What ethical obligations do you have to jennifer

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Reference no: EM133275528

Assignment:

Patient: Jennifer is a 17-year-old female you are caring for on the pediatric oncology floor at your facility..

Diagnosis: Astrocytoma with metastasis to her liver and lungs

PMH: Initially diagnosed with an Astrocytoma she was 8 years old and was in remission until recently.

Social: She lives with her parents and has an older brother who is in college, they are a tight-knit and devoutly Christian family.

Situation: Jennifer confides in you, as her nurse, that she is tired from all the treatments and really does not want to undergo chemo again nor does she want surgery as she is concerned about what her boyfriend will think of her with all her hair gone. She wishes to be made a Do Not Resuscitate (DNR) and be allowed to live out the rest of her life at home with her family and friends. When this is discussed with her parents, they are unwilling to accept Jennifer's wishes and the parents give consent for chemo and surgery for debulking. Pediatric Palliative Medicine have been consulted to see Jennifer for symptom management however, the parents refuse to allow them to see her as they feel as if everyone is giving up on her and Palliative Medicine is just "Hospice in disguise".

The parents want all available treatments to be prescribed. They have been praying for a miracle and feel it will happen if she is given enough time. Jennifer is becoming more withdrawn as she fears that she will die in the hospital and all she wants is to be at home with her family and friends. She does not want to disobey her parents, but she wishes that they could see that she is terminal and will allow her to go "the way she wants". She is scheduled for surgery within the week..

1. What ethical obligations do you have to Jennifer?

2. What ethical obligations do you have to her parents?

3. What recourses are available to Jennifer?

4. What recourses are available for her parents?

5. Which provision in the ANA code of ethics best aligns with this scenario?

Reference no: EM133275528

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