Bioethics Principles Issues And Cases Third Edition

The Case of Joe

Bioethics Principles Issues And Cases 3rd Edition Pdf Download

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'Joe' is a 62 year old building contractor who has been in an ICU for the past 10 weeks. Per chart notes, he is not improving sufficiently to warrant hope for recovery. The best that can be hoped for now, says his critical care physician, is discharge to a long-term acute care hospital (L-TACH). The prognosis does not include any likelihood of return to baseline, or to home. The situation is dire, and Joe seems to 'get it'. On the Saturday of Joe's tenth week in ICU, he mouths a message to his nurse, and then to the physician who is summoned, and then to an ethics consultant also. 'Stop everything. Give me something. I want to die.'

Disagreement Over Advance Directive

80-year male with multiple medical problems with esrd, dementia, stroke, bedridden and with low blood pressure. Not responsive to medical team. Pt 2010 Advance Directive states, “if only artificially prolonging life and no meaningful interactions with family…withhold treatments”.

Question: Do you do another round of dialysis?

The Case of Ginger: Autism and Blood Cancer Treatments

A 30-year-old woman, “Ginger,” is in the clinic, having been diagnosed several years ago with myelodysplastic syndrome (MDS, a blood disorder). There is a high chance that the disease will progress to acute myeloid leukemia (AML), with lower chance of survival, so physicians had started chemotherapy. This leads to other treatment decisions and dilemmas which become ethically complex.


Case Studies - Good Death or Assisted Suicide

Mr. Perry wants doctors to turn off his pacemaker. Would doing so respect Mr. Perry’s rights and autonomy? Or, would it be physician-assisted suicide?

Case Studies - Helping the Care Team Help Patient Patti

Patti, a 52-year old woman with history of asthma, chronic obstructive pulmonary disease, hepatitis C and substance abuse, presented to the emergency department after cardiac arrest at home with subsequent return of spontaneous circulation. When Patti’s husband didn’t respond to attempts to contact him, with no advance directive, it was deemed more helpful to support the care team’s communication efforts and to provide an ethics perspective with procedural recommendations and “what if” options.

Case Study - Why Are They Doing All This

Examples Of Bioethical Issues

Grace H. is a retired teacher who is suffering from Alzheimer dementia, who lives in a nursing home. She has not been feeling well lately. Her brother gives consent for her to be transferred to a hospital to discover what is going on, but after they have run a lot of tests, he asks, 'Why are they doing all this?'


Case Studies - Managing Pain is a Family Affair

Mrs. W is a sixty-year-old African American woman with a recent diagnosis of breast cancer with metastases to the bone and lung. She has been married thirty-two years and has three adult children. Over the last month, she has experienced increasing pain that has not been effectively controlled by her physician. She has now been referred to hospice, primarily to get her pain under control.

Bioethics: Principles Issues And Cases Third Edition By Lewis Vaughn


Case Studies - My Patient’s Dying

I had never seen it before. I had no experience on which to base my unsettling suspicions. And yet, it was unmistakable. My patient, Ms. P, was dying right in front of me.

Case Studies - Opposition to Organ Donation

JD is a 25-year-old patient who sustained massive head trauma and neurological injury in a motorcycle accident. He is not brain dead, but after 4 weeks in MICU and several neuro consults, the prognosis for “meaningful recovery” is said to be less than 1%. JD has not regained consciousness and is apt to remain permanently in a vegetative state.

Case Studies - A Family Divided

Bioethics Principles Issues And Cases Third Edition

A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent.

Case Studies - Mr. Jay's Case

The doctor explained that for Mr. Jay attempting resuscitation following a pulmonary arrest was not likely to succeed. The doctor further explained that even if resuscitation restarted his lungs, Mr. Jay would require aggressive care in an intensive care unit. Given these prospects, Mr. Jay told his doctor he would prefer that resuscitation not even be attempted.


Bioethics Principles Issues And Cases 3rd Edition Pdf Free Download

Case Studies - Alice's Frail Mother

Alice watched her mother’s long slide into Alzheimer’s type dementia, certain that her mother’s careful attention to advance care planning would be able to prevent her worst nightmares.

Case Studies - Barney Says No

Almeda’s nurses and attending physicians want her long-time friend Barney to help them determine the direction her treatment should take now that she needs dialysis. She’s already on a ventilator, a feeding tube, and receiving high doses of antibiotics. She would be better, Barney thinks, if she could watch TV a little.

Case Study - DNR for an Adult with Down Syndrome

Bioethics Principles Issues Cases Pdf

George is a 23-year-old man who has Down's syndrome. He is in an accident in which he sustains a severe brain injury is and shows no signs of consciousness. In order to withdraw life-sustaining treatment, his parents must present convincing evidence. George did not state his wishes in an advance directive.

Case Study - The Role of Literacy in Making Wishes Known

A large number of Americans are more oral than literate. This paper details the ingredients of a traditional oral morality capable of engaging biomedical issues and indigenous to people who think in proverbs, stories, and relationships.

Case Study - I Paint

Bioethics Principles Issues And Cases

A narrative about illness, coping, societal norms, art and death.

Case Study - Who Should Talk to the Family

Omer was a 94-year-old widower who had lived independently for many years. He had always been eager to get health problems fixed, including the most recent issue, which required colon surgery. When Omer doesn't recover well, issues arise as the physicians do not speak directly with Omer's children.