Reference no: EM13313823
An 83-year-old diabetic male, Mr. Jones, is brought in to the emergency department because of respiratory distress by his care-giving daughter, with whom he lives. In examining him, the emergency department physician discovers that Mr. Jones has gangrene on his right foot up to his ankle.
Mr. Jones’ daughter reports that her father has been diagnosed with Alzheimer’s disease. A preliminary capacity assessment is consistent with mild dementia, but one of the nurses suggests that Mr. Jones’ confusion might be the result of his respiratory distress, coupled with the disorienting atmosphere of the emergency department.
The clinical recommendation is to perform a below-the-knee amputation. The patient refuses this surgery, saying he has lived long enough and wants to die with his body intact. His daughter disagrees and says she wants everything done so that she can take him home as soon as possible, and says that she will sue the hospital if they do not perform the amputation. A social worker comments that the daughter might be afraid of an elder-neglect investigation if her father dies.
Mr. Jones does not have an advance directive of any kind and is not under guardianship. Assume that the applicable law in your state is the same as Sections 5, 7, and 11 of the Uniform Health-Care Decisions
Answer the following questions with regard to this case:
?cWhat are the relevant legal issues at stake? What are the legal rights of the patient and his daughter?
?cWhat are the relevant ethical issues at stake?
?cWhy does capacity assessment matter?
|
Determine the radial distance from the centerline
: For turbulent flow in a circular pipe find r/r0 at the radial distance from the centerline where the mean velocity occurs
|
|
Compute the energy in joules required to ionize
: Calculate the energy in joules required to ionize a hydrogen atom when its electron is initially in the n = 4 energy level.
|
|
Determine equation of elastic curve for the cantilever beam
: For the loading sown, use double integration method to determine: the equation of the elastic curve for the cantilever beam, the deflection at the free end and the slope at the free end.
|
|
Discussion of the exsisting system
: How the scanned record will be managed and the standards or legislation that are required to be followed.
|
|
The emergency department physician discovers
: An 83-year-old diabetic male, Mr. Jones, is brought in to the emergency department because of respiratory distress by his care-giving daughter, with whom he lives. In examining him, the emergency department physician discovers that Mr. Jones has gang..
|
|
Explain what mass (in g) of the excess reactant is left
: Elemental phosphorus reacts with chlorine gas according to the equation: P4 (s)+ 6Cl2 (g) --> 4PCl3 (l) A reaction mixture initially contains 45.11 g P4 and 132.0g Cl2. Once the reaction has occurred as completely as possible, what mass (in g) of ..
|
|
How much power must the engine deliver
: A 1200 kg car coasts in neutral down a 2.0° hill. The car attains a terminal speed of 23.0 m/s. How much power must the engine deliver to drive the car on a level road at 23.0 m/s
|
|
Explain a standard method for the determination of glucose
: A standard method for the determination of glucose in serum is reported to have a standard deviation of 0.40 mg/dL. If s = 0.40 is a good approximation of lower case sigma
|
|
Determine present worth for benefit and cost with a project
: Benefits associated with a project are $10,000 forever starting in year 1. The costs are $20,000 in year 0 and $20,000 in year 3. What is the B/C ratio at i=12% per year. First determine present worth for benefit and cost, respectively.
|