To discuss:
How and why would the nurse respond to this situation.
Case summary:
Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Explanation of Solution
As a student nurse, she responds to the situations like talking with the social worker that the patient is already stated that she do not want life support when she is in comatose in her advance directive. The student nurse asks the social worker that why the patient directive was not followed and she personally believes that the patient’s directive should be followed.
To discuss:
The factors that affect the student nurse’s response and explain the factors with possible effect.
Case summary:
Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Explanation of Solution
The student nurse asks the social worker, why the patient’s directive is not implied when it is stated in the patient’s advanced directive. The social worker explains that the directive may imply ethical issues regarding the removal of life-support from the patient, when one neurosurgeon implies an improvement of the patient in comatose.
To discuss:
Whether the criteria of the student nurse is used to evaluate successful outcome.
Case summary:
Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Explanation of Solution
The successful outcome of withdrawal of life support by the student nurse is a critical to assess, as there are ethical issues regarding the comatose patient. Though her directive may reveal that life support should be withdrawn, but the statement of the neurosurgeon on improvement in the patient gives a little hope of recovery.
To discuss:
The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like Ms. A.
Case summary:
Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Explanation of Solution
- The advance directive should have more explanation for the comatose patient.
- The ethical and legal issues should be based on the logical explanations.
- The attorney must have the right to implement further treatment if there are any chances of improvement in the patient.
To discuss:
If the professional integrity is affirmed.
Case summary:
Ms. A is a 49-year-old female patient who is an attorney and recently suffered from a major cerebral hemorrhage. As a lawyer, she had an advanced directive prepared that states that she should not give life-support when she is in comatose. According to the physicians and nurses, there is no sign of improvement in the patient. On the contrary, one neurosurgeon suggests that there are some signs of improvement in the patient. The patient’s family arrives and has a two-point of discussion.

Explanation of Solution
The professional integrity of the student nurse is of course affirmed, as the student nurse did not take any actions regarding to the will of the patient or go against the neurosurgeon’s decision. The student nurse is getting more learned by expressing her suggestion to the social worker.
Want to see more full solutions like this?
- The importance of making a weekly clean list for kitchen staff in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forwardThe importance of keeping a clean food pantry in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forwardI’m finding it a bit difficult to understand the Arrhenius equation and how shelf life relates to pH and temperature. Also in the question that says ‘this solution maintains 80% potency at 30C’, am I correct in thinking the formula would be:t = ln(0.8)/ -karrow_forward
- 4.24 mmmarrow_forwardResearch videos and websites about mission and vision statements in health care organizations. What did you find most interesting? What did you find to be the most positive-sounding parts of the statements? Were there any mission and vision statements that seemed disconnected from each other or out of alignment with the goals of the organization? If so, how might you change them?arrow_forwardThe Importance of Reviewing Department Budget in a nursing home kitchen and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forward
- The Importance of Modify a Standard Food Menu in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanationarrow_forwardThe Importance of QAPI in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forwardProvide a sample scenario of Schizophrenia using a new graduate female engineer patient 1. Title of Simulation Scenario:- Provide a concise title that reflects the focus of the scenario (e.g., "Managing Acute Anxiety in a Young Adult Patient").2. Scenario Overview:- Disorder Focus: Specify the mental health disorder or addictionbeing addressed (e.g., Generalized Anxiety Disorder). - Patient Description: - Age: - Gender: - Background: Briefly describe the patient’s background (e.g., The patient is a 25-year-old female experiencing symptoms of anxiety after starting a new job"). - Current Situation: Detail the patient's current condition and why they are seeking help (e.g., "The patient presents to the ER with chest pain, which has been determined to be a panic attack").- Learning Objectives: - Objective 1: e.g., Demonstrate effective communication techniques for calming an anxious patient. - Objective 2: e.g., Assess and document the patient’s…arrow_forward
- Provide a sample feedback on a nursing student who presented her findings after she interviewed a indigenous coordinator regarding interprofessional collaboration. And include a potential question to ask related to the interviewarrow_forward4. Refer to the oral handover. Explain the care the support worker is providing for Mr Liu.arrow_forwardDO SCHIZOPHRENIA, SPECIFICALY SCHIZOPHRENIFORM 1. Title of Simulation Scenario:• Provide a concise title that reflects the focus of the scenario (e.g., "ManagingAcute Anxiety in a Young Adult Patient").2. Scenario Overview:• Disorder Focus: Specify the mental health disorder or addiction beingaddressed (e.g., Generalized Anxiety Disorder).• Patient Description:o Age:o Gender:o Background: Briefly describe the patient’s background (e.g., "Thepatient is a 25 - year- old female experiencing symptoms of anxietyafter starting a new job").o Current Situation: Detail the patient's current condition and why theyare seeking help (e.g., "The patient presents to the ER with chest pain,which has been determined to be a panic attack").• Learning Objectives:o Objective 1: e.g., Demonstrate effective communication techniques forcalming an anxious patient.o Objective 2: e.g., Assess and document the patient’s mental status.o Objective 3: e.g., Identify approp riate interventions and care planningfor…arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author: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 CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning





