Anne, a long-time patient of Dr. Jewell, had been receiving…
Anne, a long-time patient of Dr. Jewell, had been receiving chemotherapy for an early stage cancer. The chemotherapy treatment reduced her immune system function, and she came down with pneumonia. Anne had completed advanced directives stating she did not want to be hooked up to machines, but at the time of her hospitalization for pneumonia, Dr. Jewell believed that she would have a full recovery. He did not believe she was near death. After Anne and Dr. Jewell discussed her options, Ann chose to be placed on a ventilator, just to get her through an acute (short-term) episode of pneumonia. Anne had stated in her advanced directive that she did not want to be hooked up to machines to keep her alive and Dr. Jewell believed that he had a duty to uphold Anne’s wishes. He also knew however, that this turn of events in her life was completely unexpected and that three of her children had traveled overseas for a family wedding. He was having difficulty reaching them, and it would be days before they would return. He decided that although it was against Anne’s wishes, he would keep her on the ventilator until all the children returned home to say their goodbyes. He felt this action would benefit her survivors. Which principle, theory or approach did Dr. Jewell use to support his decision? Consider the decision Dr. Jewell made, as described above. You identified one theory or approach Dr. Jewell used to support his decision: Your choices were; Defensive Medicine Approach, Post-Modernist Approach, Deontological Theory, or Teleological Theory. Identify ONE ethical principle that supports Dr. Jewell’s decision and explain how it supports Dr. Jewell. Then, identify ONE ethical principle that conflicts with Dr. Jewell’s decision and explain how it conflicts with what Dr. Jewell chose to do. (3pts)
Read DetailsErnest continued to pursue physician assisted death as a tre…
Ernest continued to pursue physician assisted death as a treatment plan for his end-of-life care. There were many requirements that he had to meet to be eligible for this intervention. Recall the requirements for patients to qualify for physician assisted death. We discussed these in class. These eligibility criteria help to ensure which of the following aspects of an ethical principle? Fidelity: Faithful to commitments Distributive justice: Health care as a commodity Autonomy: Adequate understanding Autonomy: Act intentionally
Read DetailsZane is a nurse practitioner working on a research study. He…
Zane is a nurse practitioner working on a research study. He and his colleagues are studying the effect of a new cancer drug. Half of the participants will receive a standard chemotherapy drug and the other half will receive the experimental drug. His role is to monitor the participants and make sure each one is getting the proper drug. The other researchers are “blinded” so they do not know who is getting the standard drug and who is getting the experimental drug. Mrs. Hernandez is Zane’s patient, and she has been battling cancer for about 8 months. She has been receiving standard chemotherapy, but her condition is worsening significantly. Zane recommended that she enroll in the study because there would be a possibility that she would get this promising experimental drug which could improve her chances of survival. Zane sees that Mrs. Hernandez is randomly assigned to the “standard chemotherapy” group, so she will not be receiving the experimental drug. Zane knows the experimental drug is her best hope for survival, so he moves her to the “experimental chemotherapy” group. Due to his role in the study, he can do this without anyone ever knowing he did it. This requires he move someone else from the “experimental chemotherapy” group to the “standard chemotherapy” group. He looks over the list and chooses another patient he knows with a less serious prognosis. He moves that patient to the “standard chemotherapy” group. Which one of the following principles motivates Zane’s actions? Autonomy Veracity Beneficence Compensatory Justice
Read DetailsOlivia works as a nurse at a local hospital. She is caring f…
Olivia works as a nurse at a local hospital. She is caring for a patient who is recovering from surgery. Her patient is in a great deal of pain and Olivia feels he would benefit from prescription pain medication. The patient has requested pain medications and Olivia sees this as reasonable because she has cared for patients with similar pain issues and pain medication helped quite a bit for those patients. The patient’s surgeon is currently in the operating room with another case and cannot be reached. Olivia reached out to another physician to get a prescription for pain medicine, but that physician will not write an order for medication because the hospital does not allow a non-treating doctor to prescribe medication to a patient. Olivia is upset with situation. Which best describes what Olivia is feeling? Moral Distress Type A Moral Distress Type B
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