NB30117: Healthcare Ethics and Law - Withdrawing Nasogastric Feeding - Science and Maths Assignment Help

Assignment Task:

Task:

Case Study 1. Withdrawing Nasogastric Feeding.

Mdm Lee left China at the age of 16 to escape an arranged marriage. Her second job in Singapore was as an ‘amah’ (nanny) for a Chinese-speaking family. She has been part of the family ever since, caring for three generations of children for over 45 years, and continuing to live with the family following her retirement.

Mdm Lee is now 90 years old. Four years ago, after a series of falls greatly impaired her mobility, she was admitted to a nursing home. At the time of her admission to the nursing home, she was suffering from several chronic conditions, including diabetes, but was cognitively intact. Since that time, Mdm Lee has been diagnosed with Alzheimer’s disease which has resulted in progressive cognitive impairment. Her care is arranged and paid for by two members of the family for which she worked: Mr Heng, and his aunt, Mrs Yong, who is Mdm Lee’s surrogate decision-maker now that Mdm Lee no longer has the capacity to make medical decisions for herself. Mr Heng, Mrs Yong, and other members of the family take turns visiting Mdm Lee each week. While she is no longer able to recognise them, she always seems happy to see them.

Case Study Prompts;
What are the ethical issues in this scenario?
How could the ‘Ethical Principles’ be used to guide the nurse in what to do?
Is Mdm Lee able to make legal decisions?
What is Advanced Care Planning (ACP)?
Should the nurse have inserted a Nasogastric Tube?
What legal documents are relevant here to help the nurse?
Are there any Principles in the SNB ‘Code for Nurses and Midwives (2018)’ that could help guide the nurses’ decisions?

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