Nursing homework help<\/p>\n
Case study, download and read the attached case study. Once completed, answer the three questions at the end of the case.<\/p>\n
Your paper should be in APA 6th edition format and should answer all three questions completely with rationale and literature support. Each new heading will depict the question being answered. Your paper should be within 4-6 pages, not including your cover page and references page. You will be required to provide and use a minimum of 3 peer reviewed references, with the oldest being from 2015.<\/p>\n
This is an individual assignment.<\/p>\n
—
\n430 Chapter 17 Death and Dying<\/p>\n
Case 17-1 When Parents Refuse to Give Up1<\/p>\n
Nine-year-old Yusef Camp began experiencing symptoms soon after eating a pickle bought from a street vendor. He felt dizzy and fell down, he could not use his legs, and he began to scream. By 10:00 p.m., he was hallucinating and was transported to the DC General Hospital by ambulance. He went into convulsions. His stomach was pumped, and they found traces of marijuana and possibly PCP. He soon stopped breathing, and by the next morning, brain scans showed no activity.<\/p>\n
Four months later, Yusef\u2019s condition had not changed. The physicians believed his brain was not functioning and wanted to pronounce him dead based on brain criteria. Several difficulties were encountered, however. First, there was some disagreement among the medical personnel over whether his brain function had ceased completely. Second, at that time the District of Columbia had no law authorizing death pronouncement based on brain criteria. It was not clear that physicians could use death as grounds for stopping treatment. Most important, Ronald Camp, the boy\u2019s father, protested vigorously any sug- gestion that treatment be stopped. A devout Muslim, he said, \u201cI could walk up and say unplug him; but for the rest of my life I would be thinking, was I too hasty? Could he have recovered if I had given it another 6 months or a year? I\u2019m leaving it in Almighty God\u2019s hand to let it take whatever flow it will.\u201d<\/p>\n
The nurses involved in Yusef\u2019s care faced several problems. Maggots were found growing in Yusef\u2019s lungs and nasal passages. His right foot and ankle became gangre- nous. He showed no response to noises or painful stimuli. The nurses had the responsi- bility not only for maintaining the respiratory tract and the gangrenous limb, but also for providing the intensive nursing care needed to maintain Yusef in debilitated condition on life support systems. Had the aggressive care been serving any purpose, they would have been willing to provide it no matter how repulsive the boy\u2019s condition was and in spite of there being many other patients desperately needing their attention. However, some of the nurses caring for Yusef were convinced that they were doing no good what- soever for the boy. They believed they were only consuming enormous amounts of time and hospital resources in what appeared to be a futile effort. In the process, other patients were not getting as much care as would certainly be of benefit to them. Could the nurses or the physicians argue that care should be stopped because he was dead? Could they overrule the parents\u2019 judgment about the usefulness of the treatment even if he were not dead? Could they legitimately take into account the welfare of the other patients and the enormous costs involved when deciding whether to limit their atten- tion to Yusef?<\/p>\n
1Weiser, B. (1980, September 5). Boy, 9, may not be \u201cbrain dead,\u201d new medical examiner shows. Washington Post, p. B1. Weiser, B. (1980, September 12). Second doctor finds life in \u201cbrain dead\u201d DC boy. Washington Post, p. B10. Sager, M. (1980, September 17). Nine-year-old dies after four months in coma. Washington Post, p. B6.<\/p>\n
Title
\nCopyright
\nContents
\nList of Cases
\nPreface
\nIntroduction
\nWhat Makes Right Acts Right?
\nWhat Kinds of Acts Are Right?
\nHow Do Rules Apply to Specific Situations?
\nWhat Ought to Be Done in Specific Cases?
\nTwo Additional Questions of Ethics
\nWhat Kind of Person Ought I to Be?
\nWhat Does This Relationship Demand of Me?
