you completed a discussion concerning an elderly gentleman who did not want a feeding tube. The man in that situation wa...
you completed a discussion concerning an elderly gentleman who did not want a feeding tube. The man in that situation was deemed competent. If he was not deemed competent to make a decision, but his it would have been his wish not to have a feeding tube, what type of advance directive (Pennsylvania State) would be helpful?
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you completed a discussion concerning an elderly gentleman who did not want a feeding tube. The man in that situation wa...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a st...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity only "yes" and "no," and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are equally...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are...
Justin – A Case Study Justin is a 65-year-old single gentleman who suffered a traumatic brain...
Justin – A Case Study Justin is a 65-year-old single gentleman who suffered a traumatic brain injury when he fell from a ladder while painting his house. He was found by his neighbors who broke into the house after noticing that his mail had been piling up for several days. He has been in the hospital ICU for three weeks and has remained unresponsive. Justin is somewhat of a recluse. His neighbors know little about him except that he retired...
Ian is a 29-year-old male who sustained a major head injury in a car accident 7...
Ian is a 29-year-old male who sustained a major head injury in a car accident 7 years ago. He is in a long-term care facility. Ian cannot communicate in any way, requires total care, and is incontinent of urine and stool. He is likely in a persistent vegetative state, and his prognosis is thought by the team to be hopeless, He has a gastronomy tube and receives regular feedings.Ian’s parents believe that their son would not wish to be maintained...
Ian is a 29-year-old male who sustained a major head injury in a car accident 7...
Ian is a 29-year-old male who sustained a major head injury in a car accident 7 years ago. He is in a long-term care facility. Ian cannot communicate in any way, requires total care, and is incontinent of urine and stool. He is likely in a persistent vegetative state, and his prognosis is thought by the team to be hopeless, He has a gastronomy tube and receives regular feedings.Ian’s parents believe that their son would not wish to be maintained...
The patient is an 88-year-old man with an extensive cardiac history who has been a resident of a skilled nursing facilit...
The patient is an 88-year-old man with an extensive cardiac history who has been a resident of a skilled nursing facility for the past 3 years. Comorbid conditions include type 2 diabetes (15 years) and severe peripheral vascular disease. For 6 months the patient has suffered from a serious left leg wound that has not responded to treatment and that has become much worse over the past 2 months. At this point, the leg is gangrenous to above the ankle,...
Question 1 A 64-year-old woman with MS is hospitalized. The team feels she may need to...
Question 1 A 64-year-old woman with MS is hospitalized. The team feels she may need to be placed on a feeding tube soon to assure adequate nourishment. They ask the patient about this in the morning and she agrees. However, in the evening (before the tube has been placed), the patient becomes disoriented and seems confused about her decision to have the feeding tube placed. She tells the team she doesn't want it in. They revisit the question in the...
1.In the practice of nursing, there will be many times when you don't want to take...
1.In the practice of nursing, there will be many times when you don't want to take care of a patient for many different reasons. What about the man brought into the ED from the local halfway house who is there because he's a sexual predator just out of prison and was convicted after raping a child? Or a convicted murderer? Or a homeless person who stinks and is combative towards the nursing staff? A man who beats his wife? The...
1. Ruth has full decision-making capability. She has just had extensive diagnostic tests. Her physician advises...
1. Ruth has full decision-making capability. She has just had extensive diagnostic tests. Her physician advises that she has a serious form of cancer, but that certain treatments may well extend her life to 12 or more years. Without any treatment, he estimates that Ruth will live from 2 to 2-1/2 years. The doctor explains the side effects and alternative therapies. Ruth talks with her husband and children. She tells the doctor that she will not undergo the treatment on...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity only "yes" and "no," and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are equally...
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