University of phoenix<\/p>\n
Question Description
\nInstructions: 1. This is a leadership and management assignment. Review case study. Answer questions. Write a summary and upload a copy.<\/p>\n
2. Envision being the RN experiencing the situation and comment on how you would handle the situation. Post focusing on leadership and management critical thinking and strategies.<\/p>\n
Nursing Now Ch04 Case Study The Process of Educating Nurses<\/p>\n
A physician on a busy oncology unit had heard that there was a severe shortage of certain
\nimportant medications but did not take the time to review the list provided by the
\npharmacological companies. One day he was told by the hospital pharmacy that he could only
\nobtain enough of an antineoplastic medication to treat one of several patients he was treating
\nwith it. It would be several weeks to a month before a sufficient supply would be available to
\ntreat more than one patient. He had started both Donald and Julie on the medication the month
\nbefore. The physician knew of several alternative medication that, although they were less
\neffect, could be used on both patient with limited side effects.
\nDonald was a 71-year-old patient whom had been treated for cancer several years
\nearlier, and who had since been in remission. Donald had recently come into the hospital after
\nexperiencing progressive and severe back pain for several weeks. Tests revealed that his
\ncancer had metastasized to his spine. Now the aim of treatment was not to cure, but to lengthen
\nand improve the quality of his life. The treatment regimen with the medication that the physician
\ncould no longer obtain could extend Donald\u2019s life by a year or more. The alternative medication
\nwould probably extend his life by only a few months.
\nJulie was in her early 60s and had recently been diagnosed with a primary cancer, but
\nwas otherwise in good health. The physician believed that Julie had a very good chance of cure
\nwith the original medication. The alternative medications were not as effective, were more
\nexpensive, often more side effects and did not have any research that they were effective for
\nJulie\u2019s type of cancer.<\/p>\n
Questions
\n\u2022 Which patient should the physician use the scarce medication on? What ethical system
\nare you using in making this decision?
\n\u2022 If you were Donald, how would you feel about receiving a medication that would shorten
\nyour life?
\n\u2022 Should Donald be told about the change in medication? How does the principle of
\nveracity enter into this decision?
\n\u2022 Does Donald have any legal recourse to force the physician to give him the scarce
\nmedication?
\n\u2022 Are there any other alternatives the physician might select in resolving this dilemma?<\/p>\n","protected":false},"excerpt":{"rendered":"
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