Question Answered step-by-step please help me with the nurse ethic question The 87 year old… please help me with the nurse ethic question The 87 year old patient has end stage lung cancer and is nearing the terminal phase, though not yet considered “terminally ill” for the purposes of admission to hospice. He tells the nurse that he is tired and does not want any more treatment, but he does want to be “kept comfortable”. He indicates that he is tired of trying to fight the cancer and feels that his present life has no quality. Also, he says, “I have lived a good life and I am ready to go”. His adult children have had a conference with the physician and said they want every done for their father. The physician tends to go along with these adult children. 1. What do I know about this patient situation? -Patient is refusing the treat for cancer and wants to be in comfort care but his children’s wants the treatment and physician is agreeing with the children. 2. What do I know about the patient’s values and moral preferences? -patient have the right to refuse his care and we as 3. What assumptions am I making that need more data to clarify? 4. What are my own feelings and values about this situation and how might they be influencing how I view and respond to this situation? 5. Are my own values in conflict with those of the patient? 6. What else do I need to know about this case and where can I obtain this information? 7. What can I never know about this case? 8. Given my primary obligation to the patient (Provision 2 of the Nurses Code of Ethics), what should I do to be ethical? A 32 year old patient is in persistent vegetative state and has been for some years. The patient’s outdated advanced directive is confusing on the issue of food and fluid, though clear about not wanting to be on a ventilator if she were in a coma. Her husband wants the feeding tube removed, but is unable to say that it would have been the patient’s wishes. He says that it is his decision for her. Her two adult siblings and parents reject this as a possibility because, they say, “human life is sacred” and that their daughter believed this. They say their daughter is alive and should receive nursing care, including feedings. The health care team does not know what to do ethically and fear being sued by either the husband, siblings, or the parents. 1. What do I know about this patient situation? 2. What do I know about the patient’s values and moral preferences? 3. What assumptions am I making that need more data to clarify? 4. What are my own feelings and values about this situation and how might they be influencing how I view and respond to this situation? 5. Are my own values in conflict with those of the patient? 6. What else do I need to know about this case and where can I obtain this information? 7. What can I never know about this case? 8. Given my primary obligation to the patient (Provision 2 of the Nurses Code of Ethics), what should I do to be ethical? This year there is a severe shortage of influenza vaccine. The policy from the Central Health Department is to restrict this vaccine only to pregnant women and people who are 60 years of age or older until such time as additional vaccine might become available. The potential availability of additional vaccine in the coming weeks is uncertain. The nurse himself is worried about exposure to the flu from the clinic population as he is at higher risk of exposure than the general population. Due to the nursing shortage, he is the only “shot nurse” for this extremely busy vaccination clinic. He is 35. He is considering giving himself the vaccine, or asking a colleague to do it. If you were that nurse, how would you reason ethically, about taking the vaccine yourself? 2. What arguments would you make for and against taking the vaccine? 3. What do you believe to be the strongest argument? 4. How might the Code of Ethics assist you in making a decision? Health Science Science Nursing NURSE 3101 Share QuestionEmailCopy link Comments (0)