Suffered massive stroke

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Maria is a registered nurse who recently lost her husband after he suffered a massive stroke. One of her patients is a 42-year-old male with a left hemisphere cerebrovascular accident (CVA). She notes on his history that he is married with three young children. Currently, his only form of communication is by slowly writing with his left, non-dominant hand. He has requested a do not resuscitate (DNR) order and asked that his feeding tube be removed. Maria finds the patient alert and oriented to time, place, and person. After spending time with the patient during rehabilitation therapy, she also determines that he is competent to make health care decisions. During their interaction, the patient asks that his wife not be informed of his wishes concerning the feeding tube and the DNR status. Maria has trouble acknowledging the patient's wishes because they go against her value of human life and belief in the patient's ability to recover with compensation for deficits.

1. Describe how Maria's values and recent personal experience influence her care of this patient.

2. Identify how the principles of 1. autonomy, 2. beneficence, 3. non-maleficence, 4. fidelity, 5. justice, and 6. veracity each individually apply to this case. Please number each principle as you identify how they apply to the case.

3. How would you handle this scenario in your own nursing practice?

Reference no: EM134034065

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