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Mitch is a 10-year-old with leukemia, which, after considerable treatment, is now considered a terminal condition...

Mitch is a 10-year-old with leukemia, which, after considerable treatment, is now considered a terminal condition for him. In the 2 years since his diagnosis, his parents, and other family members have focused on being optimistic around him and have asked his healthcare professionals to do the same. No one has discussed with Mitch the possibility that he might not survive his leukemia. Registered Nurse Teresa is Mitch's primary nurse during his current hospitalization for an infection. Teresa has developed a good relationship with Mitch and his family during previous hospitalizations. Mitch now seems depressed and uncommunicative. His family is still avoiding directly talking with Mitch about his deteriorating condition and impending death. Teresa asks Mitch's mother about the circumstances surrounding Mitch's decreased communication. His mother responds, "Do you think he knows he is dying?"

1. What would be a compassionate response to the mother's question? Based on your research about situations such as this one, what should Teresa know about compassionate care?

2. Should Mitch be informed he is in the terminal stage of illness? Why or why not? Support your argument with appropriate ethical principles or code of ethics.

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Nightingale answered 2 years ago
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