Question

In: Nursing

Ethical case study: You are caring for a terminally ill six-year old, Joey. Joey can no...

Ethical case study: You are caring for a terminally ill six-year old, Joey. Joey can no longer leave bed, requires a feeding tube, is on continuous supplemental oxygen and is chronically short of breath, and requires narcotics for pain control. Joey has expressed that he want to go and be with Grandpa and with God because he doesnt want to hurt anymore. His parents insists that everything continues to be done for Joey despite his wishes. What are the ethical issues involved in this dilemma? How can you help the family? What are your obligations to the parentsand to Joey?

Solutions

Expert Solution

* Joey is a terminally ill client so must give consideration to his needs. in this case autonomy is the

ethical principle parents need to follow .

Responsibilities of parents in this condition are

                            * Respect rights of joey and take decisions after discussion with him ,he need to

spend his rest of life in his home with parents and grandpa so make arrangement like portable oxygen

cylinder,education about feeding through ryles tube and arrange a home nurse for giving pain medicine.

                            * Spend more time with him which help to reduce anxiety,listen what he says and

maintain good communication.         


Related Solutions

GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted...
GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted to a hospice service and is receiving care at home. Diagnosed with metastatic breast cancer, Margaret’s prognosis is less than 6 months 7.How do you deal with cultural health practices unlike your own? 8.Discuss Margaret’s desire to control her life even through terminal illness. 9.Relate Margaret’s strong spiritual beliefs in an afterlife to her ability to cope with her impending death. 10.Describe a plan...
GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted...
GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted to a hospice service and is receiving care at home. Diagnosed with metastatic breast cancer, Margaret’s prognosis is less than 6 months. GERMAN CASE STUDY 1. What experiences have you had with patients of German descent? 2. How does Margaret’s German ancestry mold her beliefs about medical treatment? 3. What Western medicine concepts complicate the staff and family’s understanding of Margaret’s self-prescribed medical regimen?...
GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted...
GERMAN CASE STUDY Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted to a hospice service and is receiving care at home. Diagnosed with metastatic breast cancer, Margaret’s prognosis is less than 6 months 4.Discuss the cultural filters you may use as you assist Margaret in her health-care decisions. 5.Describe the enculturation you, as a health-care professional, have experienced and how this influences your own health-care decisions.
Case Study: You are a nurse caring for a 26-year-old mother of three who presents at...
Case Study: You are a nurse caring for a 26-year-old mother of three who presents at your physician’s office with tachypnea, productive cough, hyperthermia, malaise, and insufficient fluid intake. On auscultation, you note coarse rhonchi in bilateral lung fields. Outline the rationale for performing a comprehensive physical assessment. Prioritize the symptoms to be assessed. Explain which system would have the highest priority for this assessment why Describe the etiology of this patient’s adventitious lung sounds? List appropriate health history questions...
Case Study: You are a nurse caring for a 26 year-old mother of three children who...
Case Study: You are a nurse caring for a 26 year-old mother of three children who presents to the physician's office with tachypnea, productive cough of yellow sputum, hyperthermia, malaise, fatigue and insufficient fluid intake. You obtain the following information during your objective assessment: Vital signs are BP- 120/78, HR- 110, respirations 24/minute, temperature 100.4 orally and pulse oximeter of 90% on room air (RA). Upon auscultation, you note coarse rhonchi in bilateral posterior lobes. She complaints of pain of...
Discuss any two psychological strategies you can use as a health psychologist for terminally ill patients.
Discuss any two psychological strategies you can use as a health psychologist for terminally ill patients.
Case Study: The Patient with Endocrine Problems The nurse is caring for a 41-year-old woman who...
Case Study: The Patient with Endocrine Problems The nurse is caring for a 41-year-old woman who is the mother of two small children. She states that she has felt “nervous and tired” for approximately 1 month. Today, she has had a sudden onset of breathlessness with cardiac palpitations. She states, “I have not been feeling well for about a month, but when I felt breathless I thought I should be checked out.” Upon further questioning, the nurse finds that the...
Case Study: The Patient with Endocrine Problems The nurse is caring for a 41-year-old woman who...
Case Study: The Patient with Endocrine Problems The nurse is caring for a 41-year-old woman who is the mother of two small children. She states that she has felt “nervous and tired” for approximately 1 month. Today, she has had a sudden onset of breathlessness with cardiac palpitations. She states, “I have not been feeling well for about a month, but when I felt breathless I thought I should be checked out.” Upon further questioning, the nurse finds that the...
Case Study A student nurse is caring for a 62 year-old client who underwent a great...
Case Study A student nurse is caring for a 62 year-old client who underwent a great toe amputation related to Type 2 diabetes mellitus 3 weeks ago. The client is admitted with a suspected infection of the wound. Upon initial assessment the student nurse observes that the client’s right foot is swollen, warm, and tender to touch, with red streaks extending upward approximately 1 inch above the ankle and has an oral temperature of102.6° F. The wound has yellow, odorous...
Joanne was diagnosed with as terminally ill (with less than one year to live). She is...
Joanne was diagnosed with as terminally ill (with less than one year to live). She is covered by an insurance policy that will pay her $90,000 of face amount of a $200,000 insurance policy. Joanne contributed $20,000 to the policy. What is the amount of income she must report if she accepts the $90,000?
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT