Highlights
Case Study – Joseph Jones
Goal: Nurses, midwives and medical practitioners are required to communicate through a wide range of mediums to a diverse audience. The goal of this task is to apply your knowledge and understanding of legal and ethical principles in assessing and presenting a case study to an audience.
Course Learning Outcomes (CLO) assessed in this task.
CLO 1 Identification, description and application of aspects of the Australian legal system and statutory bodies to nursing and midwifery practice.
CLO2 Definitions and application of contemporary professional ethical standards to decision making and practice.
CLO3 Critically analyse health situations from an ethical and legal prospective.
Criteria:
Understanding and application of key legislation.
Understanding of ethical issues/theory relevant to the case.
Understanding of ethical decision making.
Background
Joseph Jones is 52 years old and has lived on the Sunshine Coast in Noosa all his life. He worked on a farm and is married to Susan for 25 years. He has three adult children all married with children. He has been diagnosed with terminal lung cancer, and he has ‘good days’ and ‘bad days’ where he requires more pain and symptom control. Joseph has a Nikki pump to help control his pain and associated nausea. Prior to admission, the paramedics administered morphine for break through pain relief. On admission, he is febrile, tachycardic and oxygen saturations are 83. He is confused and says he doesn’t want any further treatment. You are aware from his notes that he has an Advance Health Care Directive stating he doesn’t wish to continue with further treatment, however, Susan has requested that the medical practitioner assess and provide any appropriate treatments despite his Advance Health Care Directive. Susan holds the Enduring Power of Attorney for all health and financial needs for her husband, Joseph. The medical practitioners decide to prescribe antibiotics and steroids to improve his health status and have advised Joseph that this is what they have prescribed for his treatment. Joseph refuses this treatment.
In response to this assessment, please consider the following and discuss the legal and ethical issues you have identified in this case. Consider all those parties involved in Joseph’s care.
As a qualified health care provider caring for Joseph, your focus is on the legal and ethical requirements discussed within this course. Pay attention to Joseph’s civil liabilities, legal and ethical requirements of the law surrounding decision making and consent. Using the legal and ethical decision-making framework identify and justify the care that will be provided to Joseph. What are your legal and ethical responsibilities and what professional standards and codes need to be considered?
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