HLSC 220 : Janine and Henry Case Study - Medical Sciences Assignment Help

Assignment Task :

In your tutorials the opportunity to explore, analyses and apply ethical concepts, principles and  professional standards will be provided through an exploration of topics and related cases studies.  Similar questions and analytical issues explored in your tutorials will form the basis of your  examination at the end of the semester. One of the case studies provided below will be used in  your final examination. It is therefore imperative that you attend and engage in ethics classes to be  successful. 

Exam Case study 1 

Janine works as palliative care nurse at a regional health facility and relates the following conundrum.  Janine describes looking after Jack who recently returned to the palliative care service after a further unexpected exacerbation of his respiratory lung cancer. Jack is rapidly deteriorating with little tolerance for any activity and cannot undertake any activities of daily living. Shirley, his wife is  constantly at his side offering as much support as possible. Jack is highly dependant and has several  HCP ‘s attending to him including physiotherapists, doctors, nurses, occupational therapist and other  allied health workers including kitchen and cleaning staff.  

Jack received care for the past 6 days at which time he was in and out of consciousness and his lucid  moments were characterised by confusion due to his severe low oxygen saturation rates. Whilst  confused he tried to leave or get out of bed and required constant supervision, and at night restraint.  Shirley was at his bed side frequently. Shirley in conversation with Janine, complements her and the  team on the care that Jack has received, and reminisced with her and over the last few weeks they  had spent together on a cruise to New Zealand and surrounding Islands. Janine realise that cruise was  associated with a severe outbreak of COVID19. Janine asks Shirley, “why didn’t you let us know of your  trip”? Shirley states that if she did, she might not have been allowed to see Jack. Subsequently, Shirley  was not allowed to visit Jack, Jack died 2 days later. His pathology result was positive for COVID 19. 

Janine has explained the issue to all the staff associated with the care of Jack. The paramedics who  cared for of Jack were also informed of his infective status prior to his death. 

Exam Case study 2 

Henry works for a large metropolitan health service as a (HCP) physiotherapist and specialises in  respiratory physical therapies for Intensive care patients post intubation. Over the last month Henry  has explored his options of continuing to work due to the prevailing risks associated with COVID 19.  Henry has sought counsel from his friends in relation to the issues of him working whilst he is also a  parent with his wife Catherine and 2 children Josie 5 and Declan who is 11. Henry has a few thoughts  and options to explore, and these include taking his long service leave for the next 8 weeks. Taking  leave without pay for a period of six months. Henrys central concern is around protecting his children  and wife from being infected with COVID 19 as the risks of workplace exposure are very real. 

Henry finds himself in conflict with his duty of care and worries about his family should he continue  to work. He discusses his quandary with his line manager, who suggests that should he contract this 

illness he will be supported by the health facility and that he should secure accommodation away from  his family whilst he works. 

Over the past week Henry has become even more distressed with having to work with the ICU team  to decide how they ration the beds available to them and how they prioritise who receives care in  their unit of 10 beds. 

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