The Ethical Issue

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The ethical issue at hand, is how the patient of a nursing home, her family and the nursing home personnel will come to an agreement for the best healthcare treatment for the patient. Deana, a 76-year old woman stricken with Parkinson's disease, has suffered a lot of health set-backs such as, her inability of taking care of herself, her inability of walking so she is confined to a wheel chair, her losing weight and developing a small pressure sore on her coccyx, her developing aspiration pneumonia(inflammation of the lungs and airways to the bronchial tubes) twice in two months and her inability to swallow which is the cause of the dilemma at hand. The nursing home director requested permission from her family to place a feeding tube, so as to provide Deana with feeding for nourishment, but the family is refusing this procedure. The family feels that insertion of a feeding tube will cause her to starve to death. Parkinson's disease occurs when there is a degeneration of the central nervous system. It is a progressive disorder that occurs in persons after the age of 50yrs. It is associated with the destruction of brain cells that make dopamine a neurotransmitter that signals other cells. The characteristics of Parkinson's disease are, slowing of movement, pecularity of gait and posture, muscular tremor, partial facial paralysis and weakness. Signs and symptoms of Parkinson's disease are as follows: Difficulty swallowing, impaired balance and walking, muscle aches and pains, drooling and constipation, confusion, dementia, anxiety and stress. There is currently no cure for Parkinson's disease only treatment to control the signs and symptoms. A feeding tube is a medical device used to provide nutrition to patients who cannot o... ... middle of paper ... ... and abided to. The nursing home personnel will have put in place measures to address the problem at hand. A mediation would have been implemented to address the disagreement at hand, appropriate eduaction and teaching regarding the treatment and procedure would have been given to the client and her family, the rights of the client as a patient and the rights of her family would have been respected and adhered to and we would implement the ethical principles of veracity(truth telling), autonomy(self determination and freedom to choose), justice(fairness), beneficence(do good) and non-beneficence(protecting the client from harm). Works Cited www.caregiver.org/caregiver www.pdf.org/en/symptoms www.nlm.nih.gov/medlineplus/patientrights.html www.who.int/genomics/public/patientrights/en/ www.en.wikipedia.org/wiki/US_Patient's_Bill_of_Rights

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