An 82 year old patient has signed a Healthcare directive indicating that he agrees to a ventilator and feeding tube "temporarily" but does not want any heroic measures to survive. He suffers a major setback in his recovery. The patient is not coherent enough to speak for himself and is placed on a Ventilator and a feeding tube is inserted. Days turns into weeks and he is not recovering. 1. At what point does the ventilator and feeding tube become a heroic measure? 2. Do you thing that his Healthcare directive was detailed enough? If not, why.

An 82 year old patient has signed a Healthcare directive indicating that he agrees to a ventilator and feeding tube "temporarily" but does not want any heroic measures to survive. He suffers a major setback in his recovery. The patient is not coherent enough to speak for himself and is placed on a Ventilator and a feeding tube is inserted. Days turns into weeks and he is not recovering. 1. At what point does the ventilator and feeding tube become a heroic measure? 2. Do you thing that his Healthcare directive was detailed enough? If not, why.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter8: Emergency Procedures And First Aid

Section: Chapter Questions

Problem 4CR

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Scenario #1 An 82 year old patient has signed a healthcare directive indicating that he agrees to a ventilator and feeding tube “temporality” but does not want any heroic measures to survive. He suffers a major setback in his recovery. The patient is not coherent enough to speak for himself and is placed on a ventilator and a feeding tube is inserted. Days turn into weeks and he is not recovering. Questions As a family member, what would you do in this situation? At what point does the ventilator and feeding tube become a heroic measure? Do you think that his healthcare directive was detailed enough? If not, why?
4. Mr. Kee is intubated with a 7.5 mm orotracheal tube. He is in the ICU on a ventilator. The low-exhaled-volume alarm is sounding and Mr. Kee is phonating. His respiratory rate is 32 breaths/ minute, the heart rate is 122 bpm, and the pulse oximeter is 89 percent. You measure the cuff pressure to be 30 cm H2O, and the pilot tube and valve are intact. What would be your recommendations to remedy this situation?
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Appendix 3 NEWS Key 0123 Respiration (Breaths/min) O, Saturation (SpO₂) te value in b) Blood Pressure (mmHg) Score Systolic Value only Pulse (beats/min) Score Systolic Value only Temperature (°C) (mark with an X) Level of Consciousness Patient Name (Full): Deborah Dee | Date of Birth: 01/06/1942 Date Time Signature 2.25 21-24 NEWS Total 15-20 15-17 12-14 05-11 08 256 54-55 31 2220 201-215 181-200 151-180 141-160 121-140 111-120 101-110 91-100 81-30 71-30 61-70 51-40 50 2131 121-150 111-120 101-110 31-100 81-50 71-40 61-70 51-40 41-50 31-40 30 2:35 38.1-39 37.1-38 34.1-37 35.1-36 55 Alert VIP UR I Date of Admission. | 05/05/2020 09/05 09/05 09/05 09/05 09/05 09/05 06:00 10:00 14:00 14:30 15:00 15:30 JD FB KA KA KA KA 20 95 156 90 (1) 23 ✓ 94 112 120 105) 36.5 36.7 ✓ 86 90 89 96 138 (133) 37.1 37.4 ✓ a 109 126 ( 37.2 ✓ 24 94 111 102 ( 18:30 JD ✓ 19 96 135 93 36.9 37.0 ✓ 3 2 1 3 1 2 3 2 m 2 1 1 3 2 1 1 3 In 3
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The patient is on non- rebreather mask and the vital parameters are: Temperature- 37.7 degree centigrade Heart rate - 128 beats/ minute Respiratory rate - 25 breaths/ minute Blood pressure - 100/60 mmHg And saturation - 92% The initial survey reveals a patent airway with no evidence of current obstruction. Breathing is tachypneic and regular, with accessory muscle use indicating increased effort. Circulation characterized by tachycardia and mild hypotension. There are 1+ distal pulses bilaterally, and the skin is warm and dry. At the ER, an ECG reveals sinus tachycardia of 129, which resolves without any prior medical management. Sinus at 98 beats per minute. Using the ABC, identify the life threatening injuries of the patient. Why?