The patient has a 3-year history of

The patient has a 3-year history of cardiovascular disease. Had a stroke that paralyzed the right side. Patient aspirates all food forms. Mental status is clouded, and can only answer “yes” or “no.” Zero chance of recovery due to cerebral cortex damage. Neurology confirmed recovery to be minimal and permanent, with severe disability. The patient has no advanced directive and never discussed with wife about life-saving measures. Two children, the attending physician, and the team do not want tube feed placement. The wife and two other children want tube placement. The medical team states the patient will not improve and has minimal consciousness. They also state this is a futile situation with no reasonable expectation of recovery. The family requests an ethics consultation. 1. I need the information to “argue for” the feeding tube placement. 2. What would be good about placing the feeding tube for this patient? 3. Would there be benefits for this patient with tube placement? 4. would the ethics consult agree with tube placement? SCIENCE HEALTH SCIENCE NURSING HCMG 730

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