Mr. Denton’s minister arrives, and Mrs. Denton and the minister discuss the situation. They agree that...

Mr. Denton’s minister arrives, and Mrs. Denton and the minister discuss the situation. They agree that the situation has been handled according to Mr. Denton’s beliefs. Mr. Denton dies, and Mrs. Denton states, “He died as he believed; God’s will has been done.” Members of the ED staff are overheard saying things like “He was too young to die” and “If only they had allowed the blood transfusion.”

Clinical Reasoning Questions Level I

What should the nurse do to help Mrs. Denton at this time?

How can an RN support community-based spiritual caregiver such as ministers?

What should the staff members do to help deal with their own feelings?

Clinical Reasoning Questions Level II

If the patient in the case study had been 10 years old and the parents had made the decision to treat with volume expanders only, with the same results, what would have been the staff’s responsibility?

What ethical and legal issues would be involved in the decision-making process in this situation?

What end-of-life care would be appropriate before and after Mr. Denton’s death?

Solutions

Expert Solution

●Mes Denton has to be give a psychological support with respect for their emotions and beliefs at this time because of a loss of life.

●The RN can support by providing spiritual vocation like prayers and worships through the organization policy and protocol

●The staff nurse can deal with their own feeling by having a strong will power ,knowledge and skills,understanding of cultural diversity ,support of ethical team if unable to cope up situation

●In these cases as per the principle of beneficence and non maleficience the healthcare professionals can seek the help from court getting an order to treat and save the child in these situations

●The ethical issues here is going against the family's beliefs and practices which is considered to be a sin

The legal issue is treating the child without parental consent .

●The end of life care which can be appropriate for Mr.Denton arel

Before death:spiritual support ,psychological support,meeting basic needs of patient as per request, minimizing and controlling unpleasant experiences
After death:prayers, counselling and support to family members, helping them to fo their rituals

Nightingale answered 2 years ago

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