How is the issue of mrs rs dignity involved in the case

Reference no: EM133498070

Assignment: Mr R Competent or Incompetent Case Study

Mrs. R., a frail, 85 year old woman who lives alone, was admitted to a geri-psychiatric unit because of irritability, confusion, and increasing incontinence. Mrs. R's family stated she was continually refusing assistance from her home health aides and became angry when her family and home care nurses tried to reason with her about these refusals. During her hospital admission, Mrs. R. was hydrated with intravenous fluids adn a couple of her medications were adjusted. She subsequently became calm and cooperative with the care that she received while in the hospital. When the RN and social worker talked with Mrs. R. about the safety risks of her living alone, the patient stated, "I am 85 years old adn think that I should be able to decide how I want to live the rest of my life. I'm willing to take my chances. I will die if I go to a nursing home." Mrs. R. was often unsure about the correct day of the week when questioned, yet she knew the name of the hospital and the reason that she was admitted for treatment. She was often confused about the names of hospital staff but was able to state her own name and the names of her children. Though Mrs. R. agreed to cooperate with the home care providers, her family continued to insist that Mrs.R. be admitted to a long-term care facility. Her family requested that the psychiatrist complete paperwork so that a judge could have the patient declared incompetent. The psychiatrist seemed willing to comply with the family's wishes. The RN and social worker disagreed with the decision to declare Mrs. R. to be incompetent and were in favor of allowing her to return home as she wished.

Case Study Critical Thinking Questions:

Question A. Based on information that you know from the case study, use Jonsen's Four Topics Method (pages 63 and 64 in your textbook) to answer the questions in each of the four quadrants. Consider the applicable ethical principles that are relevant to each topic. See syllabus for specific instructions on formatting of case study. Present the information in narrative format according to APA guidelines. Be sure to include in text citations and a reference page.

Question B. Based on the information provided, does it seem as if Mrs. R. has decison-making capacity? What criteria can be used as a basis for your decision?

Question C. Does safety at home seem to be feasible? If so, how might this be accomplished? If not, why?

Question D. Is a form of paternalism being used by any of the people involved in the case? If so, is it a form of weak or justified paternalism?

Question E. Does the approach seem ethical?

Question F. How is the issue of Mrs. R's dignity involved in this case?

Reference no: EM133498070

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