*NURSING > CASE SOLUTIONS > Case Study, ETHICAL Dilemma, Medical Futility, STUDENT Worksheet, Mavis Anderson, 84 years old. Late (All)

Case Study, ETHICAL Dilemma, Medical Futility, STUDENT Worksheet, Mavis Anderson, 84 years old. Latest Grade A Correct Study Guide, Complete Solutions

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This scenario highlights the ethical dilemma of medical futility when Mavis remains in ICU on a ventilator as a result of respiratory failure. She also has dementia and terminal cancer. The family i... s unwilling to consider withdrawing life support and one of the members is openly antagonistic and is not afraid to question and confront nurses about what he thinks is best for his mother. Clinical Dilemma Activity: STUDENT I. Scenario History of Present Problem: Medical Futility Mavis Anderson is a frail, 84-year-old woman who was admitted to your medical unit six days ago after falling at home. She has a large hematoma on her right lateral hip. She is on warfarin daily for chronic atrial fibrillation. She has a history of stage IV breast cancer with metastasis to the liver, dementia, and COPD. Despite having only months to live, she is currently a full code. Mavis does not have a living will, but according to her son, who has the power of attorney (POA), she would want to live and wants everything done to support her. Ten days ago Mavis developed progressive SOB with respiratory failure that required intubation and mechanical ventilation. CXR confirmed bilateral infiltrates consistent with aspiration pneumonia. She continues to require ventilator support with vent settings of AC: 12, TV: 500, PEEP: +5, FiO2: 60%. Bipap weans have lasted only 15 minutes before she becomes tachypneic with RR >30 and O2 sat that drops to <90% [Show More]

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