Question

Read the following case study Competency and End Stage Cancer You have just been consulted, in...

Read the following case study

Competency and End Stage Cancer You have just been consulted, in your role as health care administrator, about a case that's happening in the oncology wing. The doctor has phoned you because he knows you have experience about informed consent and decision-making capacity from your MHA program. The patient, Eric, is a 32-year-old male with melanoma that has metastasized to both his brain and his throat. The chemotherapy and radiation are no longer working and the doctors predict that Eric has no more than three more months to live. Eric has a living will that states that he would not want any extraordinary measures in the event that he has an incurable disease and the measure would only serve to prolong his dying. Eric's brain tumor is making him forgetful and sometimes confused about why he is in the hospital. His lucidity waxes and wanes. As the tumor to his throat has enlarged, Eric has begun complaining about pain and discomfort. He is having trouble speaking to his family and friends and, sometimes, it is challenging to breathe. Because the neck tumor is fast growing, there is a possibility that it could make it impossible for Eric to breathe, and he could pass away from this. His attending physician speaks with Eric and his three siblings at the bedside and informs them that there are three options: do nothing, surgically remove the tumor, or perform a tracheostomy. His three siblings immediately object to both surgery and the tracheostomy, stating that Eric does not want his death to be prolonged. Eric agrees with them, but then later in the night he pulls a nurse aside and tells her that he does want the tracheostomy. He says he is afraid of dying and is "not yet ready to go." Since speaking to the nurse, Eric has been sleeping frequently and experiencing a lot of confusion. What would you recommend the physician do in this case?

post the following considerations to the discussion board:

  1. Using the "Process for Determining Competency of Patients Who Refuse Medical Treatment" on p. 135 of your Morrison & Furlong text, explain whether Eric currently has the capacity to make decisions.
  2. Whose wishes do you think should ultimately be respected? Eric as he is currently stating them, Eric's siblings, or Eric as stated in his advance directive? Justify your answer using the concepts of informed consent, informed refusal, competency, and patient autonomy you have read about this week. In your answer, consider that the decision you make may have wider implications for other patients in the hospital as well as Eric.

Homework Answers

Answer #1

Due to the brain tumor , Eric is getting confused and forgetful . So, according to me Eric currently does not have the capacity to make decisions. Also while he was inbetween sleep he made the request for tracheostomy which he had objected out in the day . Another support is his living will in which he does want anything which will prolonge his suffering and provide him pain .

So , the request for tracheostomy made at night should not be considered as it has no clarity and also if want we can take the suggestion from his siblings .

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Case Study Joe is a 92 yo with end stage dementia. He has been living in...
Case Study Joe is a 92 yo with end stage dementia. He has been living in an assisted living residence and has been falling nearly every day. It is becoming more difficult to encourage him to eat or drink fluids. After his last fall, the staff call the ambulance because they suspect he may have fractured his arm. A fracture is ruled out, however, the physician orders a chest x-ray that show pneumonia. Joe is admitted to a medical unit...
Case 1: Mr. Parker is an 88-year-old resident of your LTC home with end-stage Alzheimer’s. He...
Case 1: Mr. Parker is an 88-year-old resident of your LTC home with end-stage Alzheimer’s. He is wheelchair bound and spends most of his days sleeping in his wheelchair near a window facing the garden. He needs to be spoon fed but has recently started to refuse to eat. Mr. Parker has three children, one of whom is very involved in the care of her father. The team approaches the daughter about her father refusing to eat, and feels that...
For the following case studies you will be presented with a data set and goal for...
For the following case studies you will be presented with a data set and goal for each participant. You may or may not need to utilize all the information presented. You must correctly answer all components for full credit. You must answer the following for each question: Based on the NEW guidelines: Is physician clearance required/recommended prior to beginning exercise? Explain why or why not Based on the NEW guidelines, would you allow them to begin the exercise program they...
Read the case below and given the knowledge you have obtained from this case study, what...
Read the case below and given the knowledge you have obtained from this case study, what factors are critical to a professional auditor properly applying professional skeptisim? Case Study A — Not Just a Trivial Item I joined a Big Four accounting firm straight out of college a few years ago as a staff accountant. My first assignment on an audit engagement was a learning experience I would never forget; it was a practical lesson perhaps even more valuable than...
Can you see the case study below?????? Case Study: The Case of Henry>>Presenting Information: Henry is...
Can you see the case study below?????? Case Study: The Case of Henry>>Presenting Information: Henry is a 46-year-old Japanese man. He was born in Japan and moved to the United States by himself when he was in his early 20s to go to college and work. He presents to counseling with multiple complaints of depressive symptoms, anxiety about being in social situations, relationship problems, and financial challenges. He reports feeling irritable and down most of the time but continues to...
This is a theoretical case taken from VHA Intensive Ethics Advisory Committee Training, 1998, as presented...
This is a theoretical case taken from VHA Intensive Ethics Advisory Committee Training, 1998, as presented by Arthur R. Derse MD, JD. An 87-year-old woman widowed for six years, who is otherwise healthy, was visiting another city and abruptly became ill. She was seen in the emergency department of the local VA and admitted to the on-call physician. The on-call physician (who has not previously seen her) made the diagnosis of bowel obstruction arid made arrangements for a surgeon to...
CASE STUDY 7 – RECEIVABLES Max is very happy with the work you have done in...
CASE STUDY 7 – RECEIVABLES Max is very happy with the work you have done in tidying up his inventory recording and valuation systems and is quite confident that his reports will now give him more useful information and provide him with a truer picture of the position and performance of the business. However, Max is now concerned that some of the other areas of his business could need a review given some the problems found with the recording of...
CH 23 Case Study on Neurocognitive Disorders Jack and Margaret have had the same family physician...
CH 23 Case Study on Neurocognitive Disorders Jack and Margaret have had the same family physician through the last 22 years of their marriage, ever since they moved to Santa Fe, where Jack is an artist. “We came here so Jack could pursue his painting,” Margaret says. “He’s a wonderful artist, and for years he was a wonderful dad. When our youngest child finally left the nest, we decided it was time for an adventure. We moved to Santa Fe,...
Read the case below and answer the questions at the end. Several severe accidents have recently...
Read the case below and answer the questions at the end. Several severe accidents have recently occurred in the 12 employee boiler room of City Foundry. James Worth, the boiler room supervisor, is quite upset about the situation. Just yesterday, the Foundry Plant Manager called: Plant Manager: James, what in the world is going on down there? Are you trying to put us out of business? James: If I've lectured these people about safety once, I've done it 50 times....
medical terminology) case study for patient case find all medical terms and defined them. Introduction: The...
medical terminology) case study for patient case find all medical terms and defined them. Introduction: The patient Mr. J, a 58 years old African-American, admitted in the Emergency Department with complaints of loss of balance followed by the altered level of consciousness (ALOC), left-sided hemiparesis, dysarthria, and facial droop. He denied chest pain, visual disturbances, cephalalgia, trauma, bowel incontinence, urinary incontinence, etc. He had stable vital signs except blood pressure of 150/90 mm of Hg, indicating hypertension. After necessary diagnostic...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT