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Lisa, a critical care nurse is caring or Rochelle a 73-year-old woman suffering from diabetes, TBI...

Lisa, a critical care nurse is caring or Rochelle a 73-year-old woman suffering from diabetes, TBI and multiple internal injuries following a serious motor vehicle accident. Most likely Rochelle will need substantial skilled nursing care for an indefinite period of time, likely the rest of her life. Rochelle is on medicare and her husband informed you they have no supplemental insurance. Although Rochelle had expressed to her husband and several friends a desire to not live in a situation as she is currently, her husband was persuaded by the children to do everything possible to sustain her life. Rochelle’s husband has privately expressed to you his concern that her wishes are not being followed but feels he cannot disregard the wishes of their children.

*Apply the ethical principles: autonomy, beneficence, nonmaleficence, fidelity and justice to this case study. What would you do in this situation?

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Expert Solution

In these type of situation bring a nurse the following can be done

  • On the grounds of principle of autonomy, the patient 's feelings, emotions and wishes has to be first respected and considered if there is no opportunity to sustain life. This can be reported to the concerned provider who can discuss with the family members regarding the same .
  • The principle of beneficence describes that the patient should be provided care which can benefit her to survive a life. Here skilled nursing care be beneficence to her.
  • Providing care in all aspects to save the life of the patient falls under principle of non maleficence because ceasing the care means intentionally causing harm to patient
  • It is a ethical and legal considerations to care for this patient going against this is breaking up the fidelity of the husband and children of the patient
  • The help of an ethical committee can be seeked to provide suggestions to the family members and clarify any doubts in regards to care. Who can actually provide justice to patient, family and medical staffs .

Nightingale answered 2 years ago
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