Barbara's Death Case Study

Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was

This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between nonmaleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.

Any situation that erupts which can disturb the other residents is something that must be diffused immediately, as a healthcare administrator I would have to address this state of affairs with empathy and genuine concern for the opinions of the family members not in agreement with the do not resuscitate (DNR) order. First, I would ask that we move to a private location where we could speak and if voices are elevated it would not interfere with the day to day operation of the nursing home. Second, I would ask to see the Power of Attorney if it is available to speak to the legality of the document. Provided that, all the previous terms set in place are up to par, I would directly talk about the statement made about the family member making me aware of her position with the Department of Health and Human Services. Moreover, going through the document to point out the date signed, to make note if the new resident signed it before here memory was too far gone and if the Power of Attorney would not be substantial. Then I’d call attention to the difference between a Power of Attorney and Durable Power of Attorney. Grammarly states, “The biggest difference is in when the power ends. A general power of attorney ends when a person becomes mentally incapable because of sickness or injury to handle his or her own affairs… To get a durable power of attorney, you must show in the

This episode of care occurred in a community setting. Sara has a diagnosis of Alzheimer's disease. She live alone, has no children and is a diabetic. Sara does not speak English and her first language is Polish. Sara support worker developed a close relationship with Sara but said recently her dementia as gotten wrong and she sometimes does not remember who she is. Sara has cellulitis on her legs and was refusing to let the support worker change her dressing. She kept saying it was ok and she didn't want it to be changed. The student nurse and the district nurse tried reassuring Sara and explaining why it was importance to treat her leg but she just became more agitated and aggressive. The district nurse and support worker knew it was important

Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

This film documents Dr. Barbara Myerhoff’s work in studying elderly Jewish people in Venice, California. This was a different kind of study for her, because she was studying people that were of her ethnicity and religion. She is doing this work because she will one day be old and, she wants to know the daily lives of these people. She gets to know the elders by being a part of their community and going to their senior center. She interviews the elders and asks them to be specific about their daily tasks, living conditions, struggles, and their past. Her main focus is on the senior club. Because it is the center of these citizen’s lives. Here they feel like they have a purpose and can express themselves. She also studies how they celebrate the Sabbath every week. A tradition at the club is celebrating New Years at 2:00 p.m. so the elders can enjoy a performance and hear a speech about celebrating life and get motivated for the upcoming year. This study taught her to celebrate life and embrace the process of aging.

Over the course of her illness, the doctors called us to the family meeting about a half dozen times. Each time we refused, and she improved enjoying another 6 to 8 months before a crisis. I am sure that if she were totally vegetative, that we would have reluctantly let her go, but her time had not come.

Ann is seventy-seven-year-old that was diagnosed with moderately advanced Alzheimer’s disease two years ago. She has periods of confusion, frustration, anger and obsessive thinking. When Ann began to realize her health was deteriorating, she and her husband Frank discussed their wishes should anything happen to them. Ann stated she would not want to be hooked to a breathing machine if she had no chance of survival and no papers were ever signed regarding this. Frank sincerely loved Ann, they were married for sixty years. As Ann’s Alzheimer’s progressed, Frank started to take care of Ann by cooking for her and cleaning all while watching her health decline. Eventually, for Ann’s safety she was admitted to a long term care facility. After three weeks in the nursing facility Ann developed pneumonia and was transported to the local hospital and started on

Barbara's desire to attend her day program this quarter was very minimal. She only wanted to attend three days this quarter. She was not discharged from her day program but all parties felt that she would benefit from having at least a one four hour unit Mon-Fri to be able to attend community events scheduled with participants from her day program or on her own.. She is also welcome to come and have lunch any day with her friends or visit when the ice cream truck is present.

This part of the novel is where Barbara evaluates her work and experiment. She says that she was proud of herself because she was able to complete the heavy workload without quitting and awards herself with a B+ grade. Barbara says that the poor people struggle in order for the rich people to live lavishly. She thinks that one day the poor people will rebel and stand up for a better pay.

Case reviewed with the patient's daughter who is present at the patient's bedside. The daughter states that she would like the patient to go to Life care for rehab when discharge. All question answered. No concerns reported.

Barbara has the benefit of knowing what good management looks likes with Betty Nolan her old mentor people /

These include relationships with the director of nursing, senior nursing staff, newer nursing staff, patient care assistants, physicians, and administrators. We will explore some of these relationships and the problems and issues associated with them, followed by recommendations and a plan of action that Barbara can implement to achieve her goals.

Her doctors informed us that due to a blood clot in her brain, Mom suffered a major stroke and lost over half of her brain function. She would never be able to care for herself again. Devastated, Ellen and I found ourselves meeting with the hospital’s Palliative Care Team who discussed medical options, care options and end-of-life decisions for our mother. Thank God that Mom’s Medical Directive outlined her wishes and specified clearly her refusal of Life Support or rehabilitation to an incapacitated state. Even at this stage in her life,