him well, I think if the
option had been available, it would have been something he would have considered. I wanted to
dive into this topic and find out why in the past eleven years this law has only been passed in five
states. So, I decided to do some research of my own to find out the answer to my question:
Should physician-assisted suicide be legal in every state?
When I started researching this topic, I found a lot of opposition. There are many reasons
people are against physician-assisted suicide. One being religious reasons. Religious
Roebuck 2
organizations argue that human life is sacred and someone ending their own life, no matter the
circumstances, is morally and spiritually wrong (“Right to Die” 2). The American Medical
Association also objects to physician-assisted suicide. They argue that physicians are meant to
heal not kill (2). Another argument states that allowing physician-assisted suicide would leave
people with mental and physical disabilities open to being coerced into ending their own lives. If
someone believes they may be a financial or physical burden on their family, they may be
tempted to consider physician-assisted suicide simply to relieve that burden. Some people think
instead of helping people die, doctors and policy makers should be working on improving end-
of-life care (2). There is also an argument that minorities have less access to health care and
receive less treatment as a result. This may make a pill to end their lives feel like the only option
for them. (2)
As far as support for this movement, well, there’s less of it. Supporters argue that if a
person has the right to refuse medical treatment, they should also have the rig ...
Question Why it is important to consider this case from an ethical .pdf
Question: Why it is important to consider this case from an ethical standpoint? According to the
CNA code of ethics. what ethical values should the nurse consider when communicating with
Mr. Green and her supervisor? Pls explain in 2 pages and with references.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anemia and hypoproteinemia. After several
diagnostic tests, it was discovered that the cancer had metastasized to his bones
and spread locally to his lymph nodes. The primary tumour was invading the
bladder and partially obstructing the left kidney.
Mr. Green had several admissions over two months for various reasons. On the last
admission, Mr. Green was told that he might only have 4 - 6 weeks (previously, it
was 6 - 12 months) to live after a cystoscopy showed further extensive growth of
the tumour. It was determined that further surgical/medical intervention would not
be appropriate in this case and that a palliative care regimen was the next step. At
this point, the patient reported to the healthcare team that he had resigned himself
to the fact that he was going to die.
Mr. Green pulled you aside and confided that he planned to kill himself and that it
was a secret that you were not to tell anyone.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgi.
Question What is the ethical dilemma that arises from this clinical.pdf
Question: What is the ethical dilemma that arises from this clinical case? Pls explain long and
with references.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anemia and hypoproteinemia. After several
diagnostic tests, it was discovered that the cancer had metastasized to his bones
and spread locally to his lymph nodes. The primary tumour was invading the
bladder and partially obstructing the left kidney.
Mr. Green had several admissions over two months for various reasons. On the last
admission, Mr. Green was told that he might only have 4 - 6 weeks (previously, it
was 6 - 12 months) to live after a cystoscopy showed further extensive growth of
the tumour. It was determined that further surgical/medical intervention would not
be appropriate in this case and that a palliative care regimen was the next step. At
this point, the patient reported to the healthcare team that he had resigned himself
to the fact that he was going to die.
Mr. Green pulled you aside and confided that he planned to kill himself and that it
was a secret that you were not to tell anyone.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now.
Understanding Death with Dignity Legislation: A Necessity for the Palliative ...
Understanding Death with Dignity Legislation: A Necessity for the Palliative Care Provider - Frances DeRook, MD, FACC
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
Recommended
the worst Medical Errors and how to mange them.pptx
The worst
medical error
death
sentinel event
adverse event
medication error
wrong surgery
Description For the case provided, read the information and answer .pdf
Description: For the case provided, read the information and answer the associated questions as a
group.
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Part 3
Recommendations for Actions (1 page maximum)
Provide your evaluations and recommendations with rationale. Recommendations should be
supported by findings from the analysis..
2 page paper double spaced...The patient is a 45 year old woman .docx
2 page paper double spaced...
The patient is a 45 year old woman who presented at the Emergency room at St Martha’s hospital with acute abdominal pain and some rectal bleeding. Pain medication were given and a lower GI series of test were ordered.Test indicates a blockage in her Transverse colon which could be cancerous tumor or non-cancerous Polyp. A gastroenterologist named Dr. Smith was consulted and evaluated the Patient. Dr Smith recommended a Colonoscopy to evaluate and possibly treat the patient. A colonoscopy was performed a day later and a sizeable Polyp was removed; a Pathology report was ordered to identify if the Polyp was cancerous or not. The report confirmed the the Polyp was precancerous. The patient’ medical history contained nothing remarkable. She came through the anesthesia without incident and the likely prognosis of a complete recovery was excellent.
