Assessment : Case Study Assignment Instructions: Read

Assessment : Case Study Assignment Instructions: Read the case study carefully and answer the questions outlined below. Use 12 font and double space your answers. Download this template and type your answers – easier for marker to read and is an expectation of the Australian Nursing and Midwifery Board that all nursing students are technologically prepared. Reference all information cited in your answers where applicable. Stay within the word limit and use APA for references. Provide a reference list at end of answered questions (is not included in word count) Case Study Scenario Mrs Elle is 80 years of age and is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort only measures in palliative care. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The palliative care nurse, not realising that the weekly order for full blood picture (FBC) and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The palliative care nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. Answer the following questions within the word limit prescribed. 1. What ethical dilemma exists? What common ethical principles have been breached for this patient? 2. Who are the stakeholders and what gains or losses do each have? 3. What strategies should the palliative nurse take to resolve the ethical dilemma? 4. References

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