Question

Cars The Pleasant Hill Care Center is located in a Midwestern community that h recently seen an influx of Asian residents. This is because student exchange program established by a local college of a faculty and Mr. Chang has come with his family to the United States from Ching teach at the college. Mr. Chang's mother, 84, accompanied them to the United States because she is a widow and in poor health. In fact, multiole health problems and general physical debilitation soon led to her placement in the Pleasant Hill Care Center. The adjustment to the nursing home has been very difficult for Mrs. Chang, in part because she speaks very little English. Her son and daughter-in-law usually serve as interpreters for communications with the staff, but there are also some Chinese students from the college who visit the nursing home to converse with her. Mrs. Chang becomes increasingly listless, and spends much of her time sleeping. When blood is discovered in her stools, she is sent to the hospital for diagnostic tests. The tests indicate that she has colon cancer, which has rapidly spread to other parts of her body. An oncologist, Dr. Marilyn Scott tells her son that the cancer is "too far gone" for chemotherapy or surgery to be viable treatments. Dr. Scott recommends that measures be taken simply to keep her as comfortable as possible until she dies, most likely in just a months Dr. Scott asks Mr. Chang how his mother should be approached with his bad news. Mr. Chang insists that his mother be told absolutely nothing about her condition. He himself does not plan to tell her anything, on b vintual threatens Dr. Scot not to discuss anything with his mothe another interpreter. s anything with his mother throug

Answer 1

1. Identify and clarify the problem:

Mr Chang's mother whose age is 84 is suffering from colon cancer. Dr Scott after identifying that her mother was suffering from colon cancer conveyed to Mr Chang. On view through the situation Mr Chang asked Dr Scott and his Mr Merrill [physician Assistant] not to convey about her about the disease she is suffering. While Dr Scott and Merrill felt it is unfair if the information is not conveyed.

2. Gather information: Clarify personal values and professional values
   1. Personal Values: Herein Mr Chang doesn’t want to virtually upset nor threaten her mother about the disease she possesses and intimate that she is going to live only for a few months.
   2. Professional values: It is the professional ethics of every doctor that concern person especially the patient had to be conveyed about the disease he/she suffering from and take immediate actions with their permission. Herein Dr Scott and Mr Merrill were not allowed to convey the patient about the disease she is suffering.
   3. Values of others involved: As Mr Chang presumed if the information conveyed, her mother would be either threatened or she would very upset that she is being a burden for his son. At the same time, if the information is not conveyed to the patient by Dr Scott and Mr Merrill, they would regret their action. Furthermore, they may not able to provide standardized medical practice for the treatment to reduce her suffering.
3. Identify Guiding ethical and legal principles
   1. Standards of Practices: It is a set of protocols established by the American Medical Association on how treatment had to carry out with respect to the different type of disease.

In case, if another practitioner handled the situation, he would simply convey the disease to the patient and convince Mr Chand that, it system protocol that every patient have the right to know about the condition and it is the responsibility of the Doctors to convey the same to the patients.

2. Legal Guideline and principles: The legal guideline and principle in healthcare segment can be enumerated as follows:
   1. Justice,
   2. Autonomy,
   3. Non-maleficence, and
   4. Beneficence

Considering about stated principles through which healthcare related laws are amended, it is illegal and unethical if the patient doesn’t know what he is suffering from.

4. Consider alternatives and implications
   1. Argument For: Mr Chang refusal "standard medical practice"

The argument against: Even though the information is not conveyed, If Mr Chang accepted "Standard Medical Practice" he could have at-least reduced her suffering during her end period.

2. Argument For: Dr Scott and Mr Merrill not convincing but listening to Mr Chang.

The argument against: they should have convinced Mr Chang that it is standard protocol that every patient will be informed about the disease they are suffering from, in no way you can stop us from communicating before she leaves the hospital.

5. Choose and implement the best alternative
   1. Resolution: Argument B

2. Rationale: By this action, Mr Chang would change his adamant behaviour and would have convinced, further there is a high possibility of he accepting Standard medical practice and taking more care towards her mother during her end period.

3. Action Plan:
   1. Diagnose disease
   2. Produce report
   3. Exemplify the result of the report to the concerned person
   4. Exemplify the result of the report to the patients
   5. Discuss the standard medical practice for the disease to patient and concern person
   6. Get approval for the treatment from the patents and concern person
   7. Initiate the treatment
   8. Monitor the progress
   9. Convey the progress periodically using the updated report
   10. Discharge