11:11Back CASE #3DISCUSSI...Case #1Patient is an 89 year old male admitted withHyperkalemia, ESRD, HTN, and Bladder Cancer.Patient's past medical history includes recurrentbladder carcinoma, CVA, hernia repair andhemodyalisis. Patient was admitted due to weaknessand 2 weeks of diarrhea for which he had refused tobe dialyzed for 7 days.Patient lives s at home with wife and daughter whoare both his healthcare surrogates. Based onpatient's poor prognosis, oncologist hadrecommended on previous admissions that patientbe made Hospice Care with comfort measures.Case #1 Cont.Daughter and wife have refused Hospice care andwant patient to be dialyzed and continueaggressive treatment to include fullresuscitation if cardiopulmonary arrest.Daughter and wife have requested allphysicians to refrain from speaking to patientabout his prognosis.At t this time all physicians have followeddaughter and wife's request not let patient knowthat his cancer has returned, except for the"new" attending physician.Is there an Ethical dilemma?Autonomy?Nonmaleficence?Beneficence?Justice?• Fidelity?Confidentiality?• Veracity?Accountability?What would you do?• Tell "new" physician to get on board withthe rest of the healthcare providers infollowing the wife and daughter's request...• Tell the patient that his wife and daughterare keeping information from him.... Do nothing...• Call for an ethics consult?.Justice is fairness. Elements of fairnessin all medical and nursing decisions.

There are certain ethics that need to be followed by healthcare professionals. Ethical principles…

Answered: Case #1 Patient is an 89 year old male…

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