Since the patient is in critical condition, the decision is based on her beliefs and wishes. She can undergo emergency surgery, if the nurse decides what’s best for the patient. The person or persons who are most affected in the situation is the patient, the unborn baby, the husband, and the health care team. The team thought it was best to perform a blood transfusion and an emergency C-section. Define the difference between capacity and competence. Capacity is “The ability to understand the nature and effect of one’s acts. The determination to be made is whether an individual has the ability to understand the nature and effect of his or her acts in a specific moment in time. Capacity refers to an assessment of the individual's psychological
Burditts behalf. Although he had indicated that the transfer was to ensure that the unborn baby would have the availability of an “advanced neonatal unit” if required (Lewin, 1991, para 10). Had the infant required specialized care, he or she could have been flown in a helicopter to the nearest location with a neonatal unit. In addition, this act prevents hospitals from discharging, transferring, or refusing treatment to those women who are in active labor. Dr. Burditt stated that the patient was in active labor and continued to transfer the patient with her being high risk with her blood pressure.
A prolapsed umbilical cord can be a life-threatening situation for the baby. The compression of the cord causes oxygen deprivation which can cause death of the fetus. It often occurs when the membranes rupture during delivery. A few emergent interventions that the nurse should take include administering oxygen via nasal cannula, call for help and prepare the mom for an emergency cesarean section. The nurse may also insert a sterile glove inside the vagina to relieve pressure on the umbilical cord and help restore blood flow to the fetus. Possible complications that the mother may experience include birth canal trauma if forceps are used rapidly during vaginal birth and blood loss or infection during a cesarean birth. Possible complications
* Capacity can be created when the organization leads others to believe that a person has certain authority.
Compared to the general adult population the maternal airway management can be more challenging as changes during pregnancy can increase the difficulty of intubation (Brien and Conlon, 2013). Its makes hard to insert laryngoscope when the patient have a large breast, the chance of bleeding and swelling increases due to oedema and vascularity of the upper respiratory tract, and the patient desaturate quicker as there is increase in oxygen requirements and there is reduced in functional residual capacity (Mushambi et al, 2015). As a result of all the changes during pregnancy, if the problems encountered during the intubation of Mrs D were to happen to an obstetric patient, it is important to provide optimal surgical condition for to progress rapidly while aiming for a good neonatal outcome (Local theatre policy, 2015b). In obstetric patients, much of the issue is about the urgency with which the foetus must be delivered and the surgical operation must be done as quickly as possible - therefore making decisions in the event of certain clinical situations occurring will require a much quicker decision making process because there is an immediate threat to the life of the woman or foetus (Mushambi et al, 2015). This is why emergency obstetric anaesthesia is such a potentially hazardous
Ultimately, the choice of whether a mother should be forced to keep a child that does not want or cannot care for should be up to the mother until three-weeks after fertilization. After three-weeks’ time, the fetus is alive and should not be cut short of a life due to its
The meaning of capacity in this situation refers to somebody that’s under severe influence of drugs or alcohol, somebody that’s asleep, or somebody who may be young or have learning disabilities. Why is the vague
The presence of fetal heart tones makes the patient ineligible for induction due to gestational age and lack of maternal indications of infection. Induction would cause the patient to be responsible for all incurred costs or the hospital would have to absorb the cost of treatment due to Medicaid refusal to pay for services. The nurse in charge of caring for the patient has the potential for ethical dilemma due to personal beliefs concerning abortion or induction of labor with the presence of fetal heart tones in a nonviable fetus. Uncertainty exists on nursing care in the case of induction with fetal heart tones and whether this constitutes induced
a) Mental capacity vs. moral capacity, the ability to appreciate the meaning of one’s actions. The
Your child will be moved to the hospital's intensive care unit (ICU). He or she may need to stay in the hospital for a few days while he or she recovers.
In the case of Mrs. S, after losing consciousness from the overwhelming medication, she is now considered an incompetent patient, someone who cannot make decisions on their own due to lack of competency. In view of the fact that she is unconscious, she is in need of an advance directive, treatment rather than a proxy. With this, her son, assuming her husband is deceased, now has to make life changing choices for her because he next in the chain of surrogacy. Although she has previously declined advanced treatment, her son can now make any decision he wants. By following her wishes, she would follow God’s will for her life and die within a two-week period, but the son does not want to let go of his mother yet, which would result in amputating
life threatening situations. At around 15 – 20 weeks gestation, women are given the option to undergo
There is a legitimate and significant difference between this case and typical abortion. In most cases of typical abortion, the mother chooses to abort the baby because she can’t take care of it. In this case, the mother can take care of it if she was healthy enough to have it, but in order to be healthy enough, she needs to receive chemo, but the chemo will kill the baby. The mother in this situation can’t control the outcome of this. The typical abortion mother can control the outcome. She can save the baby. She doesn’t have to choose whether to allow herself to die or the baby. She can have the baby adopted by a couple who wants it. There are other options then
In the case of the CNM who delivered a 35 week breeched infant, several factors need
Capacity in operations decisions is making sure that the process has the right amount of space and proper staffing to maintain the business
In a case where a pregnant woman is involved in a crash or an accident which leaves her brain dead, it is rare that her wishes are known involving what she would want in this type of situation. If the mother 's wishes are unknown, the care plan would then be left to the family to decide. It should be the family’s choice on whether or not to keep the mother on life support or not until the baby can be delivered. If the hospital does not allow the family to make this choice, it may make the situation worse, especially if they both do not choose the same method of action. When the family is considering their options, they should take into consideration the baby 's chance of survival. If the mother becomes brain dead when the baby is 24