\nEndnotes
\nPart I Ethics and Values in Nursing
\nChapter 1 Values in Health and Illness
\nIdentifying Assessments in Nursing
\nIdentifying Ethical Conflicts
\nThe Rights of the Patient vs the Welfare of the Patient
\nMoral Rules and the Nurse\u2019s Conscience
\nLimits on Rights and Rules
\nChapter 2 The Nurse and Moral Authority
\nThe Authority of the Profession
\nThe Authority of the Physician
\nThe Authority of the Institution
\nThe Authority of the Health Insurer
\nThe Authority of Society
\nThe Authority of the Patient
\nChapter 3 Moral Integrity andMoral Distress
\nWhy Does Moral Agency Matter?
\nMoral Distress
\nCreating and Sustaining Healthy and Ethical Work Environments
\nEthics Environment Assessments
\nResources for Establishing and Sustaining Healthy Environments
\nChange Theory Models
\nResources for Resolving Moral Distress
\nPart II Ethical Issuesin Nursing
\nChapter 4 Benefiting the Patient and Others: The Duty to Produce Good and Avoid Harm
\nBenefit to the Patient
\nUncertainty About What Is Actually Beneficial to a Patient
\nHealth Benefits vs Overall Benefits
\nBenefiting vs Avoiding Harm
\nBenefit to the Institution
\nBenefit to Society
\nBenefit to Identified Nonclients
\nBenefit to the Profession
\nBenefit to Oneself and One\u2019s Family
\nChapter 5 Justice: The Allocation of Health Resources
\nThe Ethics of Allocating Resources
\nJustice in Public Policy
\nJustice and Other Ethical Principles
\nChapter 6 Respect
\nIgnoring a Person as a Person and Focusing Only on the Pathology or \u201cTask\u201d to be Performed
\nArrogant Decision Making
\nHumiliating Others
\nChapter 7 The Principle of Autonomy
\nInternal Constraints on Autonomy
\nExternal Constraints on Autonomy
\nOverriding Autonomy
\nChapter 8 Veracity
\nThe Condition of Doubt
\nDuties and Consequences in Truth Telling
\nComplications in Truth Telling
\nChapter 9 Fidelity
\nPromise Keeping
\nConfidentiality
\nChapter 10 The Sanctity of Human Life
\nActions and Omissions
\nCriteria for Justifiable Omission
\nWithholding and Withdrawing
\nDirect and Indirect Killing
\nVoluntary and Involuntary Killing
\nIs Withholding Food and Water Killing?
\nPart III Special Problem Areas in Nursing Practice
\nChapter 11 Abortion, Contraception, and Sterilization
\nAbortion
\nContraception
\nSterilization
\nChapter 12 Genetics, Birth, and the Biologic Revolution
\nGenetic Counseling
\nIn Vitro Fertilization and Artificial Insemination
\nGenetic Engineering
\nChapter 13 Psychiatry and the Control of Human Behavior
\nPsychotherapy
\nOther Behavior-Controlling Therapies
\nChapter 14 HIV\/AIDS Care
\nConflicts Between Rights and Duties
\nConflicts Involving the Cost of Treatmentand Allocation of Resources
\nResearch on HIV
\nChapter 15 Experimentation on Human Beings
\nCalculating Risks and Benefits
\nCommentary
\nProtecting Privacy
\nEquity in Research
\nInformed Consent in Research
\nChapter 16 Consent and the Right to Refuse Treatment
\nThe Right to Refuse Treatment
\nThe Elements and Standards of Disclosure
\nComprehension and Voluntariness
\nConsent for Patients Who Lack Decision Capacity
\nChapter 17 Death and Dying
\nThe Definition of Death
\nCompetent and Formerly Competent Patients
\nNever-Competent Patients and Those Who Have Never Expressed Their Wishes
\nFutile Care
\nLimits Based on the Interests of Other Parties
\nAppendix Ethics Resources on the Web Bioethics Research Library at Georgetown University
\nGlossary
\nIndex<\/p>\n","protected":false},"excerpt":{"rendered":"
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