Mrs. Nguyen is an 80 year old female who was brought to the emergency department by ambulance after suffering a myocardial infraction in the community. Mrs. Nguyen was resuscitated in the field by the paramedics. She has advanced dementia and has been deemed not capable of making her own treatment decisions by her physician.
Mrs. Nguyen has three children two sons and a daughter who are joint substitute decision-makers. When the two sons arrive at the hospital they advise the healthcare team that Mrs. Nguyen has an advance care directive for do not resuscitate DNR and no life sustaining treatment.
As Mrs. Nguyen’s condition continues to deteriorate the two sons decide that she should be made palliative and comfort care only. The healthcare team is in agreement with this plan of care. However, the daughter demands that Mrs. Nguyen should be admitted to the intensive care unit and that that all life-sustaining treatments and every effort should be used to keep her alive.
This is an academic paper that should be written in essay format. Your paper needs to have an introduction, discussion, and conclusion section in a professionally composed paper of your creation. The use of subheadings is acceptable. Proper citations (APA) need to be throughout the paper and match the reference list as per APA and academic integrity guidelines. Please see the Rubric and required elements attached after the case studies in this document.
1. What is the main ethical issue that is presented in the scenario? Is it a dilemma and why?
2. What are the two ethical principles that might be involved and why? What ethical theory best applies to the situation and why?
3. Explain which two CNO values (s) and commitments is/are involved in this case study and why? (Refer to CNO standards and guidelines documents)
4. Explain which two CNA value(s) is/are involved in this case study and why?
5. Is there any legislation (law) that exists related to the chosen scenario that can aid in the decision-making regarding this case? If so, outline the legislation and how it is applied. The law may have limitations or exemptions to discuss. You will need to research this element independently.
6. Using either the Nursing Process as a framework (as outlined in the CNO Ethics Practice Standard) or the Decision-Making Process (listed on p. 93, Potter, Perry (2017) Box 7-4 examine the ethical situation described. Other relevant steps identified in the literature may supplement your analysis of the ethical issue.
7. Decide on the best course of action based on your analysis and research and describe it. How would you carry out the implementation of the plan? How would the success of the plan be evaluated?
8. Provide an individual reflective summary (LEARN), including how you felt throughout the process. Was your value system questioned or tested as you worked through the process? Did you feel comfortable with the proposed solution to the case study? How would you approach this situation in the future, identify two evidence-based strategies. (When answering this question ONLY, you may do so using the first-person ex. I felt…).
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