Question

i need 2nd and 3rd Answer

case study Lise is a new nurse on a medical unit. She graduated and accepted the position but finds she is unprepared for some situations. She is very distressed by the case of a young female patient, Caroline, a paraplegic who had a stroke and needs a ventilator. One day, Caroline asks that her ventilator be removed. She says that she would pull it out herself if she could. She is assessed and found to be capable of making this decision. Her wish is persistent, and her family confirms that the request is in keeping with her values and long-held beliefs. The physician and nurses agree that Caroline's wishes should be respected, though Lise feels unsure. Caroline calmly says goodbye to her family. She is given hypnotics, and when she is sedated, the ventilator is removed, and she dies peacefully. Lise observes the event and thinks about it for days afterward. She consults the hospital's ethicist, who explains that Caroline's wish had to be respected. She had the right to ask that her treatment be halted. "But isn't what we did considered euthanasia?" asks Lise. The ethicist tells her, "No, not at all. A capable person can say no to treatment. The ethicist gives Lise material to read about her professional and legal obligations to respect patients' wishes, yet Lise ultimately decides that she cannot agree. From her perspective, the removal of a ventilator is euthanasia. QUESTIONS 1. In this practice setting, Lise has a conflict of values. Elaborate on this conflict. B. Which side do you agree with? c. Do you think Lise's discomfort with the removal of Caroline's ventilator is an example of objecting on the basis of conscience? Why or why not? 2. Should Lise's objection be accommodated in the Intensive Care Unit? If so, can she still remain an effective team member? 3. If her objection cannot be accommodated, how would you explain to Lise that she has a duty to respect patients' informed and freely made wishes to refuse treatment, and that she cannot be a conscientious objector?

Answer 1

2.Lise objections can be accommodated in intensive care unit only when the patient is unable to consent or in a sound mind to take decision.A team leader is a person who should be skilled enough to make decision on what is moral ,legal and ethical in patient care and decision.They should be strong enough not only physically but also mentally when a decision is made by a patient as a choice of treatment. This is an act of respect shown to the patient's feeling and emotions. A person who can neutralize the good and bad experiences as one can lead others confidentiality if not they cannot lead a group.Here Lise is not under this category and she cannot be an effective team leader.

3.She can be explained in the following way

• Describing about the principle of ethics (autonomy) where a patient can make their own decisions on accepting or refusing a treatment igbthey are mentally sound. It is totally their emotions and feelings of them physically and mentally to choose which can be the best for themselves and their family members. Usually these types of request can be expected from a patient who understands that the treatment cannot help them to recover rather can be distressing and painful. In order to avoid this and have a peace patients go for these types of decisions. Hence being a healthcare professionals accepting this is an act of respecting those patient.If objected it is an act of disrespect given to patient .