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The patient is an 88-year-old man with an extensive cardiac history who has been a resident of a skilled nursing facility for the past 3 years. Comorbid conditions include type 2 diabetes (15 years) and severe peripheral vascular disease. For 6 months the patient has suffered from a serious left leg wound that has not responded to treatment and that has become much worse over the past 2 months. At this point, the leg is gangrenous to above the ankle, and the normal course of treatment would be to remove the leg above the circulatory problem. However, the patient is refusing surgery and states that he wants "to die with all of my limbs intact." The patient has been assessed with mild to moderate dementia and has named his daughter as his durable power of attorney. The nurses on the unit, the daughter, and the primary care physician all realize that an amputation is necessary to save the patient's life.
Dilemma: Several ethical issues are relevant to the resolution of the situation. The obligation to respect the patient's autonomy in the decision to refuse an amputation puts his life at risk. However, after hearing about the need for surgery and the likely outcome without the surgery, he continues to state, "I want to die with all of my limbs intact." The daughter and some of the nurses who care for the patient question his ability to make such a decision.
As a nurse we want to protect our patient's rights for autonomy and self-determination, but at the same time we want what is in the best interest of the patient's health. What are the ethical issues in this case study? Who has the legal right to make this decision? Using the nursing process, define how you would work through this ethical issue.
Examine impact of using meaningful dialogue in regard to student participation also responsibility in learning also development process.
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Write an essay about why are so few women becoming scientists and engineers? You can analyze the effects of social norm and legal system.
two movies - wall street 1987 and other peoples money 1991 - have given us a glimpse of how things are changing in the
Which of the persons may be more prone to a mood disorder? Apply the most current DSM criteria.What else would you need to know to diagnose a mood disorder? Apply the most current DSM criteria.What are the primary causal factors of mood disorders?
Aspects of designing business presentations - Use an app or program such as Movenote, Knovio, Presentme, or another video recording application to complete this activity.
Counselors often work with children and adolescents; people who have cognitive, emotional, and/or physical disabilities; and people in prison or on probation.
What has been the Gore-Tex strategy to achieving success in its markets? How is this strategy now being challenged?
The memo needs to be both an example of proper business communication, and provide recommendations on how a corporate entity should communicate with the public (recommendation).
You also know that if you tell the judge what you have heard, it will probably result in a mistrial. What would you do? What should happen to the prosecutor?
How did James (1890) characterize Spiritualists' and, conversely, Associationists' conceptualizations of mental life and its study and (not-really-a-spoiler alert) in what did he consider them problematic?
Utilitarianism on Pornography
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