Ethical Principle Exercise Mr. Mal Hamza Case Study - Nursing Assignment Help

Assignment Task

Case Study: 
Mr. Mal Hamza is a 72 year old gentleman who is recovering from a mild CVA and is currently admitted for severe exacerbation of his COPD with dyspnoea on minimal exertion. He has moderate dysphagia and dysphasia. During the last 48 hours he has spiked a temp at night and has become listless. On examination you note he is diaphoretic, looks flushed and glassy eyed and he is breathing through pursed lips. He remains febrile - his temp is 38.7 C and his Sa02 is 89% with 4 LPM via Nasal prongs. He has a severe cough with small haemoptysis. You auscultate his chest and hear decreased breath sounds and wheezing. The resident examines him and makes a provisional diagnosis is pneumonia. Mr. Hamza doesn't want an IV and refuses oral antibiotics or any other medication. Throughout the shift he continues to refuse food and takes only sips of fluid. Enteral feeding is discussed and this will also enable antibiotic therapy however when this is suggested Mr. Hamza he indicates that he doesn't want the naso-gastric tube and becomes quite agitated. Mrs. Hamza is happy for health care staff to do "anything that needs to be done." The resident comments that antibiotics and the feeding tube are not extraordinary treatment and queries whether or not Mr. Hamza is actually competent to decide due to his overall condition. He asks you to go ahead and organize for NGT insertion. The purpose of this assessment is for you to demonstrate your understanding and application of ethical theory and principles in order to justify whether or not you will follow the doctors orders and go against the patient's wishes. Ethical principles which may be relevant to this case include: 
 

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