Learning Goal: I'm working on a nursing multi-part question and need guidance to help me learn.There's a link for reference I need help identifying the legal/ethical issue in each scenario and identify the conflict of interest or violation of the patient's right (2-3 sentences each)https://med.virginia.edu/dom/wp-content/uploads/si...An 82-year-old woman presents with a palpable breast mass. Biopsy reveals breast cancer. The patient is seen by a surgeon who tells her that she needs surgery, hands her a consent form, asks her to read and sign it, and leaves the examination room before the patient has a chance to review the form and ask questions. The surgeon’s resident returns later to retrieve the signed form
A 79-year-old man with mild dementia has positive results on Hemoccult testing of stool samples. His physician recommends colonoscopy. The patient understands and can repeat in simple terms the rationale for the procedure as well as its risks and benefits. The patient decides he does not want the colonoscopy
An 86-year-old widow with 3 adult children is hospitalized with pneumonia. Despite antibiotics and supportive care, the patient’s pneumonia progresses, and she develops hypoxemia and delirium. The patient’s clinician recommends mechanical ventilation. Her Advanced Directives identifies her youngest child, a nurse, as her surrogate decision maker. Her daughter decides her mother would not want to be put on a ventilator unless there was a good chance of a full recovery.
A 72-year-old woman with metastatic colon cancer enrolls in a hospice program. She has an implantable cardioverter-defibrillator (ICD) for ventricular arrhythmias. While in hospice care, she asks her cardiologist to turn off the ICD. The cardiologist requests the hospital’s ethics committee to decide on the issue of withdrawing a lifesaving measure against medical advice.
An 82-year-old man is admitted for chest pain due to myocardial infarction. His clinician asks the patient if he desires CPR should he experience a cardiopulmonary arrest. The patient tells the clinician that he wants “every- thing done.” The next day the patient has a cardiac arrest in the cardiac ICU and the code team responds. After 30 minutes of CPR, defibrillation and IV emergency medication administration, there is no return of pulse and the code team leader decides to end the code.
An 80-year-old woman presents with exertion-induced chest pain. Coronary angiography reveals 3-vessel coronary artery disease and a 90% stenosis of the left main coronary artery. The patient’s cardiologist recommends medical management rather than surgery due to her advanced age, even though there are no contraindications to having the percutaneous cardiac intervention (PCI).
A 79-year-old widow is admitted to the hospital after a stroke. She has a dense left hemiplegia and requires skilled nursing care. Her clinician recommends long-term care in a nursing home. However, the patient wants to be discharged to her home. The discharge team has concerns about the patient’s safety if sent home without adequate in-home support but the patient has limited financial resources to pay for 24/7 home care, her insurance will only cover 6 hours of unskilled car per week.