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Essay / Research Paper Abstract
A 5 page research paper that discusses a case scenario and the ethical issues involved. Due to medical innovation and advancement, more patients are living longer with chronic diseases. But while these innovations can prolong life, death is eventually inevitable for everyone and, therefore, it seems logical that the majority of nurses will be called upon at some point in their roles to provide palliative care. Therefore, this writer/tutor chose to focus this exploration of a nursing ethics situation on a case recounted by LaDuke (2004) that describes her feelings and decision-making process concerning palliative care for a patient whom LaDuke cared for during the 1990s. Bibliography lists 7 sources.
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5 pages (~225 words per page)
File: D0_khethis.rtf
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everyone and, therefore, it seems logical that the majority of nurses will be called upon at some point in their roles to provide palliative care. Therefore, this writer/tutor chose to
focus this exploration of a nursing ethics situation on a case recounted by LaDuke (2004) that describes her feelings and decision-making process concerning palliative care for a patient whom LaDuke
cared for during the 1990s. A nursing ethics situation The patients name was Willie. She was in her eighties and had been suffering from emphysema for many years. Willie
was admitted to the emergency department (ED) with lung failure, which had raised her carbon dioxide level to a point where she was confused and incapable of making her own
medical decisions (LaDuke, 2004). Willie had appointed a health care agent for this contingency, but the hospital could not locate her advance directive, which meant that she was placed on
a ventilator against her wishes. However, after a week, Willies wishes were acknowledged and she was removed from the ventilator and placed on oxygen. While Willie was initially relieved to
be off the ventilator, she was soon plagued by dyspnea, which is a "relentless, suffocating shortness of breath" (LaDuke, 2004, p. 222). The doctor handling this case had anticipated
this development and left orders for both analgesia and sedation, which helped at first, but became less effective as the hours passed. Miller (2003) indicates that the standard treatment for
dyspnea in patient undergoing palliative care is to administer opioids, which indicates that the administration of morphine to Willie at this time fit with standard practice. However, when LaDuke came
on duty, every breath for Willie remained a struggle. "Gasping respiration" in a terminal patient is the respiratory pattern that precedes "terminal apnoea" (Perkins and Resnick, 2002, p. 164). This
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