You have a four-bed intensive care unit and seven patients who need a bed. The following is a short description of the seven patients. You cannot select on the basis of first come, first served, as they showed up at your door at exactly the same time. Jones, a 75-year-old pulmonary patient with chronic emphysema. He is retired and has a DNR order. Cho, a 27-year-old hemophiliac patient with AIDS contracted from a transfusion of contaminated blood. Rogers, a 65-year-old retired general with congestive heart failure. Rankin, a 52-year-old housewife, an alcoholic with acute liver disease. Reubin, a 23-year-old college student in a persistent coma following an alcohol/drug overdose at a party. Carlton Child, a 12-year-old with head trauma and in a persistent vegetative state, following a beating by his stepfather. Joey Scoy, a teenager suffering from aspiration pneumonia. He has Down syndrome and is severely intellectually disabled, with a mental age of five years. Select your four patients, and state what criteria you used to exclude the other three. What ethical codes did you take into consideration? What healthcare values did you take into consideration? How did you consider quality of life vs. life itself? What legal obligations did you take into consideration?
Four cases will be :
remaining cases i will exclude becuase:
You have a four-bed intensive care unit and seven patients who need a bed. The following...
You have a four-bed intensive care unit and seven patients who need a bed. The following is a short description of the seven patients. You cannot select on the basis of first come, first served, as they showed up at your door at exactly the same time. Jones, a 75-year-old pulmonary patient with chronic emphysema. He is retired and has a DNR order. Cho, a 27-year-old hemophiliac patient with AIDS contracted from a transfusion of contaminated blood. Rogers, a 65-year-old...
You have a four-bed intensive care unit and seven patients who need a bed. The following is a short description of the seven patients. You cannot select on the basis of first-come, first-served, as they showed up at your door at exactly the same time. Jones, a 75-year-old pulmonary patient with chronic emphysema. He is retired and has a DNR order. Cho, a 27-year-old hemophiliac patient with AIDS contracted from a transfusion of contaminated blood. Rogers, a 65-year-old retired general...
You have a four-bed intensive care unit and seven patients who need a bed. The following is a short description of the seven patients. You cannot select on the basis of first-come, first-served, as they showed up at your door at exactly the same time. Jones, a 75-year-old pulmonary patient with chronic emphysema. He is retired and has a DNR order. Cho, a 27-year-old hemophiliac patient with AIDS contracted from a transfusion of contaminated blood. Rogers, a 65-year-old retired general...
You have a 4-bed intensive care unit and 7 patients who need a bed. The following are the 7 patients. You cannot select on the basis of first come, first served, as they showed up at your door at exactly the same time.: 1. Mr. Jones, a 75-year-old patient with chronic emphysema. He is retired and a DNR order. 2. Mr. Smith, a 27-year-old hemophiliac with AIDS contracted from a transfusion of contaminated blood. 3. Mr. Jackson, a 65-year-old Army general with congestive heart...
You have three beds available in your intensive care unit and five patients who need a bed. All five patients arrived at the same time, so you cannot select on a first come first serve basis. A short description for each patient is provided below. You will need to present your case for selecting your three patients and state the criteria used for turning away the other two. Ms. Smith is a 16-year-old patient with a disability who fell on...
You are the nurse manager of a 15-bed intensive care unit (ICU) and you have 50 staff on your unit. The ICU staff is focused on patient-centered care and treats patients equally, regardless of insurance type. Occasionally the staff has insurance-related questions that arise from the patients and families or are based on personal inquiries. 1. It is open benefit enrollment period at your hospital. The ICU staff received an email reminder to enroll in the health care benefits plan for next...
You have two patients who currently need the use of a ventilator, a machine to move air into and out of a patient’s lungs when their breathing ability is severely impaired. There is only one ventilator available, and one patient is already using it. The patient using the ventilator is a 70-year-old retired nurse. The other patient is a 20-year-old college student studying communications. Assume that if you remove the ventilator from the 70-year-old at this time, it is 80%...
You are a staff nurse on a 32-bed cardiac step-down unit. You are assigned as the preceptor for Tony, RN, a new graduate nurse, who just started his nursing career on your floor. 1. You and Tony just received morning shift report on your patients. You are assigned the following patients. Which patient do you and Tony need to see first? Explain your answer. 1. Mr. Dodson, a 52-year-old patient who was admitted yesterday with a diagnosis of angina pectoris....