Nursing Case Study In Nursing

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In case study 1, the patient has been diagnosed with an advanced cancer in addition to other co-morbid conditions. The patient is elderly and not in the best of health before she was brought into the emergency room with difficulty breathing. This patient was subjected to inadequate medical care due to the fact that here was poor communication between the providers, between the providers and the family, and the hospital’s inability to advocate for the patient’s best interest. The communication between providers are lacking when it comes to this patient as the patient as in the hospital for over 50 days with every specialty consulting on her case. There is no indication that the providers formed, or carried out, a treatment plan. This …show more content…

There reason is unclear, however, it can be assumed that they rescinded because they were not ready to say good-bye. The family was put in a very difficult spot as it does not indicate the any of the specialist, or hospitalist, explained exactly how sick their family member was. When the provider did not communicate well with the family, they were unable to fight for the best care for the patient. They were unable to convey how much damage the act of keeping the patient alive was doing. They were unable to comfort the family and have them see that letting the patient go was in her best interest. This conversation with the family would not be like playing “god” as this is in the best interest of the patient and not someone deciding who lives and who dies. The case should have been handled in a much more organized and have a team structure. Once the patient was brought in the first time and the DNR was signed, the family should have been contacted by the palliative care team. This team is there to monitor the situation and is able to bridge the gaps between providers and between providers and the family. If there was still and issue after the palliative care team was involved, then they would be able to bring the case before the ethic …show more content…

If the case is viewed through the utilitarianism theory, the act of having a child to only save one other child is unethical because it is not doing the greatest good for the greatest number of people (Baillie, Garrett, Garrett, McGeehan 2010). However, if you review the case with the deontological theory the act of having another child to save the first would be considered acceptable as the act of trying to save the child is right independent of the following consequences. Natural Law theorists would view the in-vitro and embryo section as not ethical as the actions are man-made and go against the natural order of life and death. Virtue theory has a broader view point. It takes into consideration the culture, the emotional aspects of the situation as well as the individual consequences for the act. This last theory has more substance when considering what the ethical stand is in regards to hard, emotional

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