Assignment: Mental Competence – HLT 520 Week 7 Discussion 1
Assignment: Mental Competence – HLT 520 Week 7 Discussion 1
Explore the issues of how to determine if a patient is mentally competent to make his or her own decisions, especially in situations where the decisions do not appear to make sense.
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HLT 520 Week 7 Discussion 2 Latest-GCU
What are the differences between a permanent vegetative state and a coma? How do these differences affect the ethical choices faced by the family and caregivers of the patient? What impacts should the patient’s own wishes have? How would the presence of a living will impact the decision?
HLT 520 Week 8 Discussion 1 Latest-GCU
A baby is born with anencephaly, or absence of the entire brain above the brainstem. The brainstem is intact, which means that the baby can breathe and have a heart beat and blood pressure, but there is no chance for any human brain function or cognition, due to this birth defect. The health care team begins to educate the mother, since children with this deficit generally die shortly after birth.
However, the mother is devoutly religious, and her minister has told her that if she prays hard enough to God, that God will work a miracle and her baby’s brain will heal itself. She is insistent that all possible care be given to her baby, including a months-long stay in the ICU, constant care by a caregiver, regular brain scans, and other expensive modalities.
The hospital, finding her adamant, asks the court for guardianship of the baby, with the medical plan to provide only maintenance care with no life-prolonging techniques until the baby dies. What are the ethical issues at play here? How do the principles of autonomy, beneficence, nonmalfeasance, and justice manifest themselves? If you were called as an ethical consultant, what would you do/recommend?
HLT 520 Week 8 Discussion 2 Latest-GCU
A 94-year-old woman is admitted to your hospital with dehydration, trouble breathing, and possible kidney failure. She is clearly in advanced Alzheimer’s, weighs about 95 pounds, and shows multiple bruises on her body. She cannot talk. Her caregiver attributes the bruises to a blood disorder that reduces clotting. What are your thoughts about this situation? What kind of investigation would you conduct? What actions would you take to be in compliance with ethical principles