at the hospital and wittnessed him enter the Two days later Mr R's brother dropped him off at the Hospital's entrance and witnessed him enter the administration area. Mr R stayed in the Summit Apartments, a nearby hotel, instead of the Hospital. 10:20 am. Mr R texted his brother at 11h30. This text implied: believed he was imporperly reintroduced to TRD's medicine. His Pain worried Mr R.Mr Rhelieved he was improperty reintroduced to TRD's medicine supervision and pain management; The treatment team didn't believe or listen to him; He may not have had the operation if he had been warned of such anguish. Medical advice and therapy could have saved him. saw MrR fall aff balcony at 11:30am (8th Floor) fall off his halcony at 11:00 am (9th floor) An eyewitness What are the ethical and legal issues? explain competing claims or interests and analyse ethical tensions using ethical principles
at the hospital and wittnessed him enter the Two days later Mr R's brother dropped him off at the Hospital's entrance and witnessed him enter the administration area. Mr R stayed in the Summit Apartments, a nearby hotel, instead of the Hospital. 10:20 am. Mr R texted his brother at 11h30. This text implied: believed he was imporperly reintroduced to TRD's medicine. His Pain worried Mr R.Mr Rhelieved he was improperty reintroduced to TRD's medicine supervision and pain management; The treatment team didn't believe or listen to him; He may not have had the operation if he had been warned of such anguish. Medical advice and therapy could have saved him. saw MrR fall aff balcony at 11:30am (8th Floor) fall off his halcony at 11:00 am (9th floor) An eyewitness What are the ethical and legal issues? explain competing claims or interests and analyse ethical tensions using ethical principles
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
Transcribed Image Text:Mr R had a better day on Tuesday, but his pain persisted. No agitation or suicidal ideas. Mr R obsessively
adjusted his postoperative gadget. Rita noticed mood improvement despite some issues:
location.
mood swings & uncertainity about his discharge
agitation mood swings and uncertainty about his discharge location the prefers living in Sydney without
his brother).
Rita examined Mr R eight days after surgery and found his mood improved and no suicidal ideation,
indicating mood stability. Two days earlier his mood deteriorated briefly. This did not cause suicidal
thoughts. Rita addressed Mr R's discharge plan with his brother, who said it was too soon to release him
from the hospital despite Mr R's good attitude. Rita reported to Prof. S. Mr R was released that day.
at the hospital and wittnessed him enter the
Two days later Mr R's brother dropped him off at the Hospital's entrance and witnessed him enter the
administration area. Mr R stayed in the Summit Apartments, a nearby hotel, instead of the Hospital. 10:20
am. Mr R texted his brother at 11h30. This text implied:
believed he was imporperly reintroduced to TRO's medicine.
His Pain worried Mr R. Mr Relieved he was improperly reintroduced to TRD's medicine supervision
and pain management; The treatment team didn't believe or listen to him; He may not have had the
operation if he had been warned of such anguish. Medical advice and therapy could have saved him.
saw MIR fall aff balcony at 11:30am (8th floor)
MrR
An eyewitness fall off his halcony at 11:00 am (9th floor)
What are the ethical and legal issues? explain competing claims or interests and analyse ethical tensions
using ethical principles
![Rita, a psychiatric nurse, treats Treatment-Resistant Depression with a multidisciplinary team (TRD). Rita
dismisses patients. Her team leader, Prof S, uses her reports to discharge patients. Mr R jumped from the
8th floor of a nearby hotel after being discharged.
Mr R's family has expressed concerns regarding his Coroners Court treatment. Included:
Appropriateness of the treating nursing team's qualifications, assessments, and role in Mr R's hospital
release;
A lack of an effective permission process for the installation of a Deep Brain Stimulator] (DBS) and a
failure to inform Mr R that suicide and irreversible mood/personality alterations were dangers of DBS
surgery;
Clinicians not communicating with Mr R's family; DBS complications; Hospitalization for physical and
mental issues; His medical advice and treatment could have saved him.
Case MrR-21 was diagnosed with depression at 15. MrR Self-reported over 30 ineffective / Poorly
MER self reported over 20 ineffective and/or noodly
tolerated drug attempts and an ineffective course of electroconvulsive therapy when Rita met him. He tried
experimental treatments after these failed. Rita offered to Mr R that enrol in a new experimental TDR DBS
trial during their first encounter. She co-researches this experiment with Prof. S.
Mr R sought Prof S to engage in the experimental DBS trial to target his TRD one week after Rita's first
encounter with him. Mr R's brother attended the consultation. Prof S informed Mr R that DBS may treat
TDR symptoms experimentally. Prof S told Mr R that a DBS operation could cause death, permanent
disability, brain or IPG infection. seizure disorder, and irreversible mood/personality abnormalities. Mr R
was informed DBS therapy may not relieve his symptoms. Mr K's brother now denies that he was warned
of irreparable mood and personality changes.
The informed consent Mr R signed stated: "The doctor may [...] withdraw you from the trial at any
moment it he/she thinks this to be in your best interest. Une month later, Mr K's surgery went smoothly
and his wounds healed. Mr R implanted bilateral subcallosal cingulate cortex stimulators.
