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: You work as a RPN at a major metropolitan hospital on a medical unit. Mr. Johnson has end stage Alzheimer’s Disease. He has had

2 min read
Posted on 
July 20th, 2022
Home : You work as a RPN at a major metropolitan hospital on a medical unit. Mr. Johnson has end stage Alzheimer's Disease. He has had

: You work as a RPN at a major metropolitan hospital on a medical unit. Mr. Johnson has end stage Alzheimer’s Disease. He has had a stroke and is hospitalized on your unit. He can no longer swallow. Prior to the stroke Mr. Johnson did have some brief moments where he was lucid and able to converse. After his stroke he deteriorated very quickly and no longer has any moments where he is lucid or has the capacity to make any decision. His physical health has deteriorated and the health care team estimates that with a feeding tube, he may live another 2 to 6 months. In the past month, Mr. Johnson has pulled out his feeding tube twice. Now he needs to have his arms restrained to stop him pulling out the tube. The health care team wants to stop all feeding and intravenous therapy and let him die. His wife insists that he have a feeding tube. She says that if he does not have the feeding tube, she will be responsible for ending his life. She adds that if the team does not re-insert the tube when he pulls it out they will be responsible for his death. Mrs. Johnson says her husband does not know what he is doing and the tube must remain. You are in a team meeting to discuss what to do next and your manager says to you. “You took a class that discussed ethics. What do you think is the right thing to do in this case? Asses the situation: 1. Introduction of the case scenario. 2. Identify the problem. What is the Ethical Dilemma on this scenario? 3. Identify the Ethical Principle. 4. Who are involved. Who is responsible to make the decision? Who is affected by the decision?

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