Mary R and her husband and their two daughters were visiting United States from Thailand. Robert R works for a large oil company headquarters in the US and they come here from time to time mixing business with some sightseeing. Robert R is the medical power of Attorney.
It was decided to keep the patient overnight from observation with the likely discharge in the morning. Slightly after midnight the patient began to complain of acute abdominal pain, the night nurse noted a drop in her blood pressure (65/45) the patient became less responsive and was
taken to the ICU unit. Blood work indicated a very elevated white blood cell count and anemia. The patient was given blood transfusion with a signed permission from her husband.She was also put on antibiotic and given medication to increase her blood pressure. Because of the pain the patient was heavily sedated and put on the ventilator her immediate critical situation was somewhat stabilized.
A perforated Bowel was suspected as the cause of the event. A general surgeon was contacted to consult on the case and evaluate the patient treatment. Doctor Johnson’s evaluation confirmed the opinion by the medical residents and the staff that the patient was septic and that without the surgery the patient will die. Dr Johnson felt that is was quite likely that the patient would require at least a resection of her Colon but also could end up with a colostomy. Dr Johnson felt that the surgery needed to be done right away.
The husband was contacted by the staff and a meeting was held with Dr Johnson and the resident of the case. All the possibilities were discussed with the husband. His response to request to fill out paperwork for the surgery shocked the Medical Team. Robert R was not sure if his wife wants the surgery. In his country having a Colostomy was not acceptable, both in his religion and his culture. He would not be able to take her home in the condition to her relatives and friends, She would nt want to live with such daily reminder f her sorry condition. If DR Johnson could guarantee that he could simply repair the per.
Roebuck 1 Brittany Roebuck Professor Bertsch ENG.docx
Roebuck 1
Brittany Roebuck
Professor Bertsch
ENGL 1100
8 April 2018
Should Physician-Assisted Suicide Be Legal?
In 1997, Oregon became the first state to enact the Death with Dignity Act (DWDA).
This act allows a person with a terminal illness to make the decision to end their own life with a
lethal medication prescribed by a physician. Since then, only four other states have legalized
physician-assisted suicide. I’m interested in this topic for two reasons. The first being I am
currently making a career change and going back to school for nursing. I ultimately want to
become a hospice nurse. I believe this is a very relevant topic in the field of providing comfort
care to terminally ill patients. The second reason is because my grandpa died of lung cancer and I
spent the majority of his last three months taking care of him. His time between diagnosis and
when he passed was very quick but also very painful. I can’t imagine if he had lived for another
year or more how difficult it would have been for him, myself, and my family. We never
discussed the option of physician-assisted suicide because it is not an option in the state of Ohio.
My grandpa had a passion for life and living it to the fullest. Knowing him well, I think if the
option had been available, it would have been something he would have considered. I wanted to
dive into this topic and find out why in the past eleven years this law has only been passed in five
states. So, I decided to do some research of my own to find out the answer to my question:
Should physician-assisted suicide be legal in every state?
When I started researching this topic, I found a lot of opposition. There are many reasons
people are against physician-assisted suicide. One being religious reasons. Religious
Roebuck 2
organizations argue that human life is sacred and someone ending their own life, no matter the
circumstances, is morally and spiritually wrong (“Right to Die” 2). The American Medical
Association also objects to physician-assisted suicide. They argue that physicians are meant to
heal not kill (2). Another argument states that allowing physician-assisted suicide would leave
people with mental and physical disabilities open to being coerced into ending their own lives. If
someone believes they may be a financial or physical burden on their family, they may be
tempted to consider physician-assisted suicide simply to relieve that burden. Some people think
instead of helping people die, doctors and policy makers should be working on improving end-
of-life care (2). There is also an argument that minorities have less access to health care and
receive less treatment as a result. This may make a pill to end their lives feel like the only option
for them. (2)
As far as support for this movement, well, there’s less of it. Supporters argue that if a
person has the right to refuse medical treatment, they should also have the rig ...
Question Why it is important to consider this case from an ethical .pdf
Question: Why it is important to consider this case from an ethical standpoint? According to the
CNA code of ethics. what ethical values should the nurse consider when communicating with
Mr. Green and her supervisor? Pls explain in 2 pages and with references.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anemia and hypoproteinemia. After several
diagnostic tests, it was discovered that the cancer had metastasized to his bones
and spread locally to his lymph nodes. The primary tumour was invading the
bladder and partially obstructing the left kidney.
