Question

To remain in their homes, a number of your clients are palliative and on their end-of-life journey. You are a visiting nurse in the community, and your clients include chronically ill people who want to stay in their homes. Sally is an 85-year-old woman with terminal cancer. She has been having trouble keeping her pain controlled and is taking morphine 10mg s/c q4hr with 1mg qh prn for breakthrough pain. She has stated that she is ready to die. She is tired and never quite seems to be comfortable. She knows her life expectancy is short. Your manager gets a phone call from her physician stating that the client has requested a MAiD (Medical Assistance in Death) and the court has granted it. The MAiD will take place on Thursday. Thursday is your day off, but the client has requested you to be with her until the end. Based on your belief system, what is your answer to the client? Explain how you will tell the client your decision and what your process was to make the decision. No answer is wrong, but you do have to explain why you have chosen to accept or deny her request. Explain what your resources will be to make this decision. One page, double-spaced, APA format. One reference is recommended. Please be careful about using your religious/spiritual belief around death as the reason. It must be about the client and not the nurse. 

          To remain in their homes, a number of your clients are palliative and on their end-of-life journey. You are a visiting nurse in the community, and your clients include chronically ill people who want to stay in their homes. Sally is an 85-year-old woman with terminal cancer. She has been having trouble keeping her pain controlled and is taking morphine 10mg s/c q4hr with 1mg qh prn for breakthrough pain. She has stated that she is ready to die. She is tired and never quite seems to be comfortable. She knows her life expectancy is short. 

Your manager gets a phone call from her physician stating that the client has requested a MAiD (Medical Assistance in Death) and the court has granted it. The MAiD will take place on Thursday. Thursday is your day off, but the client has requested you to be with her until the end. Based on your belief system, what is your answer to the client? Explain how you will tell the client your decision and what your process was to make the decision. No answer is wrong, but you do have to explain why you have chosen to accept or deny her request. Explain what your resources will be to make this decision. One page, double-spaced, APA format. One reference is recommended. Please be careful about using your religious/spiritual belief around death as the reason. It must be about the client and not the nurse.
Show more…
to remain in their homes a number of your clients are palliative and on their end of life jourmey u are a visiting nurse in the community your clients include chronically ill people who want 08609

Added by Aaron P.

Close

Instant Answer

verified

Step 1

Sally, an 85-year-old woman with terminal cancer, has expressed her desire for Medical Assistance in Death (MAiD) and has been granted permission by the court. She has specifically requested my presence on the day of the procedure, which happens to be my day  Show more…

Show all steps

lock
AceChat toggle button
Close icon
Ace pointing down

Please give Ace some feedback

Your feedback will help us improve your experience

Thumb up icon Thumb down icon
Thanks for your feedback!
Profile picture
To remain in their homes, a number of your clients are palliative and on their end-of-life journey. You are a visiting nurse in the community, and your clients include chronically ill people who want to stay in their homes. Sally is an 85-year-old woman with terminal cancer. She has been having trouble keeping her pain controlled and is taking morphine 10mg s/c q4hr with 1mg qh prn for breakthrough pain. She has stated that she is ready to die. She is tired and never quite seems to be comfortable. She knows her life expectancy is short. Your manager gets a phone call from her physician stating that the client has requested a MAiD (Medical Assistance in Death) and the court has granted it. The MAiD will take place on Thursday. Thursday is your day off, but the client has requested you to be with her until the end. Based on your belief system, what is your answer to the client? Explain how you will tell the client your decision and what your process was to make the decision. No answer is wrong, but you do have to explain why you have chosen to accept or deny her request. Explain what your resources will be to make this decision. One page, double-spaced, APA format. One reference is recommended. Please be careful about using your religious/spiritual belief around death as the reason. It must be about the client and not the nurse.
Close icon
Play audio
Feedback
Powered by NumerAI
*

Labs

-

Want to see this concept in action?

NEW

Explore this concept interactively to see how it behaves as you change inputs.