On Thursday, one day after surgery. Mr R complained to Rita of headaches and said. "I feel like I am who
I am today, but it's not me that went into the surgery. Mr K had suicidal thoughts and felt self-estranged.
He said his only reason for not acting was wanting to make it permanent. Rita listed several causes of
concern in her records:
Brain surgery caused Mr R great agony. His DBS device, which just restarted, wasn't working well.
Rita thought Mr R was dysphoric/depressed and hypomanic. She thought DBS stimulation caused
hypomania
Mr R complained of a "twisting" head discomfort to Rita on Monday. Mr R attributed the pain to
stimulation and morning drugs. Over the weekend, he informed Rita he felt self-estranged, irritated, and
suicidal. Rita reported that Mr R's discomfort caused suicidal thoughts.
The next morning, Prof S upped Mr R's DBS voltages. Rita stated Mr R was "extremely dissatisfied and
irritated" that afternoon. He regretted his voltages weren't "tweaked earlier". Rita stated he may not
improve every day. Mr R wanted further TDR improvement after implantation. DBS or stress? unsure.
weekends. "I don't recognise my brother since the surgery " Rita's brother said in a work voicemail. He's
impulsive and constantly changing his opinion".
The treating team recommended device removal due to severe side effects, believing that additional
therany would not be beneficial Mr R resisted device removal despite the trial's ineffectiveness and severe
suicidality.](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F096ea707-c3d0-4abf-a4d3-15a8e3f87eff%2F7e69ffda-c555-4af1-8ce3-d2f08c4fac6b%2Faqbx7eg_processed.jpeg&w=3840&q=75)
Transcribed Image Text:Rita, a psychiatric nurse, treats Treatment-Resistant Depression with a multidisciplinary team (TRD). Rita
dismisses patients. Her team leader, Prof S, uses her reports to discharge patients. Mr R jumped from the
8th floor of a nearby hotel after being discharged.
Mr R's family has expressed concerns regarding his Coroners Court treatment. Included:
Appropriateness of the treating nursing team's qualifications, assessments, and role in Mr R's hospital
release;
A lack of an effective permission process for the installation of a Deep Brain Stimulator] (DBS) and a
failure to inform Mr R that suicide and irreversible mood/personality alterations were dangers of DBS
surgery;
Clinicians not communicating with Mr R's family; DBS complications; Hospitalization for physical and
mental issues; His medical advice and treatment could have saved him.
Case MrR-21 was diagnosed with depression at 15. MrR Self-reported over 30 ineffective / Poorly
MER self reported over 20 ineffective and/or noodly
tolerated drug attempts and an ineffective course of electroconvulsive therapy when Rita met him. He tried
experimental treatments after these failed. Rita offered to Mr R that enrol in a new experimental TDR DBS
trial during their first encounter. She co-researches this experiment with Prof. S.
Mr R sought Prof S to engage in the experimental DBS trial to target his TRD one week after Rita's first
encounter with him. Mr R's brother attended the consultation. Prof S informed Mr R that DBS may treat
TDR symptoms experimentally. Prof S told Mr R that a DBS operation could cause death, permanent
disability, brain or IPG infection. seizure disorder, and irreversible mood/personality abnormalities. Mr R
was informed DBS therapy may not relieve his symptoms. Mr K's brother now denies that he was warned
of irreparable mood and personality changes.
The informed consent Mr R signed stated: "The doctor may [...] withdraw you from the trial at any
moment it he/she thinks this to be in your best interest. Une month later, Mr K's surgery went smoothly
and his wounds healed. Mr R implanted bilateral subcallosal cingulate cortex stimulators.
On Thursday, one day after surgery. Mr R complained to Rita of headaches and said. "I feel like I am who
I am today, but it's not me that went into the surgery. Mr K had suicidal thoughts and felt self-estranged.
He said his only reason for not acting was wanting to make it permanent. Rita listed several causes of
concern in her records:
Brain surgery caused Mr R great agony. His DBS device, which just restarted, wasn't working well.
Rita thought Mr R was dysphoric/depressed and hypomanic. She thought DBS stimulation caused
hypomania
Mr R complained of a "twisting" head discomfort to Rita on Monday. Mr R attributed the pain to
stimulation and morning drugs. Over the weekend, he informed Rita he felt self-estranged, irritated, and
suicidal. Rita reported that Mr R's discomfort caused suicidal thoughts.
The next morning, Prof S upped Mr R's DBS voltages. Rita stated Mr R was "extremely dissatisfied and
irritated" that afternoon. He regretted his voltages weren't "tweaked earlier". Rita stated he may not
improve every day. Mr R wanted further TDR improvement after implantation. DBS or stress? unsure.
weekends. "I don't recognise my brother since the surgery " Rita's brother said in a work voicemail. He's
impulsive and constantly changing his opinion".
The treating team recommended device removal due to severe side effects, believing that additional
therany would not be beneficial Mr R resisted device removal despite the trial's ineffectiveness and severe
suicidality.
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
Step by step
Solved in 3 steps
Recommended textbooks for you
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning