Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Case Study- Marion is a 92-year-old patient who weighs 78 pounds. She has had poor eating habits for at least 20 years and refused all attempts by her two daughters to improve her nutrition. In addition, Marion had been a heavy smoker all her life and suffered frequent respiratory problems. During the past two years she has become quite forgetful, has suffered a broken hip as a result of a fall out of bed, and has been treated for pneumonia. Her daughters, who have their own family responsibilities and cannot bring their mother to live with them, have found an excellent nursing home near them. In spite of Marion's protests, she enters the nursing home. However, she quickly adjusts to her new home and likes the care and the attention that she receives. During her third week in the nursing home, Marion develops a cough, high temperature, and respiratory problems. She is hospitalized with a diagnosis of pneumonia. Marion immediately becomes disoriented and attempts to remove her intravenous and oxygen tubing. Since she tried to climb out of bed, her daughters must remain at her side. The attending physician tells the daughters that in addition to treatment for pneumonia, Marion will also need to have a pacemaker inserted to regulate her heartbeat. Marion would then be unable to return to the nursing home since the facility is not equipped to care for someone recovering from surgery. One of Marion's daughters has been granted a medical power of attorney for her mother. Before Marion became confused, she clearly explained to her daughters her wishes not to receive extraordinary measures to prolong her life. She also signed a living will indicating her wishes. After thoughtful discussion with other family members, Marion's daughters tell the physician that they do not want to put their confused mother through the surgical procedure. They state that they want to spare her the pain of recovery from a surgical procedure since she is quite confused and elderly. Further, they are concerned that their mother will not survive an anesthetic and a surgical procedure in her frail condition. The physician seems to be understanding of this decision. He says that he will place their request in Marion's chart not to have the pacemaker inserted. However, the floor nurses take the daughters aside on several occasions to tell them that this is not a dangerous procedure and that they need to sign a permit for surgery. In fact, the nurses make the daughters feel that they are not acting in their mother's best interests by not signing the surgical permit. Marion returns to the nursing home without a pacemaker. She lives another four years without any cardiac problems. 1. Were the nurses carrying out their responsibility as licensed healthcare professionals or were they overstepping their role? 2. Were Marion's daughters acting in the best interests of their mother since they knew that if she had the surgery she could not return to the nursing home where she was receiving good care? 3. What should happen when a physician agrees with the family members and the nursing staff does not?
Formulate a GP model to determine the number of acres of each crop the farmer should plant to satisfy the goals in the possible way. Solve this model using the computer (Microsoft excel).
The ice giants are
Is it conceivable that he was unaware of the problems of his company"s two major products and merely repeating lies fed to him by other executives of the company?
If investment rises to $450 billion, what will be the new equilibrium real GDP?
Outline the parameters of the potential costs and impacts of medicare defunding and future fund depletion for this entitlement program.
What is Leibniz nature of perception? Please help in detail im completely lost, and confused. Discuss Leibniz’ two proofs of God’s existence in detail for better understanding.
What are some of the key points they advance? Do you find them persuasive.
Discuss some potential operational conflicts that could occur in an international context because of different attitudes toward time, change, material factors, and individualism. Give examples relative to specific countries please.
Describe the different types of data collection strategies that can be used to take data on behavior modification programs. Also discuss inter-observer and procedural reliability.
Researchers in the psychological perspective assume that psychological variables cause people to act as they do. First, identify a psychological variable that can cause a receiver to respond to a message in a particular way.
Formulate a goal programming model that describes the followingmanufacturing situation. Identify your decision variablescompletely and label constraints with a brief word explanation.
you want to be part of the green revolution and are looking to find ways to reduce your energy use. but first you
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd