Assignment Details:
- Mr W, a male, 35 years of age, has slipped and fallen on the pavement outside a bar and sustained a large laceration to his left temple without LOC. The patient presents to the emergency department alert but slightly confused and unsteady on his feet although without significant findings other than the significant laceration and minor bruises and abrasions. His speech is also slurred, and he readily admits to drinking 10 beers during the last few hours. The emergency department is very busy, and Mr W becomes impatient because of the wait. Mr W wishes to leave, but is urged by the ED staff to wait as he will need stitches and ongoing neurological observations, and is also told that he should not drive. Mr W becomes agitated and states that he will not wait any longer and intends to drive himself home.
- Mrs. J, an 85-year-old woman with severe emphysema, is found unresponsive by the nursing staff at her place of residence. Since she has no living will or advance directive, an ambulance is called. She has no living relatives. Once stable, she is taken to the local hospital for treatment of pneumonia and respiratory failure, where staff perform endotracheal intubation and resuscitate her successfully. After treatment for her medical conditions, she cannot be weaned from the ventilator although sedation has been minimised. The patient is able to communicate her wishes by using hand signals and writing notes. After 9 days of treatment, she asks that the respiratory support be discontinued and she be allowed to die. Mrs. J. states that she would not have wanted to be resuscitated in the first place. She had discussed this wish with the other residents in the aged care facility however she had never put these wishes in writing.
- RN H is a medical ward nurse who loves classical music. One of her patients, Mr B, is also an avid music lover, and they often discuss classical composers they enjoy and their favourite recordings. Mr B offers to lend RN H a couple of CDs he has with him and she happily takes him up on the offer.
Upon returning the CDs, Mr B offers to thank RN H for the care she has provided by giving her tickets to accompany him to a local performance by one of their favourite artists once Mr B is discharged from hospital. - Patient A is a 17 year old female who has acute lymphoblastic leukaemia (ALL). She has undergone several rounds of chemotherapy without successfully going into remission. Her treatment now is focused on palliation. She is refusing to have any further chemotherapy however her parents insist that she does.
Assessment Guideline:
Recommended approach:
Your task in Assessment 2 is to analyse the legal and professional issues that arise in each scenario. You need to demonstrate that you have engaged in personal reflection and critical analysis of the legal and professional issues that you have identified.
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