Mr. Hardwick is 85 years old and has been hospitalized for 10 days. His diagnosis is bacterial pneumonia, secondary to gastric aspiration. He has a history of Chron’s Disease, rectal cancer, congestive heart disease, and now recurrent pneumonia. Mr. Hardwick’s medical care has cost in excess of $1.1 million dollars over the last 5 years. His insurance is Medicare. He has an “Advance Directive” that says he doesn’t want to be kept alive via artificial means (i.e., if he is terminal, he does not want intubation, food, or hydration). Although his pneumonia is resolving, Mr. Hardwick is mostly non-responsive (he wakens and has reflexes, but no interaction nor cognitive function). Feeding is his current acute issue. Nasal tube feedings have been unsuccessful. Due to severe reflux, multiple abdominal surgeries, and severe heart issues, surgery to install a permanent feeding tube has been judged to be too risky–doctors believe he will die in the operating room and have, instead, recommended hospice care. His family has now threatened a lawsuit because they are shocked and dismayed that the doctors are “starving him to death.”
Using specific ethical terms from your book, course content, the CMSA Standards of Practice for Case managers and reputable internet sources, answer the following questions:
1. Is withholding or withdrawing nutritional support from a person ethically justifiable? If so, under what circumstances? In other words, if it is justifiable, what are the criteria used to determine if nutritional support should be withdrawn?
2. What is the role of the patient’s wishes versus the family’s wishes in this situation?
3. What is the appropriate and ethical role of a Case Manager in a situation like this?
1. Your written response should be at least 500 words. You must use concepts, theories, facts, etc. from your book AND/OR the other sources listed above in your discussion and you must cite them.
2. Twenty total points are possible for the written part of this discussion.
1-7=simplistic posting; short; no insight; repetition of others; questions only; inaccurate use of course content, theory or fact; missing parts of assignment; poor writing
8-14=more interesting posting; shows some thought; moderate insight; some inaccuracies, but uses course content, theory or fact; missing parts of assignment; good writing
15-20=interesting; provoked meaningful discussion; thoughtful; all parts of assignment complete; good insight; accurate and complete use of course content, theory, or fact in posts AND replies; excellent writing
Plagiarism Free Papers
All our papers are original and written from scratch. We will email you a plagiarism report alongside your completed paper once done.
All papers are submitted ahead of time. We do this to allow you time to point out any area you would need revision on, and help you for free.
A title page preceeds all your paper content. Here, you put all your personal information and this we give out for free.
Without a reference/bibliography page, any academic paper is incomplete and doesnt qualify for grading. We also offer this for free.
Originality & Security
At Homeworkpaper.net, we take confidentiality seriously and all your personal information is stored safely and do not share it with third parties for any reasons whatsoever. Our work is original and we send plagiarism reports alongside every paper.
24/7 Customer Support
Our agents are online 24/7. Feel free to contact us through email or talk to our live agents.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
We work around the clock to see best customer experience.
Our prices are pocket friendly and you can do partial payments. When that is not enough, we have a free enquiry service.
Admission help & Client-Writer Contact
When you need to elaborate something further to your writer, we provide that button.
We take deadlines seriously and our papers are submitted ahead of time. We are happy to assist you in case of any adjustments needed.
Your feedback, good or bad is of great concern to us and we take it very seriously. We are, therefore, constantly adjusting our policies to ensure best customer/writer experience.