You work as a RPN at a major metropolitan hospital on a medical… You work as a RPN at a major metropolitan hospital on a medical unit. Mr. Cote has end stage Alzheimer’s Disease. He has had a stroke and is hospitalized on your unit. He can no longer swallow. Prior to the stroke Mr. Cote did have some brief moments where he was lucid and able to converse.  After his stroke he deteriorated very quickly and no longer has any moments where he is lucid or has the capacity to make any decisions. His physical health has deteriorated and the health care team estimates that with a feeding tube, he may live another 2 to 6 months. In the past month, Mr. Cote has pulled out his feeding tube twice. Now he needs to have his arms restrained to stop him pulling out the tube. The health care team wants to stop all feeding and intravenous therapy and let Mr. Cote die. His wife insists that he have a feeding tube. She says that if he does not have the feeding tube, she will be responsible for ending his life. She adds that if the team does not re-insert the tube when he pulls it out they will be responsible for his death. Mrs. Cote says her husband does not know what he is doing and the tube must remain. You are in a team meeting to discuss what to do next and your manager says to you. “You took a class that discussed ethics. What do you think is the right thing to do in this case?” 1- identify the problem, what is the ethical dilemma?2- identify the ethical principle and explain why?3-who is responsible to make the decision?4- who is affected by the decision?5-what are the Laws- Acts- standards – Guidlines ethical principles?6-what are facts versus values/beliefs?7-what are medical facts or health care information?8-capacity of decision-makers9- what are the implementation plan of action to resolve the ethical dilemma10- explain nursing process in decision making to resolve the ethical dilemma11-evaluation  Health Science Science Nursing NURS 2016 Share QuestionEmailCopy link Comments (0)