Chuck Bass is an Elderly Patient Who is Admitted to a Brisbane Hospital Suffering Dehydration - Medical Science Assignment Help

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Chuck Bass is an elderly patient who is admitted to a Brisbane hospital suffering dehydration, a urinary tract infection and a number of skin tears and lesions on his body resulting from multiple falls. His mobility is compromised and there is evidence of dementia. Upon being admitted to hospital, Mr Bass expressed an immediate desire to return home, but the health care team do not believe this can safely be achieved. His urinary tract infection is severe and requires medication. In addition, he has several lesions which are septic and require dressing and antibiotic treatment; and he is still dehydrated. The team is strongly of the view that he requires medical treatment before it would be safe for him to leave hospital. They believe that without treatment, his health will deteriorate and he will very likely suffer serious and permanent health issues which could result in his death. However, if Chuck receives timely treatment, he will be likely to recover well and be able to return home within a few days. Chuck was a member of a strong friendship group during his youth, after he went to high school with them in New York City. He frequently refers to the friends he made there and the exciting times he had as a young man in the City. Sadly, he is one of only two surviving members of their circle of friends, although lately he has been referring to the rest of his friends as though they are all still alive and present. Now, Chuck lives in modest house in the Brisbane suburb of New Farm, after his real-estate company crashed after opening offices in Australia. However, sometimes he gets confused about where he is and appears to think he is still living in his New York apartment with household staff. Chuck prefers to live alone and has resisted his children’s suggestions that he move in with either of them. Registered Nurse Jenny has spoken at length to Chuck, who told the nurse that he does not want any medical treatment; he just wants to go to his penthouse apartment where he has lived for all of his life. Chuck said he knows his way around his apartment and is friendly with his doorman. He also said to the nurse, “my people will be there most of the time and they will assist me with any medication. I also have my dog GG, and he will look after me.” Chuck has two adult children, Zoya and Julien (twins). Both his children live in Brisbane now, after returning from their childhoods abroad, and have regular contact with their father. They are concerned about their father and want to ensure he receives the best medical treatment possible. Chuck’s wife, Blair, passed away many years ago. However, he is very close to his neighbour, a widow, Serena. They spend a lot of time together, exchanging stories and having the occasional glass of whiskey. Serena has expressed a desire for Chuck to return home. Chuck has not executed an advance health directive, nor has he appointed an enduring power of attorney. A guardian has also not been appointed. RN Jenny is concerned about who should make the decision about whether Chuck should be immediately discharged, or remain in hospital to receive medical treatment, and how that decision should be reached. Apply the ethical and legal decision-making framework to this scenario. Please note that following this framework, taught in tutorials, is crucial to passing this assessment piece. This is not an essay. If you don’t know what the framework is - or have no idea how to go about applying it - tutorials are your friend!

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