A Family Divided Case Studies

A Family Divided Case Studies A Family Divided Case Studies A Case Study by Robert L. Potter? Discussion Questions by Rosemary Flanigan A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are equally convinced that he has decisional capacity. The patient’s wife and two other children are ambivalent about his competency to make decisions. The prognosis for recovery of safe swallowing and speech approaches zero because of the dense damage to the cerebral cortex visible on brain imaging. Two neurological consultants have verified that recovery is likely to be minimal and that permanent, severe disability will be the outcome. ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS The patient does not have an advance directive. The patient’s wife says that they never did discuss his preferences about life-sustaining treatment. She is convinced that he would not want to live in this disabled condition, but is uncertain whether to request the placement of a feeding tube. Two of her four adult children are strongly opposed to the tube placement, while the other two insist that not to do so would be to “kill our father.” The patient’s wife is torn between these two positions, but finally requests that the tube be placed. The attending physician and the rest of the treatment team are opposed to placing the feeding tube. Their argument is that the patient has “minimal consciousness” and will not improve. They define this as a futile situation with no reasonable expectation of recovery. Furthermore, two nurses claim that during previous hospitalizations for episodes of cardiovascular events the patient told them that he would not want to be sustained by artificial means — not by ventilators, renal dialysis, or tube feeding. It is their position that the patient has expressed his preference to not be kept alive in a futile situation. The family requests an ethics consultation. Questions for discussion 1. The judgment of futility should be a conclusion of a communications process, not a beginning. How would you propose beginning the communication? • Who should be present? • What information should be shared? • What alternatives are on the table? • What is your goal in participating in the discussion? 2. The family is divided over whether or not their husband/father should be placed on a feeding tube. Consider and discuss the following statements: • The effectiveness of the feeding tube is a clinical matter. • The benefits of the feeding tube for the patient depend on the patient’s wishes and quality of life, which the patient or the patient’s surrogate and family must determine. • The burdens the treatment (feeding tube) imposes are a consideration for both parties. 3. Role play the discussion. Express your assumptions and loyalties and listen attentively to the other speakers. 4. Evaluate the role playing experience. Did it affect your view of the case? If yes, how will you advise the family and the healthcare providers??If not, what is to be done now? 5. How would this case have been different if the attending physician had been the one asking for a consultation? A Family Divided Case Studies Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

Struggling to find relevant content or pressed for time? – Don’t worry, we have a team of professionals to help you on
A Family Divided Case Studies
Get a 15% Discount on this Paper
Order Now
Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
Sign up, place your order, and leave the rest to our professional paper writers in less than 2 minutes.
step 1
Upload assignment instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
s
Get personalized services with MyCoursebay
One writer for all your papers
You can select one writer for all your papers. This option enhances the consistency in the quality of your assignments. Select your preferred writer from the list of writers who have handledf your previous assignments
Same paper from different writers
Are you ordering the same assignment for a friend? You can get the same paper from different writers. The goal is to produce 100% unique and original papers
Copy of sources used
Our homework writers will provide you with copies of sources used on your request. Just add the option when plaing your order
What our partners say about us
We appreciate every review and are always looking for ways to grow. See what other students think about our do my paper service.
Nursing
Excellent PowerPoint! Thank you!
Customer 452707, June 29th, 2022
Human Resources Management (HRM)
Thank you
Customer 452701, July 26th, 2023
Philosophy
excellent job i will be coming back for any future papers if I have too.
Customer 452611, October 11th, 2021
Human Resources Management (HRM)
Thanks so much for your service. You have done an excellent job.
Customer 452701, October 31st, 2023
Other
AWESOME
Customer 452813, June 25th, 2022
Nursing
Thank you for the outstanding work .
Customer 452635, June 5th, 2022
Other
awesome
Customer 452813, July 2nd, 2024
Human Resources Management (HRM)
awesome job
Customer 452701, August 14th, 2023
Nursing
The writer went above and beyond as usual. Always a great experience with these writers.
Customer 452707, December 4th, 2022
Psychology
Thanks so very much. The paper is well-researched and adequately referenced. You have been of great help during the pandemic!
Customer 452467, January 31st, 2021
Database design and optimization
thanks for busting this out so expeditiously. I hope that I get a good grade.
Customer 452715, February 19th, 2022
Other
OK
Customer 452813, July 3rd, 2022
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Good News ! We now help with PROCTORED EXAM. Chat with a support agent for more information

NEW

Thank you for choosing MyCoursebay. Your presence is a motivation to us. All papers are written from scratch. Plagiarism is not tolerated. Order now for a 15% discount

Order Now