The case study goes as such: Mr. Martinez was a seventy-five year old COPD (chronic obstructive pulmonary disease) patient. He was in the hospital because of an upper respiratory tract infection. He and his wife had already requested that CPR should not be performed if he required it and a DNR is placed in his charts. While in his room on third floor, being maintained with antibiotics, fluids, and oxygen and seemed to be doing better. However, Mr. Martinez’s oxygen was inadvertently turned up, causing him to go into respiratory failure. This scenario in my opinion causes for drastic measures and I personally feel like his wishes should be overthrown by what the caring physician sees ethically and morally right. The doctor should look at all the circumstances in front of themselves and make an ethical decision. Mr. Martinez was previously being treated and had been improving. Although some may argue that he already has a disease that could be terminal. Looking at the bigger picture of the situation that he was being treated for the upper respiratory infection and he was progressing. I believe he should be transferred to intensive care so that his oxygen level can be monitored and his respiratory failure be treated by a ventilator.…
The morals involved here is the patient’s right to refuse care if she chooses and also the right to die. The moral principles of ethics involved also in this case are: Beneficence- act of doing good, demonstrating kindness, showing compassion, and helping others; Non-maleficence- avoiding the infliction of harm; Justice- the duty to be fair in the distribution of risks and benefits, and; Autonomy- recognizing an individual’s right to make his or her own decisions.…
The ethical principal showcased in this case presentation was beneficence. The nurses were not thinking beneficially of the resident in any aspect of their practice. A professional nurse would not consider leaving a floor with only three nursing assistants to care for 100 patients. The nursing assistants do not have the authority to manage a floor, the license to ensure patient care, nor do they possess the required knowledge to assess patients or delegate tasks. The institutional constraint would be the state of severe understaffing. For a facility of one hundred patients to be cared for by only three nurses significantly lowers the standard of care. According to a chart in the Journal of Scholarly Nursing (2010), Ohio standards are to have a ratio of one licensed nurse to every fifteen direct care patients in a nursing home facility (p 91). This presentation, even with the ten additional nursing assistants, was still understaffed with these standards.…
5. Does the patient in this case have a right to refuse treatment? Why or why not?…
5. Does the patient in this case have a right to refuse treatment? Why or why not? Yes the patient in this case have a right to refuse treatment because he has the choice to make the decision himself and on top of that he does not believe in modern day cancer treatments.…
The opposition believes that patients could be pressured into ending their life in order to relieve their family of his or her degrading presence, or how it would be more cost efficient to end life compared to continuing to receive healthcare treatments (Reasons to Oppose Physician-Assisted Suicide). In the court of law, prosecution for these comments to patients is difficult to prove, so it is assumed that PAS has more complications than survival. However, reasonable people who are mentally capable of making their own decisions about terminating their lives, will not let someone sway their decision making so easily. These patients can feel the pain and misery they are suffering, allowing them to make rational decisions about if death will put them at rest. If the patient thinks that living with their illness can be achieved to their level of tolerance, he or she will decide so. Yes, there is no doubt that making the final decision is heartbreaking, but the patient realizes that living with their illness is worse than death. There are also multiple steps taken to ensure the patient is one-hundred percent confident in his or her decision, through the two verbal requests and written request for PAS, as well as an approved psychiatric state of health (Oregon Death with Dignity…
Patient Preferences: The patient has not been involved in the decisions regarding her current treatment, and did not have a DNR in place or an advance directive in place regarding situations such as this. The family who had been acting as surrogates, were ready to stop treatment and place a DNR based on the prognosis given about the patient. As of now no one has fully assessed the patient's decision making capacity or asked the patient about her preferences, despite her regaining consciousness and her improved mental state.…
Recent cases have drawn attention to the issue of individual autonomy, and what is sometimes referred to as ‘the right to die’. Adult patients who are mentally competent have the right to refuse medical treatment even when that refusal can lead to worsening ill health and even death. This refusal of treatment may only be ignored when statutory law provides for treatment without consent, or a judge makes an order that overrides the patient’s consent. While this is largely accepted when patients are physically and mentally competent, it becomes a complex issue when a person is mentally competent, but due to physical incapacity are in care because they are unable to care for themselves. A person may be mentally competent but due to being a quadriplegic…
