Posted: October 17th, 2016

Case study Elsie Lee, 88 years old had recently moved to a Residential Aged Care Facility (RAC). She had difficulty mobilising due to severe rheumatoid arthritis as well as short­term memory and vision impairment.

2000 words APA style referencing 15 reference required. Case study Elsie Lee, 88 years old had recently moved to a Residential Aged Care Facility (RAC). She had difficulty mobilising due to severe rheumatoid arthritis as well as short­term memory and vision impairment. Elsie also had a history of AMI, removal of bilateral cataracts, and a (L) hip replacement four years ago. On admission to the RAC facility, on Tuesday afternoon, the Nurse Manager suggested that Elsie consider making out an advanced care directive (ACD), indicating what she would want done in the event that her health should deteriorate. Elsie agreed and awaited the help of her family when they visited on Sunday. She was pleased to have this opportunity as, although she had discussed her wishes with her family, she wanted to make it clear to staff caring for her that she did not want aggressive treatment of any kind and did not want to be resuscitated. On Friday night, Elsie developed severe chest pain which radiated down her (L) shoulder, an irregular pulse and a BP of 73/48 and the RN on duty called the ambulance. Elsie pleaded with the paramedics to leave her �as she was�; the R.N. insisted that they transport Elsie to hospital as she had not filled out an ACD indicating otherwise. In transit to the hospital, Elsie suffered a cardiac arrest. The paramedics attempted resuscitation but were unsuccessful. On arrival to the ED, Elsie was pronounced dead. Her family determined that Elsie�s death was brought on by the stress of being moved to hospital. They decided to sue the R.N., the paramedics and the RAC facility for assault and battery. Information about Assessment: As there are many disciplines undertaking the unit, you should pick the scenario that will represent a moral dilemma in your discipline. The scenarios are mainly generic and if you look at them holistically, they will demonstrate a multidisciplinary perspective. Think about how you would be involved in any given scenario. 1. Determine the stakeholders including two health care professionals in the case scenario; This refers to the people who are affected by the ethical dilemma in the chosen scenario, including you in your discipline area and a selected other health care professional that would be affected. 2. Differentiate the ethical and legal conflicts and explain them from the following perspectives: a. The dignity and rights of all stakeholders in this case This will be assessed on the content you have learned in the classroom with regards to ethical theories, and health care and human rights charters. b. The principles and virtues of health care ethics that inform professional practice This is self­explanatory. It is expected that you make references to specific ethical principles in health care ethics and discuss how they are relevant in your chosen scenario and possible how they conflict with each other. c. The relevant codes of ethics and/or codes of professional conduct This refers to your codes of professional conduct and what parts are particularly relevant in your chosen scenario and how they will guide your ethical practice. 3. Propose a legally and ethically defensible resolution to these conflicts This point will look at how you bring all the above to propose a resolution to the identified ethical dilemma. It is expected that each student will propose different solutions as the theories; principles and codes of professional conduct are so diverse

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