Question
In: Nursing
moral distress question for patient wishes are not followed for 32 year old Freda with advanced...
moral distress question for patient wishes are not followed for 32 year old Freda with advanced multiple scelrosis.
1. what factors about Freda's case led to ethical distress on the part of the long term care facility staff?
2. what information do you have that would lead you to believe that the patient has decisional capacity?
3. what ethical prinicples, vitues or consequences do you think play a role in the patients suffering, the physician's acquiescence and the staff's ethhical distress
/
Solutions
Nightingale answered 1 year agoRelated Solutions
There are 5 parts to the question. Patient Medical History Georgia is a 32 year old...
There are 5 parts to the question.
Patient Medical History
Georgia is a 32 year old woman who has been suffering from
recurrent (sometimes severe) headaches, and periods of fatigue
since late childhood (~10-11 years of age). In her early twenties
(21 years of age) she was diagnosed with gastroesophageal reflux
disease (GERD) and began to experience periods of unexplained
abdominal pain.
Georgia’s symptoms have waxed and waned over times, sometimes
she feels fine but other times (since ~10-11 years...
Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome....
Mr. Nguyen is a 58-year-old patient that had septic shock and
developed Acute Respiratory Distress Syndrome. He is orally
intubated and on a mechanical ventilator. He is paralyzed and
sedated.
What manifestations might you observe for a patient with
ARDS?
What complications can Mr. Nguyen develop from being
mechanically ventilated?
List priority nursing interventions to prevent complications
associated with ventilatory support.
What interventions can be implemented specifically to prevent
the development of Ventilator Acquired Pneumonia (VAP)?
You are orienting in...
A 32-year-old male patient with asthma with an allergy to penicillin was being treated for asthmatic...
A 32-year-old male patient with asthma with an allergy to
penicillin was being treated for asthmatic bronchitis with a
standard-dose of oral theophylline and erythromycin. On day 8, he
became irrational and confused and was taken to the emergency room
by his wife. When his medications were revealed, quantitation of
drugs was ordered. The theophylline level was 49 ug/dL (NRI: 10-20
ug/dL). The patient was admitted to the intensive care unit,
hydrated and monitored until the theophylline level returned to...
A 32-year-old male patient with asthma with an allergy to penicillin was being treated for asthmatic...
A 32-year-old male patient with asthma with an allergy to
penicillin was being treated for asthmatic bronchitis with a
standard-dose of oral theophylline and erythromycin. On day 8, he
became irrational and confused and was taken to the emergency room
by his wife. When his medications were revealed, quantitation of
drugs was ordered. The theophylline level was 49 ug/dL (NRI: 10-20
ug/dL). The patient was admitted to the intensive care unit,
hydrated and monitored until the theophylline level returned to...
A 32-year-old Caucasian man underwent testing for Huntington’s Disease. The patient was a lively and talkative...
A 32-year-old Caucasian man underwent testing for Huntington’s
Disease. The patient was a lively and talkative child who completed
high school with As and Bs and college with poor grades. At age 22
he became quiet and non-conversant. At age 24 he began work as a
cook/dishwasher and displayed noticeable un-coordination. At age 28
he developed dysarthria, dysphagia, stiffness, slow ataxic gait,
and dementia. There was no history of schizophrenia or depression
and the neurological review of systems was negative....
A 32-year-old Caucasian man underwent testing for Huntington’s Disease. The patient was a lively and talkative...
A 32-year-old Caucasian man underwent testing for Huntington’s
Disease. The patient was a lively and talkative child who completed
high school with As and Bs and college with poor grades. At age 22
he became quiet and non-conversant. At age 24 he began work as a
cook/dishwasher and displayed noticeable un-coordination. At age 28
he developed dysarthria, dysphagia, stiffness, slow ataxic gait,
and dementia. There was no history of schizophrenia or depression
and the neurological review of systems was negative....
A 32-year-old Caucasian man underwent testing for Huntington’s Disease. The patient was a lively and talkative...
A 32-year-old Caucasian man underwent testing for Huntington’s
Disease. The patient was a lively and talkative child who completed
high school with As and Bs and college with poor grades. At age 22
he became quiet and non-conversant. At age 24 he began work as a
cook/dishwasher and displayed noticeable un-coordination. At age 28
he developed dysarthria, dysphagia, stiffness, slow ataxic gait,
and dementia. There was no history of schizophrenia or depression
and the neurological review of systems was negative....
You are receiving a newly admitted patient to the burn unit. Mr. Robinson is a 32-year-old...
You are receiving a newly admitted patient to the burn
unit. Mr. Robinson is a 32-year-old male who was at work when a
battery tank exploded. Mr. Robinson has sustained first, second,
and third-degree burns. He has no prior medical conditions. His
wife has several questions for you.
He has an estimated 27% TBSA affected. Discuss the
pathophysiology of this type of major burn in including the
cardiovascular, cellular, metabolic, immunologic, and evaporative
water loss considerations you will need to...
You are receiving a newly admitted patient to the burn unit. Mr. Robinson is a 32-year-old...
You are receiving a newly admitted patient to the burn unit. Mr.
Robinson is a 32-year-old male who was at work when a battery tank
exploded. Mr. Robinson has sustained first, second, and
third-degree burns. He has no prior medical conditions. His wife
has several questions for you.
What labs do you expect to have to monitor?
Your patient is a 32-year-old sedentary male with a BMI of 36. He has no scientific...
Your patient is a 32-year-old sedentary male with a BMI of 36.
He has no scientific or healthcarerelated
education whatsoever, aside from what little he might remember
from high school. His
fasting blood glucose reading today was 165 mg/dL and his A1c
levels came back at 8.7%.
Explain, using language appropriate for his education
level:
a. That he is diabetic, and what that physiologically
means.
b. What he needs to do to control his diabetes and how each
step works....
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