Mr. Green had several admissions over two months for various reasons. On the last
admission, Mr. Green was told that he might only have 4 - 6 weeks (previously, it
was 6 - 12 months) to live after a cystoscopy showed further extensive growth of
the tumour. It was determined that further surgical/medical intervention would not
be appropriate in this case and that a palliative care regimen was the next step. At
this point, the patient reported to the healthcare team that he had resigned himself
to the fact that he was going to die.
Mr. Green pulled you aside and confided that he planned to kill himself and that it
was a secret that you were not to tell anyone.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgi.
Question What is the ethical dilemma that arises from this clinical.pdf
Question: What is the ethical dilemma that arises from this clinical case? Pls explain long and
with references.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anemia and hypoproteinemia. After several
diagnostic tests, it was discovered that the cancer had metastasized to his bones
and spread locally to his lymph nodes. The primary tumour was invading the
bladder and partially obstructing the left kidney.
Mr. Green had several admissions over two months for various reasons. On the last
admission, Mr. Green was told that he might only have 4 - 6 weeks (previously, it
was 6 - 12 months) to live after a cystoscopy showed further extensive growth of
the tumour. It was determined that further surgical/medical intervention would not
be appropriate in this case and that a palliative care regimen was the next step. At
this point, the patient reported to the healthcare team that he had resigned himself
to the fact that he was going to die.
Mr. Green pulled you aside and confided that he planned to kill himself and that it
was a secret that you were not to tell anyone.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now.
Understanding Death with Dignity Legislation: A Necessity for the Palliative ...
Understanding Death with Dignity Legislation: A Necessity for the Palliative Care Provider - Frances DeRook, MD, FACC
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
what will happen if you ignore the patients suicidal thoughts expla.pdf
what will happen if you ignore the patients suicidal thoughts? explain well with references.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anemia and hypoproteinemia. After several
diagnostic tests, it was discovered that the cancer had metastasized to his bones
and spread locally to his lymph nodes. The primary tumour was invading the
bladder and partially obstructing the left kidney.
Mr. Green had several admissions over two months for various reasons. On the last
admission, Mr. Green was told that he might only have 4 - 6 weeks (previously, it
was 6 - 12 months) to live after a cystoscopy showed further extensive growth of
the tumour. It was determined that further surgical/medical intervention would not
be appropriate in this case and that a palliative care regimen was the next step. At
this point, the patient reported to the healthcare team that he had resigned himself
to the fact that he was going to die.
Mr. Green pulled you aside and confided that he planned to kill himself and that it
was a secret that you were not to tell anyone.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anem.
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 y.
1Health History2Health HistoryHealth H.docx
1
Health History
2
Health History
Health History
Name
Global Health College
Health Assessment
10/16/2015
Date __10/5/2015___
Examiner M. A.
1. Biographical Data
Initials __AM__ Phone __3017934596____
Address ___7001 96 Avenue, Lanham MD 20706
Birth date 07/28/1980 Birthplace Limbe, Cameroon___
Age __35__ Gender __Female__ Marital Status _Married__ Occupation _Nurse__
Race/ethnic origin __Black/Cameroon__ Employer __Karen For Kids Inc.__
2. Source and Reliability: The source of information is reliable because it is provided by the patient herself.
3. Reason for Seeking Care: Patient is seeking help because she has been having persistent diarrhea and abdominal cramps for two days.
4. Present Health or Health of Present Illness: Diarrhea and abdominal cramps.
Patient AM, came to the hospital at 4pm on 10/5/2015, complaining of persistent diarrhea and generalized abdominal cramps. She states that her illness started after she came back from a family swimming picnic on 10/2/2015 at 7pm. She states that her illness started with generalized abdominal cramping that was followed with her passing watery non-tarry stool with no foul smell. She says she has been having 5 episodes of diarrhea each day for two days. Patient also states that her illness is triggered when she eats any food or when she wants to do her daily exercise. Patient states she feels a little weak. Patient added that she has also taken Over The Counter (OTC) Imodium 4mg twice a day for two days but doesn’t feel any better. That is why she came to the hospital today for help.
