The topic about Medical Assistance in Dying
The topic about Medical Assistance in Dying (MAiD) You are a nurse. You meet Ms. K, an 80 year old woman with newly diagnosed locally advanced pancreatic cancer after a 3 month history of progressive abdominal pain. She is in the surgical oncology clinic to discuss if the mass is resectable. After reviewing the imaging, your attending a doctor feels it would be too risky to proceed with surgery. The doctor explains to the patient that the cancer is not curable and a referral will be made to medical and radiation oncology to discuss treatment options to slow down progression and control symptoms. After your attending doctor leaves the room, Ms. K says to you: “What’s the point if it can’t be cured? Why prolong things? I’d rather just die sooner. Can’t patients request assisted suicide now?” After exploring further you find out that Ms. K does not have a family doctor and when she was experiencing abdominal pain she went to multiple walk-in clinics and no one would prescribe her anything stronger than a Tylenol #3. She got the sense that the physicians felt she was drug seeking. Now she is taking 10 tablets of Tylenol #3 a day with only moderate pain relief and is severely constipated. Her last bowel movement was 11 days ago. You also discover that she has no family in town and her close friends have all died. She is on a fixed income, but has been so unwell she has been taking taxis to the hospital which has been financially burdensome. She has an older sister in Toronto, but she is quite frail as well and cannot travel to see Ms. K. The things she enjoyed, such as cooking and walking her dog, have become increasingly difficult due to her pain and progressive fatigue. 1. What the nurse should do, and reason? (10 list) 2. What the nurse should not do, and reason? (10 list) 3. Reference the information SCIENCE HEALTH SCIENCE NURSING NURSING N3160
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