Personal Career Orientation
02.22.16
Article Summary
A male was admitted into the ICU with the understanding that his three children want everything done for him possible. The only thing is that the patient has stage IV colorectal cancer with other symptoms such as dehydration, and acute renal failure. The patient has been receiving chemotherapy to treat his cancer and according to this doctor his symptoms are worsening with nausea, vomiting, and anorexia in the past 36 hours. His condition continues to decrease when he is not lethargic and requiring blood transfusions regularly. The nurse working in the ICU suggest palliative care for the patient based upon the patients condition that is only getting worse. The family …show more content…
The staff is starting to get more resentful as the patient is in a bad condition and the wife refuses to allow him to go on hospice. The patient goes into cardiac arrest and advanced cardiac life support is preformed four times and he doesn't respond well. The doctor recommends to stop efforts after asking the wife for permission. Within the next day the wife feels that she honored his wishes as best as she could. The nursing staff discuss the effects leading to the death of the patient and feel plenty of anger towards the wife for allowing the patient to live for so long under the circumstances. A meeting is put in place to give the staff time to talk with the chaplin about understanding the wife's choice. Once this occurs the nursing staff has a better understanding of the situation and request for more education on coping with end of life …show more content…
When thinking of ethics it's good to know what's neutral such as ventilation, CPR, defibrillation, and prolonged artificial nutrition. These things aren't looked at either way but as what's best for the individual patient. When these options are not providing positive outcomes for the patient it's a good time to look at what is best for the patient and talk with the family about what can be the best outcome for the patient. Even when trying to save the patients doctors take the hippocratic oath to do no harm meaning that they will do what they can to save the patient. These professionals do what they can to prolong life and maintain as much homeostasis as possible even if it means this may cause problems later on. The do no harm oath is hard to define because some life saving measures such as CPR can cause other problems once it's done such as broken ribs. If the doctor feels that they are violating this or their beliefs the nurse can ask another professional to perform the task. It's the role of the professional to allow someone to perform something they don't want to