LWS101 Problem Solving Exercise & Phuong Nguyen Case Study, Metastatic Cancer - Nursing Assignment Help

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Phuong Nguyen Case Study

Phuong Nguyen is a 38-year-old woman who is recently divorced and has two daughters aged  7 and 12 years old. She has metastatic cancer of the colon and, until recently, had been  receiving chemotherapy treatment. Two months ago, Phuong decided she didn’t want any  further treatment and is currently receiving twice-weekly home visits from a registered nurse  named Audrey, who checks her nutrition and pain relief medication.  
Phuong’s brother, Minh is staying with Phuong to help with looking after her children. On a  recent visit to the house, Audrey noticed Phuong’s two daughters appear to have lost weight  and looked like they had been crying. When asked whether they were feeling okay, the older  child nodded quietly and looked towards the ground, but the younger child revealed a large  bruise on her shoulder and told Audrey that her sister had an even bigger one on her arm because ‘Uncle’ Minh gets really angry.  
Audrey has also noticed Phuong is losing weight, appears more lethargic than usual and  requires higher doses of pain relief as her pain is at a high level and constant. On the last three  occasions when Audrey arrived at the house, Phuong was on the couch in a deep sleep. Phuong understands how ill she is and knows that without treatment she will die more quickly. However, she is tired of having to cope with getting herself to the hospital only to feel worse  after she receives treatment. She told Audrey that she would rather spend the time she has left  with her daughters at home. Phuong knows that if she passes away her ex-husband will take  care of the girls, but at this stage she doesn’t want to ask him for help because the divorce was  very nasty. Audrey is concerned about the welfare of Phuong’s daughters. She is also concerned about  Phuong’s choice not to continue with chemotherapy as she believes that Phuong would benefit  from further treatment which could prolong her life and may offer some relief for her  symptoms. 

Note/-Apply the legal and ethical decision-making framework to this scenario.
 

 
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