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Essay / Research Paper Abstract
A 6 page paper evaluating the case of Mr. P, an elderly man on life support whose only known relative is an adult who is not competent to make any decisions about his care. The paper proposes an appropriate solution including alternatives, and includes a discussion of the philosophies of Kant, Mill and Rawls as well as guidelines of the American College of Critical Care Medicine (ACCM) as informing decision-making about how to proceed with Mr. P’s care. Bibliography lists 9 sources.
Page Count:
6 pages (~225 words per page)
File: CC6_KSnursEthDec2.rtf
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Unformatted sample text from the term paper:
P, an elderly man with few relatives, no health insurance and little chance for survival is occupying a bed that could be used for a more profitable patient. Mr.
P is not eligible for Medicare; his only known relative is his mentally retarded daughter who is not capable of making decisions for her father. Mr. P is on
life support and also cannot make current decisions; he has made no prior ones in the form of a living will or other such instrument.
The hospital is faced with continuing the aggressive care that Mr. P has received in the time he has been in the hospitals care, or alternately choosing to
remove life support to leave Mr. P to his own devices for surviving or not. The likelihood is that he will not. Appropriate Solutions
Why a 68-year-old would not be eligible for Medicare is unclear, for it should cover the major costs of hospitalization for anyone over the age of 65.
If Mr. P truly is not eligible for Medicare, then he is certain to be eligible for Medicaid, the federal program designed to "catch" all of those who fall through
the cracks of indigent health care. The hospital quite naturally is concerned about the cost of continuing to provide care for Mr. P, but it can be assured that
there is a federal program available that will cover the major portion - if not all - of the costs of Mr. Ps care.
Costs aside, the hospital also needs to reach a decision about how much additional care it will provide for Mr. P. There comes a point in life support
...