5. Past Health
Ms AM says she has been healthy over the past years, except for today when she complains of diarrhea and abdominal cramps. She denies having any past history of childhood illnesses: measles, chicken pox, mumps, meningitis, impetigo. Patient confirms haven had pink eye at age 10years old, which was treated with some home remedies (soaked clean compress and OTC eye drop called artificial tears). Patient says she had a minor nose injury at age 12 years that was treated by her pediatrician with pain medication. Patient denies having history of any chronic illness: diabetes, hypertension, asthma, cancer, Congestive Heart Failure (CHF), Coronary Artery Disease (CAD), or stroke.
Patient denies haven been hospitalized before except during delivery. She also denies having any surgical procedures. Patient states that she has been pregnant three times, and she has three babies, two boys and one girl. She went ahead to say she had no premature procedures, delivery, abortion, or miscarriage. She added that all of her babies were carried full term and delivered after 9 months. of pregnancy. She labored for 4 hours for her first baby who was a boy, and 3 hours each for both second and third babies, a boy and a girl consecutively. She said her first baby weighed 7lbs and the other two weighed 8lbs each. All her three babies were delivered .
For this assignment, consider the following case and then using th.docx
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
NSG6001 Advanced Practice Nursing I Page 1 of 5 © 2007 S.docx
NSG6001 Advanced Practice Nursing I
Page 1 of 5
© 2007 South University
Week 1: Cardiology Clinical Case
HPI
A 52-year-old Irish American male is discharged from the hospital. He was hospitalized for four
days after a stent placement, following admission from the emergency room with angina
symptoms. This patient presented to the emergency room with four hours of crushing chest pain.
He was short of breath with exertion and diaphoretic. The patient thought he was having a heart
attack and was afraid to come to the hospital. The symptoms lasted for four days before the
patient sought help. The patient had been suffering from similar symptoms for the past six months
but thought that he just out of shape. It was worse upon admission to the hospital. Prior to this,
the symptoms disappeared with rest.
His symptoms were relieved in the emergency department with medication and he was
transferred to the cardiac floor for catheterization.
The patient’s symptoms were highly debilitating upon his admission to the emergency
department.
Prior to his admission to the hospital for this event, the patient was not very active because of his
angina symptoms. The pain that he had was substernal and crushing and radiated to his neck
and jaw. His symptoms resolve with rest only. He has not sought any therapeutic maneuvers.
He is currently asymptomatic and is here for a follow-up visit from his hospitalization to discuss
his risk factors. The patient is still concerned that he may have other episodes of angina, even
after the stent placement.
PMH
The patient has not sought care for his problems in the past. He had been treated for
hypertension and high cholesterol in the past but stopped medication on his own. Besides that,
he has had no other significant illnesses.
He was hospitalized for a cholecysectomy ten years ago.
NSG6001 Advanced Practice Nursing I
Page 2 of 5
© 2007 South University
This patient had a baseline EKG at his doctor’s office when he was first prescribed his blood
pressure medication. Otherwise he’s had no other investigations for heart disease besides his
cholesterol levels checks.
Results of Laboratory Investigations Following Hospitalization
Total cholesterol - 210
LDL- 200
HDL- 25
Triglycerides – 250
Fasting blood sugar – 140
HgbA1c – 7.5
CXR – hyperinflation of the lungs – no infiltrate
EKG – no change from baseline.
Risk Factors:
• High blood pressure
• Hypercholesterolemia
• Type 2 diabetes
• Android obesity
• Cigarette smoker
• Positive family history
Past surgical history of Cholecysectomy, almost 10 years age without any complications.
ROS
Review of systems is otherwise negative
DISCHARGE MEDICATIONS
Tenormin XL 50 mg QD
Lipitor 10 mg QD
Glucophage – 500mg BID
Baby ASA QD
Patient is now compliant with the prescribed regimen, but wasn’t in the past. The medicines were
prescribed by the physician who disc.
