DESCRIBE WHERE A CONFLICT BETWEEN THESE PRINCIPLES MAY ARISE BY CONSIDERING THE DIFFERENT VALUES OF EACH OF THE STAKEHOLDERS IN THE SCENARIO.
In your future role as a health care professional you will be faced with complex and challenging situations. There will at times be a legal solution that can be applied to the situation. It is important that you are aware of what this might be so that you can confidently practice within these legal boundaries. Almost always there will be differing ethical positions that need to be considered. The purpose of this case study is to enable you to practice identifying a legal issue and possible outcomes, and consider why an ethical conflict arises.
The case study will assess all of the learning outcomes in 2805NRS. Instructions:
You are required to write an essay. In your essay you must identify and discuss the legal and ethical issues presented in the case study that follows. In your discussion you must address the questions posed at the end of the case study.
You are expected to submit your essay with appropriate grammar, spelling, sentences, paragraphs and references. It should be structured using the following ‘APA Level 2’ headings:
Formatting the Case Study: Please refer to the Health Group Writing & Referencing Guide that describes how your case study is to be formatted.
Submitting the Case Study: You must submit your case study via Turnitin by 5pm on Monday 24th April. It must include an assignment cover sheet.
Case Study Scenario
Edward is a 37 year-old-man and aspiring musician. He has been married to Genevieve for 8 years, and together they have two young children. Edward and Genevieve live three doors down from Edward’s mother, Una. This turned out to be quite a convenient arrangement because, after Edward’s father passed away, Una would regularly spend time at Edward and Genevieve’s house minding the children.
Edward was diagnosed with Type 1 diabetes when he was 14, and since that time he has managed to maintain relatively stable blood glucose levels with a combination of diet, regular insulin and routine blood glucose monitoring.
Edward had recently been unwell, complaining to Genevieve of a sore throat and fever. He was treating this symptomatically with regular paracetamol and warm honey and lemon drinks. This was a pretty unfortunate time for Edward to be unwell because he had recently been offered some work out of town that he hoped would kick start his musical career. Genevieve thought it best if Edward went to see a doctor before he set off for these performances. However, Edward was never keen on visiting the doctor and refused to go. Instead, he reassured her that it was just a viral infection, and that in a few days things would start to improve.
While Edward was out of town, his viral infection began to be get worse. He developed muscle aches, and the pain in his throat meant that he could not eat or drink – let alone perform on stage. When he did not turn up at the agreed time for his first performance, the venue manager tried to contact Edward by phone. Receiving no response, he went to the hotel where Edward was staying, discovering him unconscious in the bathroom. The ambulance was immediately called, and upon arrival the paramedics assessed Edward as being in a diabetic coma. Despite instigating the appropriate life-preserving treatment, Edward suffered a cardiopulmonary arrest en route to
hospital. Resuscitation was commenced and after several minutes, Edward’s spontaneous circulation returned. On arrival at the hospital, Edward was intubated and ventilated. After a short stay in the emergency department, Edward was transferred to the intensive care unit.
Unfortunately, after several days of treatment it became apparent that Edward had suffered a serious hypoxic brain injury. Subsequently, although he was successfully weaned from the artificial ventilation and able to breathe spontaneously, he needed to be fed through a percutaneous endoscopic gastrostomy (PEG) tube. He had an indwelling urinary catheter, and continued to receive regular subcutaneous insulin. Edward no longer moved spontaneously, although Una believed that he did make eye contact with her and blink appropriately in response to her questions.
Understandably, this was a devastating turn of events for Genevieve, both children and Una. Although they initially tried to remain optimistic about Edward’s potential for full recovery, as weeks turned into months, is became increasingly apparent that this would not happen. The healthcare team, caring for Edward formed the opinion that Edward was in a minimally conscious state. They believed that because of the extensive hypoxic brain injury Edward has no awareness of his surroundings, and no possibility of recovery.
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