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A nurse experiences moral distress with being told to continue monitoring a 100-year-old patient's blood work as long as she remains on blood thinners.Mary Jo is diagnosed with bladder cancer but does not wish to have surgery.
If he follows through, he will have several deaths on his hands with the possibility of more causalities.
END OF LIFE CARE / ADVANCE DIRECTIVES CASES OF MORAL DISTRESS CASES OF WITHDRAWING / WITHHOLDING CARE ACCESS TO CARE / VULNERABLE POPULATIONS CONFIDENTIALITY MISTAKES IN MEDICINE MATERNOFETAL MEDICINE PSYCHIATRIC MEDICINE/DUTY TO WARN A 30-year-old woman, “Ginger,” is in the clinic, having been diagnosed several years ago with myelodysplastic syndrome (MDS, a blood disorder). She has been married thirty-two years and has three adult children. JD is a 25-year-old patient who sustained massive head trauma and neurological injury in a motorcycle accident.
There is a high chance that the disease will progress to acute myeloid leukemia (AML), with lower chance of survival, so physicians had started chemotherapy. Over the last month, she has experienced increasing pain that has not been effectively controlled by her physician. He is not brain dead, but after 4 weeks in MICU and several neuro consults, the prognosis for “meaningful recovery” is said to be less than 1%.
This leads to other treatment decisions and dilemmas which become ethically complex. She has now been referred to hospice, primarily to get her pain under control. I had no experience on which to base my unsettling suspicions. JD has not regained consciousness and is apt to remain permanently in a vegetative state.
Jay would require aggressive care in an intensive care unit. Jay told his doctor he would prefer that resuscitation not even be attempted.
Alice watched her mother’s long slide into Alzheimer’s type dementia, certain that her mother’s careful attention to advance care planning would be able to prevent her worst nightmares.
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 he has decisional capacity.
Vandivier's managers insisted on him to write the entire report including the graphs and charts. Vandivier complied and on June 5, 1968 that the qualifying report was finalized. Obligation: The stakeholders here are Vandivier, Lawson and B. By Vandivier and Lawson freely entering an agreement to act as an agent for Goodrich, this means they accept the moral and legal duty to serve their employer loyally, obediently and in a confidential manner as specified in the law of agency.
With Vandivier teetering whether to do the report, his decision will significantly impact his wife, his colleagues, and LTV and unknown citizens.