View Labs
*

Key Concepts

-
Key Concept
Premium Feature
Explore the core concept behind this problem.
Play button
Key Concept
Premium Feature
Explore the core concept behind this problem.
Your browser does not support the video tag.
*

Recommended Videos

-
you-are-a-hospice-social-worker-employed-by-a-for-profit-hospice-you-have-a-number-of-clients-on-your-caseload-you-have-been-asked-to-get-a-client-to-sign-some-paperwork-for-the-office-when-59783

You are a hospice social worker, employed by a for-profit hospice. You have a number of clients on your caseload. You have been asked to get a client to sign some paperwork for the office. When reading the paperwork, you realize it is financial in scope. It is paperwork that binds the client to pay for the services provided by the hospice regardless of whether or not the Medicaid or Medicare will cover the cost. You remember a staff meeting approximately one month ago, where all staff was told that certain clients did not have the Medicaid information entered correctly and therefore Medicaid did not pay for the services. You present the client with the paperwork and explain the purpose of the paperwork. The client states they do not want to sign the paperwork. They stated that upon acceptance to hospice, they were told their Medicaid or Medicare would pay the bill completely. Your best action at this point is: A. explain to the client that the paperwork must be signed in order for the billing department to have a complete file. B. tell the client to write the word refused across the signature space and you will turn the paperwork back into the office. C. tell the client if they do not sign the paperwork you will have to discontinue seeing them and their case may be closed. D. refuse to present the paperwork to the client and return it to the office unsigned.

Dave K.
1-if-you-had-only-a-1-chance-of-coming-out-of-a-long-term-coma-or-pvs-would-you-want-physicians-to-keep-treating-you-or-would-you-rather-they-let-you-die-why-or-why-not-what-burdens-or-benef-98797

If you had only a 1% chance of coming out of a long-term coma or PVS, would you want physicians to keep treating you or would you rather they let you die? Why or why not? What burdens or benefits would continuing treatment place on your family and loved ones? 2. If families are having difficulty coming to a consensus about the death of a relative in a coma, is it permissible for physicians to resolve the conflict by saying the person has died and then withdraw life support without telling the family? What if the physician does this because he believes he will save the hospital money and help the family move on with their lives? 3. What do you feel is the proper role of state and federal government in cases like Nancy Cruzan and Terri Schiavo? Should it protect vulnerable patients and assume the worst in families, or should it assume the best in families and give them wide latitude to decide? Please cite your sources.

Sri K.
attempted-suicide-and-physician-intervention-bioethics-the-case-is-that-of-a-35-year-old-white-single-female-who-was-found-on-her-bed-stuporous-and-moaning-by-her-father-and-mother-with-whom-46041

Attempted Suicide and Physician Intervention - Bioethics The case is that of a 35-year-old white, single female who was found on her bed stuporous and moaning by her father and mother with whom she lives. There was a note in the room written by her explaining that she had carefully considered her life and what was happening to her, and that she wanted to die. There was evidence in the bathroom that she had most likely taken three bottles of different pills, including barbiturates. The family immediately called the paramedics, and the patient was taken to the nearby hospital emergency room. The physician was presented with the note and the bottles, and since the patient was not fully unconscious, began to insert a nasogastric tube to aspirate the contents of the stomach. As he was attempting to get the tube down, the patient became briefly more responsive and cried out that she didn't want the tube, she didn't want any treatment, and that she wanted to be left alone and allowed to die. She moaned that she had left a note which said she wanted to die and she meant it. The family arrived in the next few minutes and informed the physician that she had not seemed depressed to them and she had never seen a psychiatrist, but the medications were prescribed by her general physician. When told about what she had requested of the physician, the family urged that the doctor continue treatment. What should he do next? The physician realized that if she had consumed the pills in the bottles, she would most likely not survive without medical treatment, and yet it seemed clear that she did not want any treatment. The issue is whether the doctor must follow the request of the patient and stop treatment and allow her to die. Please address the following questions: 1.) Does the principle of patient autonomy apply here? 2.) Can the physician perform a treatment against the consent of the patient? 3.) What is the responsibility of the ER physician in this matter? 4.) Must the physician be required to participate in completing an attempted suicide?

Sri K.
Need help? Use Ace
Ace is your personal tutor. It breaks down any question with clear steps so you can learn.
Start Using Ace
Ace is your personal tutor for learning
Step-by-step explanations
Instant summaries
Summarize YouTube videos
Understand textbook images or PDFs
Study tools like quizzes and flashcards
Listen to your notes as a podcast
Continue solving this problem
Create a free account to:
  • View full step-by-step solution
  • Ask follow-up questions with Ace AI
  • Save progress and study later
Continue Free
Join the community

18,000,000+

Students on Numerade

Trusted by students at 8,000+ universities

Numerade

Get step-by-step video solution
from top educators

Continue with Clever
or



By creating an account, you agree to the Terms of Service and Privacy Policy
Already have an account? Log In

A free answer
just for you

Watch the video solution with this free unlock.

Numerade

Log in to watch this video
...and 100,000,000 more!


EMAIL

PASSWORD

OR
Continue with Clever