Does silverado home display social responsibility

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Reference no: EM133578168

Assignment:

Pearl is now a 79-year-old woman with a remote history of breast cancer. She has been a resident of Silverado Home nursing home for five years. Pearl was on Coumadin for atrial fibrillation when she fell, hitting her head and suffering a large subdural hematoma. Despite surgical evacuation, she became unresponsive. A feeding tube was placed and was operating normally until someone noted that her living will stated "no artificial feedings." Hospice was consulted, and the tube was pulled; however, Pearl's sister Felicia, who was her closest caregiver, wanted it reinserted, stating that Pearl told her in a brief and otherwise unwitnessed moment of lucidity that she wanted to "fight with all my might." Felicia stated she knew her sister's wishes, and that Pearl would want tube feedings in this situation. Pearl had not designated anyone as her power of attorney.

Legally, did Silverado Home act appropriately?
Did Pearl give autonomous consent to have the feeding tube removed in this situation? What would she choose if she could speak herself?
What are the ethical and legal merits behind Felicia's request to override Pearl's advanced directive?
Are there any significant questions as to staff competence in this scenario?
Does Silverado Home display social responsibility in this scenario?

Reference no: EM133578168

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