Refusal of care.pptx
Medical interventions can be withdrawn in selective patients with Do Not Resuscitation form signed or in patients with terminal illness based on patients best interest
Test Slides
This PPT is all about Something that we want to lear an discover new things in life which might be very useful and essential to do something so you can figure out and work on it so you will be able to do it simply great and awesome in life. After downlading the ppt please do not forget to reshare it with your friends families and morel
Running Head INTRODUCTION TO THE MILLER FAMILY 1Miller Fa.docx
Running Head: INTRODUCTION TO THE MILLER FAMILY
1
Miller Family
7
Introduction to the Miller Family
Lisa M. BuentelloSOC313: Social Implications of Medical IssuesProfessor Crystal Logan
July 8, 2015
Introduction to the Miller Family
Introduction
Technology has been evolutional especially in this 21st century where the introduction of computers and other major examples of technology has taken the world by storm. During the olden days, things were not as evolutional as much as they are now and so was the medical sector. During the 19th and 20th century, there were less and less qualified doctors since the fields of medicine were not taught and that they had to improvise their own methods of treatments (Postman 2010). They used traditional medicine men and herbs to cure their illnesses. But in this 21st century, the field of medicine is well advanced and is full of different equipment’s and medicines that can help heal the sick. At the same time, home care has been facilitated by education of how best to take care of the sick by the doctors such that the family members can take care of them easily but under supervision of the doctor. It is therefore better to consider various factors before choosing whether to be hospitalized or to do home based care. Therefore, hospital care is the best type of dealing with chronic or critical illnesses because expert help will be guaranteed and one will be in much safer hands of the professionals.
Cultural or traditional issues arising from the case
Culture refers to how certain groups of people behave in reference to who the traditional people in the same lineage believed and behaved. Culture refers to the morals, beliefs, knowledge and ethical standards that are exhibited by a certain group in the community. Different groups have different cultural background that lays down the rules and regulations that control our behaviors (Waddington, 1995). People in different cultural upbringings are expected to behave in the same way that the ancestors and those in their lineage behave. However, there has been an erosion of these cultures in the 21st century and many are doing away with these issues. For example, in this case the major factor that would arise would be those of decision making. According to the Asian traditions, they value the family group setting rather than the individual in that everything that they do, courtesy and thoughtfulness should be upheld. In their traditional hierarchy of the family, the husband or the father is the one responsible for decision making and then the next person responsible for the decisions is the eldest son who must make them in compatibility with the wife’s preference. In decisions of medical affairs, it is not allowed for the family to disagree in front of the doctor concerning the best treatment method as it is shameful (Lindley1989).
Family reactions
In this case, Ella’s husband says that the traditional means of treatment should be followed and that Ell.
Dimensions of Healthcare Quality
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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what will happen if you ignore the patients suicidal thoughts expla.pdf
what will happen if you ignore the patients suicidal thoughts? explain well with references.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anemia and hypoproteinemia. After several
diagnostic tests, it was discovered that the cancer had metastasized to his bones
and spread locally to his lymph nodes. The primary tumour was invading the
bladder and partially obstructing the left kidney.
Mr. Green had several admissions over two months for various reasons. On the last
admission, Mr. Green was told that he might only have 4 - 6 weeks (previously, it
was 6 - 12 months) to live after a cystoscopy showed further extensive growth of
the tumour. It was determined that further surgical/medical intervention would not
be appropriate in this case and that a palliative care regimen was the next step. At
this point, the patient reported to the healthcare team that he had resigned himself
to the fact that he was going to die.
Mr. Green pulled you aside and confided that he planned to kill himself and that it
was a secret that you were not to tell anyone.
Nurses face more and more ethical dilemmas during their practice nowadays,
especially when taking care of the patient at the end of the life stage.
Ethical dilemma identification: The ethical dilemma is if the nursing staff should tell
other health care team members about a patient's suicide attempt without the
patient's consent.
To solve this case and make the best moral decision, the ethical theory, the ethical
principles, and the nurses' code of ethics values statement, the associated literature
relative to this case, are analyzed before making decisions.
The patient, Mr. Green, is a 57-year-old gentleman with aggressive prostate cancer
who is cared for by the nursing team in the oncology department of Cortellucci
Hospital. Mr. Green was diagnosed with prostate cancer seven years ago but
refused medical and surgical treatment at the time. He chose to seek alternative
treatment and did not follow up with the urologist over those seven years. Mr.
Green has now presented with anem.
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 y.
1Health History2Health HistoryHealth H.docx
1
Health History
2
Health History
Health History
Name
Global Health College
Health Assessment
10/16/2015
Date __10/5/2015___
Examiner M. A.
1. Biographical Data
Initials __AM__ Phone __3017934596____
Address ___7001 96 Avenue, Lanham MD 20706
Birth date 07/28/1980 Birthplace Limbe, Cameroon___
Age __35__ Gender __Female__ Marital Status _Married__ Occupation _Nurse__
Race/ethnic origin __Black/Cameroon__ Employer __Karen For Kids Inc.__
2. Source and Reliability: The source of information is reliable because it is provided by the patient herself.
3. Reason for Seeking Care: Patient is seeking help because she has been having persistent diarrhea and abdominal cramps for two days.
