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ETHICAL Dilemma Medical Futility STUDENT Worksheet Mavis Anderson, 84 years old Overview This scenario highlights the ethical dilemma of medical futility when Mavis remains in ICU on a ventilator as a result of respiratory failure. She also has d

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ETHICAL Dilemma Medical Futility STUDENT Worksheet Mavis Anderson, 84 years old Overview This scenario highlights the ethical dilemma of medical futility when Mavis remains in ICU on a ventilator as a result of respiratory failure. She also has dementia and terminal cancer. The family is unwilling to consider withdrawing life support and one of the members is openly antagonistic and is not afraid to question and confront nurses about what he thinks is best for his mother. Clinical Dilemma Activity: STUDENT I. Scenario History of Present Problem: Medical Futility Mavis Anderson is a frail, 84-year-old woman who was admitted to your medical unit six days ago after falling at home. She has a large hematoma on her right lateral hip. She is on warfarin daily for chronic atrial fibrillation. She has a history of stage IV breast cancer with metastasis to the liver, dementia, and COPD. Despite having only months to live, she is currently a full code. Mavis does not have a living will, but according to her son, who has the power of attorney (POA), she would want to live and wants everything done to support her. Ten days ago Mavis developed progressive SOB with respiratory failure that required intubation and mechanical ventilation. CXR confirmed bilateral infiltrates consistent with aspiration pneumonia. She continues to require ventilator support with vent settings of AC: 12, TV: 500, PEEP: +5, FiO2: 60%. Bipap weans have lasted only 15 minutes before she becomes tachypneic with RR 30 and O2 sat that drops to 90%. Personal/Social History: Mavis lives in a skilled long-term care facility and is widowed. She has six children who are actively involved in her care and live in the area. The oldest son, Tom, is POA. What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse? RELEVANT Data from Present Problem: Clinical Significance: No living will. Son power of attorney (POA). Bilateral infiltrates consistent with aspiration pneumonia. Bipap weans lasted only 15 min. before she become tachypneic with RR 30 and O2 drops to 90% Requires ventilator support. Because patient does not have a living will, the son holds the power to make medical decisions on behalf of Mavis. Son will oversee medical decisions. Air spaces in the lung are filled with fluid. Patient not able to tolerate weans due to Patient is unable to breath on her. Related to respiratory complications. RELEVANT Data from Social History: Clinical Significance: Has six children who are actively involved in her care. Patient has a lot of support when it comes to her care but it could also make decision making difficult when so many people are involved.

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STUDENT WORKSHEET-ETHICAL_DILEMMA-MEDICAL FUTILITY

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STUDENT WORKSHEET-
ETHICAL_DILEMMA-MEDICAL FUTILITY.
ETHICAL Dilemma
Medical Futility

STUDENT Worksheet




Mavis Anderson, 84 years old


Overview
This scenario highlights the ethical dilemma of medical futility when Mavis remains in ICU on a ventilator as a result of
respiratory failure. She also has dementia and terminal cancer. The family is unwilling to consider withdrawing life
support and one of the members is openly antagonistic and is not afraid to question and confront nurses about what he
thinks is best for his mother.

Clinical Dilemma Activity: STUDENT

, STUDENT WORKSHEET-
ETHICAL_DILEMMA-MEDICAL FUTILITY.
I. Scenario Medical Futility
History of Present Problem:
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STUDENT WORKSHEET-ETHICAL_DILEMMA-MEDICAL FUTILITY

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  • 84 years old overview this scenario highlights the ethical dilemma of medical futility when mavis remains in icu on a ventilator
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