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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 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?

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Answer :

Selection of patients depending on criteria that is priority based.

1. Carlton child a 12 years old with head trauma and in a persistent vegetative state following a beating by his stepfather.

2. Reuben a 23 years old college student in a persistance coma following an alcohol or drug overdose at a party.

3. Rogers a 65 years old retired general with congestive heart failure.

4. Rankin a 52 years old house wife an alcohol with acute liver disease.

For these four patients we will give priority because remaining three are not that much necessary because,

* Jones 73 years old pulmonary patient with chronic emphysema he is on DNR means Don't resuscitate, that means there is no need emergency care just we can provide hospice care.

* Cho a 27 years old having AIDS due to contaminated blood transfusion, this patient no need ICU care because already it is life threatening diseases, there is no fully survive from this diseases, but we can provide care in general wards.

* then Joey Scoy is suffering from aspiration pneumonia and mentally retarded, it is also there is no that much priority because already she is mentally and intellectually fully disabled.

So these three we can exclude.

Ethical codes like :

* professional competency,

* integreity ,

* objectivity,

* confidentially

These are ethical codes we should take into our consideration.

Health care values :

* Access to service,

* profitability,

* High quality cost containment,

* patient centered ness,

* patient satisfaction, and safety

These are the health care values we can take into consideration.

Quality of life means individuals perceptions of their positions, in life in context of the culture and values system in which the people live in relation to their goals called quality of life.

These goals are all included in the life called life it self.

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