Legal and ethical issues case studies

He developed necrotizing enterocolitis and required surgery to remove part of his intestine. Case History.

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Yet he hung on. Fiona had no health insurance. During the next five months repeated attempts to wean Mrs.

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This case discusses the dilemmas that occur when a patient does not heed the advice of a doctor, and what obligations do the patient and doctor have in maintaining the patient-doctor relationship. Within days of surgery, he had Grade 4 cerebral bleeding. When she started bleeding, she just kept buying napkins to absorb the blood. Case Study - To Tube Feed or Not Jennie is a year-old woman who had suffered from hypertension, diabetes and many strokes. After refusing surgery twice, her doctor tells her that he cannot be her doctor any longer. What should happen to this patient when she is in a state of progressive spastic quadriplegia with irreversibly contracted extremities, but doctors say she could live another thirty years Case Study - The Case of Helga Wanglie On December 14, , Helga Wanglie, 86, fell in her Minneapolis home and broke her hip. After the fracture was successfully set, she was discharged to a nursing home. When the trial court refused the order to withdraw life-support, her father, who was her guardian, appealed. He developed necrotizing enterocolitis and required surgery to remove part of his intestine. Case Study - The Case of Nancy Cruzan A year-old accident victim suffered lack of oxygen to her brain for six to twenty minutes.

By whose definition of best interests? On January 1,she was readmitted due to developing respiratory failure and place on a respirator.

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What should happen to this patient when she is in a state of progressive spastic quadriplegia with irreversibly contracted extremities, but doctors say she could live another thirty years Case Study - The Case of Helga Wanglie On December 14, , Helga Wanglie, 86, fell in her Minneapolis home and broke her hip. Whenever James visited Sammy in the late evening, he was frequently stopped by the hospital security and questioned. When she started bleeding, she just kept buying napkins to absorb the blood. Case Study - The Case of Karen Ann Quinlan Karen Ann Quinlan, a twenty-two-year-old who ingested a harmful mix of drugs and alcohol, suffered two fifteen-minute periods of interrupted breathing which left her in a chronic vegetative state without any cognitive functions. This case raises questions about obstacles to open communication about death and goals of care. Extensive excision of the tumor had been done, and the patient had a newly placed tracheostomy and feeding tube. She earns too little to buy an individual plan and too much to qualify for Medicaid. Yet he hung on. A nurse experiences moral distress with being told to continue monitoring a year-old patient's blood work as long as she remains on blood thinners. His past medical history is established to include chronic obstructive pulmonary disease COPD , chronic foot infections, alcoholism, and tobacco use. He required immediate medical attention and was put on mechanical ventilation in the NICU. Fiona took custody of her two grandchildren and worked as a housekeeper in a private home while the children were in school.

When it becomes very difficult for her to eat, requiring an aide for a couple of hours each meal, her daughter decides that it is appropriate for a feeding tube to be placed as Jennie does not have a fatal illness, just simply requires adequate nutrition. This case raises questions about obstacles to open communication about death and goals of care.

Who is the legal decision maker for Sammy? After refusing surgery twice, her doctor tells her that he cannot be her doctor any longer. Case Study - Unprepared to Talk About Dying Pat is having a difficult time giving consent for the "Do Not Resuscitate" order for her year-old father, because they never had a discussion about dying.

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Children: Legal and Ethical Issues: Case Studies