Not all terminally ill patients will choose this option, but it should be available for those who want it. Coping with the diagnosis of a terminal illness is difficult for both the patient and the patient’s loved ones and it only becomes more difficult as the disease progresses. Being given the ability to decide when to die allows the patient to feel a sense of dignity and control during a time when he or she may not have control over anything else in life. Not only does physician-assisted suicide provide a sense of relief to the patient, it provides relief to family and friends. Watching a loved one die is one of the most challenging things to endure in life. It only becomes more challenging when forced to watch a loved one die a slow and painful death. Physician-assisted suicide can provide closure to everyone involved in a situation dealing with a terminal illness; therefore, it must become legal in all fifty…
Ilene, many of the ethical dilemmas faced by nurses could be eliminated if people would take the time to let their family know what interventions they would want in situations like this. End-of-life planning and advanced care directives will increase the quality of life of a dying patient, ease the ethical decisions having to be made by family members, and will ensure that personal wishes will be abided by (Eggertson, 2013, p. E617). Many people talk about what they do and do not want but never write them down. This leaves the family, doctors, and other health care members second-guessing the wishes of the patient whenever they are too ill or sick to make decisions themselves. If your patient had made these decisions earlier and made it…
Imagine a frail elderly woman laying in the nursing home in pain. This woman is 80 years old and has been diagnosed with terminal lung cancer and her heart cannot withstand treatment via radiation or chemotherapy. She has less than six months to live. Day in and day out you pass her room and hear her crying out from the immense pain. The pain medications are no longer working. She’s tired of fighting, tired of hurting, and tired of waiting to die. After consideration and discussions with her family she has decided to ask the doctor to help and end her life. The doctor feels remorse for the elderly lady and wants to help but cannot decide if it is the ethical thing to do because he knows that what he’s being asked to do is considered physician-assisted suicide.…
After several attempts to change nurses, the patient still refused. This was done to see if she was more comfortable with one particular nurse. The patient was unable to sleep through the night. The nursing team followed person centred care. The nurses began trying to reason with her to give her consent for treatment.…
There are also patients who are not able to speak for themselves and do not have an advanced directive that can carry out the patient’s wishes. This is another major barrier that could mean life or death for a patient. An advanced directive is a legal document of the person who is to make the decisions for the patient’s end of life care. If there is no advanced directive, the decisions are made according to the state statue. The closest relative available may be appointed to make these decisions. As an APN we must encourage the patients and their families to prepare before these emergency situations occur (Hamric & Delgado, 2009).…
Peaceful resistance to laws certainly has a positive impact on a free society. There are many examples of when peaceful resistance has positively impacted a free society from the past and even some events that have happened recently. One of the most famous instances is obviously Martin Luther King Jr. and his fight for Civil Rights. He lead by example and lead by his beliefs. In the "Letter from a Birmingham Jail" he questions many southerners on how they could be Christian but turn a blind eye to how African Americans were being treated. Once he was out of jail he often preached this message as well. This changed the mind of many white southerners and helped Martin Luther King Jr. get more support.…
In most evangelical Christian opinions, in cases where patients are terminally ill, death appears imminent and treatment offers no medical hope for a cure, it could be argued that it is morally appropriate to request the withdrawal of life-support systems, allowing natural death to occur. In such cases, every effort should be made to keep the patient free of pain and suffering, with emotional and spiritual support being provided until the patient dies. But in this case where the cancer patient seems to still have a chance, although quite small, it is critical that we not only understand what is going on in the world around us but that we also understand what the Bible clearly teaches about, life, death, pain, suffering, and the value of each human life.…