4. Present Health or Health of Present Illness: Diarrhea and abdominal cramps.
Patient AM, came to the hospital at 4pm on 10/5/2015, complaining of persistent diarrhea and generalized abdominal cramps. She states that her illness started after she came back from a family swimming picnic on 10/2/2015 at 7pm. She states that her illness started with generalized abdominal cramping that was followed with her passing watery non-tarry stool with no foul smell. She says she has been having 5 episodes of diarrhea each day for two days. Patient also states that her illness is triggered when she eats any food or when she wants to do her daily exercise. Patient states she feels a little weak. Patient added that she has also taken Over The Counter (OTC) Imodium 4mg twice a day for two days but doesn’t feel any better. That is why she came to the hospital today for help.
5. Past Health
Ms AM says she has been healthy over the past years, except for today when she complains of diarrhea and abdominal cramps. She denies having any past history of childhood illnesses: measles, chicken pox, mumps, meningitis, impetigo. Patient confirms haven had pink eye at age 10years old, which was treated with some home remedies (soaked clean compress and OTC eye drop called artificial tears). Patient says she had a minor nose injury at age 12 years that was treated by her pediatrician with pain medication. Patient denies having history of any chronic illness: diabetes, hypertension, asthma, cancer, Congestive Heart Failure (CHF), Coronary Artery Disease (CAD), or stroke.
Patient denies haven been hospitalized before except during delivery. She also denies having any surgical procedures. Patient states that she has been pregnant three times, and she has three babies, two boys and one girl. She went ahead to say she had no premature procedures, delivery, abortion, or miscarriage. She added that all of her babies were carried full term and delivered after 9 months. of pregnancy. She labored for 4 hours for her first baby who was a boy, and 3 hours each for both second and third babies, a boy and a girl consecutively. She said her first baby weighed 7lbs and the other two weighed 8lbs each. All her three babies were delivered .
For this assignment, consider the following case and then using th.docx
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
NSG6001 Advanced Practice Nursing I Page 1 of 5 © 2007 S.docx
NSG6001 Advanced Practice Nursing I
Page 1 of 5
© 2007 South University
Week 1: Cardiology Clinical Case
HPI
A 52-year-old Irish American male is discharged from the hospital. He was hospitalized for four
days after a stent placement, following admission from the emergency room with angina
symptoms. This patient presented to the emergency room with four hours of crushing chest pain.
He was short of breath with exertion and diaphoretic. The patient thought he was having a heart
attack and was afraid to come to the hospital. The symptoms lasted for four days before the
patient sought help. The patient had been suffering from similar symptoms for the past six months
but thought that he just out of shape. It was worse upon admission to the hospital. Prior to this,
the symptoms disappeared with rest.
His symptoms were relieved in the emergency department with medication and he was
transferred to the cardiac floor for catheterization.
The patient’s symptoms were highly debilitating upon his admission to the emergency
department.
Prior to his admission to the hospital for this event, the patient was not very active because of his
angina symptoms. The pain that he had was substernal and crushing and radiated to his neck
and jaw. His symptoms resolve with rest only. He has not sought any therapeutic maneuvers.
He is currently asymptomatic and is here for a follow-up visit from his hospitalization to discuss
his risk factors. The patient is still concerned that he may have other episodes of angina, even
after the stent placement.
PMH
The patient has not sought care for his problems in the past. He had been treated for
hypertension and high cholesterol in the past but stopped medication on his own. Besides that,
he has had no other significant illnesses.
He was hospitalized for a cholecysectomy ten years ago.
NSG6001 Advanced Practice Nursing I
Page 2 of 5
© 2007 South University
This patient had a baseline EKG at his doctor’s office when he was first prescribed his blood
pressure medication. Otherwise he’s had no other investigations for heart disease besides his
cholesterol levels checks.
Results of Laboratory Investigations Following Hospitalization
Total cholesterol - 210
LDL- 200
HDL- 25
Triglycerides – 250
Fasting blood sugar – 140
HgbA1c – 7.5
CXR – hyperinflation of the lungs – no infiltrate
EKG – no change from baseline.
Risk Factors:
• High blood pressure
• Hypercholesterolemia
• Type 2 diabetes
• Android obesity
• Cigarette smoker
• Positive family history
Past surgical history of Cholecysectomy, almost 10 years age without any complications.
