A.J., an 82-year-old female, was admitted three weeks ago with acute on chronic congestive heart failure (CHF) after presenting to the emergency department (ED) with c/o progressive worsening SOB, leg edema, and fatigue. She has a history of severe CHF, atrial fibrillation, myocardial infarction (MI), renal insufficiency, and hypothyroidism. Since admission, A.J. has needed intubation and ventilation for acute decompensated heart failure due to a massive MI. She is alert when not sedated but has been too unstable for a cardiac catheterization and has needed vasoactive medications to support her blood pressure. Her renal function has declined and plans are being made for hemodialysis. Today when speaking with A.J.'s husband, he conveys to you her nurse that "she would not have wanted all of this." "
Discuss the pros and cons of continued therapy and what role nursing can play in helping the patient and family.
This case deals with one of the most important aspects to nursing. End-of-life care encompasses a broad and sensitive aspect of the nursing practice in which the nurse must deal with death and the dying process. Generally the family will be emotional throughout this transition and great care must be taken to comfort them in the grieving process. However, great care must also be taken to be truthful and honest...
Medication Error Medical errors cost lives, and they cost health care organizations valuable resources. Nurses are often confused about their ethical as well as legal obligations, especially with a complex, constantly changing, global healthcare marketplace. Few medical errors are completely straightforward. Most incidents involve multiple actors and numerous stakeholders. Nurses are being increasingly challenged to combine deontological with utilitarian ethical viewpoints, an endeavor that is as challenging as the work of
Women's Health -- Focused on prevention and care for breast health, mammography, etc. Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver transplant centers serving the entire Pacific Northwest. The Organ Transplant Program at Swedish is at the forefront of new advances in transplantation surgery, including pancreas transplants and transplants between unrelated living organ donors and recipients (Swedish Medical Center, 2011). Service design, operational
Hisory of Palliatve Care Palliative Care Palliative Care Methods Palliative care entails assisting patients get through pain caused by different diseases. The patient may be ailing from any diseases, be it curable or untreatable. Even patient who are sick and almost passing away will need this care. Palliative care has characteristics that differentiate it to hospice care. The key role for palliative care is to help in improving the existence of someone and
No body of evidence has developed to support these concerns, influential though they have been. It is helpful to recognize that they are not new issues, but have frequently been identified and applied to many groups and individuals. Such concerns have often been associated with traditions of 'protecting' (vulnerable) service users, issues of 'gate keeping' by service providers and paternalistic health and welfare cultures (Brownell, 2006). This is in sharp
Palliative Care Queensland is basically an independent not for profit body that represents the palliative care providers, consumers and their families. This organization is concerned with people who have an interest in palliative care in Queensland (The State of Queensland, 2013). This organization works in favor of the people who want to provide ideal quality care at the end of life for all the residents of Queensland. Since this company
Will's desire to withdrawal all life support and refuse his treatment is supported by legal precedent, even though it is likely that his refusal of treatment will result in his death. Conversely, Will does not have the legal right to demand treatment or intervention which would hasten his death. Therefore, were Will placed on life support, and it was known that his desire was not to have such support given to him, then this could
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now