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Question 1. Review the NSQHS Recognizing and responding to Acute Deterioration standard- state as part of the evaluation process what components of care would indicate that Mr. Smith's conditions were deteriorating and what escalation processes need to occur?
Question 2. Mr. Smith does not have an Advanced Care Directive currently in place and states he doesn't know what that means. Your service has a recommendation in place that all clients that are over the age of 70 are recommended to have an Advanced Care Directive documented within their files. Explain, how you, as the Enrolled Nurse, would commence the discussion with Mr. Smith and Mr. Obi in regards to Advanced Care Directives.
Question 3. Mr. Obi states that he wants Mr. Smith to 'have everything done for Mr. Smith 'while Mr. Smith wants to 'die with dignity'. What are the legal and ethical issues for both yourself (as Enrolled Nurse) and Mr. Smith and Mr. Obi in relation to consent and Advanced Care Directives? Whom would you escalate your concerns to and how?
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