ROS
Review of systems is otherwise negative
DISCHARGE MEDICATIONS
Tenormin XL 50 mg QD
Lipitor 10 mg QD
Glucophage – 500mg BID
Baby ASA QD
Patient is now compliant with the prescribed regimen, but wasn’t in the past. The medicines were
prescribed by the physician who disc.
Refusal of care.pptx
Medical interventions can be withdrawn in selective patients with Do Not Resuscitation form signed or in patients with terminal illness based on patients best interest
Test Slides
This PPT is all about Something that we want to lear an discover new things in life which might be very useful and essential to do something so you can figure out and work on it so you will be able to do it simply great and awesome in life. After downlading the ppt please do not forget to reshare it with your friends families and morel
Running Head INTRODUCTION TO THE MILLER FAMILY 1Miller Fa.docx
Running Head: INTRODUCTION TO THE MILLER FAMILY
1
Miller Family
7
Introduction to the Miller Family
Lisa M. BuentelloSOC313: Social Implications of Medical IssuesProfessor Crystal Logan
July 8, 2015
Introduction to the Miller Family
Introduction
Technology has been evolutional especially in this 21st century where the introduction of computers and other major examples of technology has taken the world by storm. During the olden days, things were not as evolutional as much as they are now and so was the medical sector. During the 19th and 20th century, there were less and less qualified doctors since the fields of medicine were not taught and that they had to improvise their own methods of treatments (Postman 2010). They used traditional medicine men and herbs to cure their illnesses. But in this 21st century, the field of medicine is well advanced and is full of different equipment’s and medicines that can help heal the sick. At the same time, home care has been facilitated by education of how best to take care of the sick by the doctors such that the family members can take care of them easily but under supervision of the doctor. It is therefore better to consider various factors before choosing whether to be hospitalized or to do home based care. Therefore, hospital care is the best type of dealing with chronic or critical illnesses because expert help will be guaranteed and one will be in much safer hands of the professionals.
Cultural or traditional issues arising from the case
Culture refers to how certain groups of people behave in reference to who the traditional people in the same lineage believed and behaved. Culture refers to the morals, beliefs, knowledge and ethical standards that are exhibited by a certain group in the community. Different groups have different cultural background that lays down the rules and regulations that control our behaviors (Waddington, 1995). People in different cultural upbringings are expected to behave in the same way that the ancestors and those in their lineage behave. However, there has been an erosion of these cultures in the 21st century and many are doing away with these issues. For example, in this case the major factor that would arise would be those of decision making. According to the Asian traditions, they value the family group setting rather than the individual in that everything that they do, courtesy and thoughtfulness should be upheld. In their traditional hierarchy of the family, the husband or the father is the one responsible for decision making and then the next person responsible for the decisions is the eldest son who must make them in compatibility with the wife’s preference. In decisions of medical affairs, it is not allowed for the family to disagree in front of the doctor concerning the best treatment method as it is shameful (Lindley1989).
Family reactions
In this case, Ella’s husband says that the traditional means of treatment should be followed and that Ell.
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Top massage center in ajman chandrima Spa
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KEY Points of Leicester travel clinic In London doc.docx
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdf
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
CANSA support - Caring for Cancer Patients' Caregivers
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
DRAFT Ventilator Rapid Reference version 2.4.pdf
Ventilator rapid reference for the Zoll Z cvent. Presented for educational purposes only.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
定制(wsu毕业证书)美国华盛顿州立大学毕业证学位证书实拍图原版一模一样
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留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
Under Pressure : Kenneth Kruk's Strategy
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
Ginseng for Stamina Boost Your Energy and Endurance Naturally.pptx
The ginsenosides in Red Korean Ginseng work by stimulating the central nervous system, boosting energy levels, and improving physical performance.
ICH Guidelines for Pharmacovigilance.pdf
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
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原版定制【微信:41543339】【纽约大学毕业证(NYU毕业证)】【微信:41543339】成绩单、外壳、offer、留信学历认证（永久存档真实可查）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
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留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
留信网服务项目：
1、留学生专业人才库服务（留信分析）
2、国（境）学习人员提供就业推荐信服务
3、留学人员区块链存储服务
→ 【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：客户在留信官方认证查询网站查询到认证通过结果后付款，不成功不收费！
Feeding plate for a newborn with Cleft Palate.pptx
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Veterinary Diagnostics Market PPT 2024: Size, Growth, Demand and Forecast til...
The global veterinary diagnostics market size reached US$ 6.6 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 12.6 Billion by 2032, exhibiting a growth rate (CAGR) of 7.3% during 2024-2032.
More Info:- https://www.imarcgroup.com/veterinary-diagnostics-market
PrudentRx's Function in the Management of Chronic Illnesses
PrudentRx ensures effective, cost-efficient medication management for chronic diseases, enhancing patient health and productivity.
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KEY Points of Leicester travel clinic In London doc.docx
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Bringing AI into a Mid-Sized Company: A structured Approach
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ME5.10.pptx
- 1. P R E S E N T E D B Y: D E V O R A A B R E H A M M O D E R AT O R : D R . T E S F AY E MEDICAL ETHICS CASE 5.10 1 09/02/2023
- 2. Earl is sixty-three years old and has been on hemodialysis for about one year because of renal failure resulting from his long standing diabetes. He also has a history of coronary artery disease, stroke, and early dementia. He has had several infections in his indwelling dialysis shunts ( often called “line infections”), resulting in three admissions to the ICU in the past year with ventilator support. He was admitted from his nursing home yesterday with another episode of sepsis from a line infection. His shunt was removed and he has been stabilized overnight. He was scheduled to have a temporary dialysis catheter inserted today. Consent had been given by his wife, but the patient said he didn’t want it and physically resisted insertion by Dr. Chandler. 2 09/02/2023
- 3. His wife reports that Earl was a farmer and cheese maker who has been disabled for 25 years from his diabetes and heart disease. He did quite well until about two years ago when he became unable to walk and developed frequent urinary infections. She describes him as a quiet, private person who loved his three children and several grandchildren. Two children are living close by. The other, Jimmy, died of an apparent heart attack while driving four years ago; he was a close pal of the patient. 3 09/02/2023
- 4. Both Dr. Chandler and Earl’s wife report that he has been ambivalent about dialysis since it started, and since he was admitted to the nursing home four months ago, has frequently said he wanted to stop. He otherwise settled into the nursing home routine better than expected. Dr. Chandler has cared for Earl for some time. He believes that Earl still has decision-making capacity in spite of his early dementia. His wife told Dr. Chandler that Earl told her this morning he wanted to stop dialysis and die unless he could have a kidney transplant, preferably using one of her kidneys. She has hypertension and diabetes and thus is not a candidate for kidney donation. Transplantation was discussed early on, and it was acknowledged that patients report a better quality of life after transplant than while on dialysis. However, it was not felt to be an option for Earl because of his other medical problems 4 09/02/2023
- 5. I spoke with Earl in the presence of his wife, his medical resident and his nurse. He consistently nodded yes and no to multiple questions and clearly indicated he didn’t want the line reinserted and didn’t want any more dialysis. When asked what would happen without dialysis he said, “ l’ll die.” He was unwilling to verbalize a reason why he wanted to stop now, but with “20 Questions” said it was not because of pain or other correctable symptoms, but because life on dialysis was not good enough. When his wife asked if it was so he could join Jimmy, he nodded his head, burst into tears, and said to her, "That's mean!" 5 09/02/2023
- 6. • Is it ethically permissible to replace an intravenous line for hemodialysis over the objection of the patient? 6 09/02/2023
- 7. DISCUSSION POINTS • Which principle of medical ethics should be taken into consideration in this case? • When a patient with decision-making capacity refuses a lifesaving intervention or refuses to continue life- sustaining technology, what are the important points that should be addressed? • What factor can one consider that led the patient to have made this decision? 7 09/02/2023
- 8. RECOMMENDATION 1) If his caregivers believe all efforts at optimizing his quality of life have been exhausted, it would be ethically permissible to honor this man's request to stop dialysis. 2) If there is concern that a treatable depression may be a factor in the timing of his decision, it might be appropriate to try a short course of a rapid-acting mood stimulator. Unless there is a significant likelihood of improving his mood sufficiently to accept continued dialysis, it would be ethically troublesome to impose line reinsertion and dialysis over his objection. 8 09/02/2023
- 9. FOLLOW UP • Earl continued to say he wanted transplantation, though his nephrology consultant feels he is not a good candidate. The transplant surgeon was willing to reconsider his candidacy and said he would pursue an outpatient evaluation. Earl was willing to continue dialysis until a determination about transplantation could be made. He was discharged back to the nursing home. 9 09/02/2023