This paper details the ingredients of a traditional oral morality capable of engaging biomedical issues and indigenous to people who think in proverbs, stories, and relationships. An African American male patient, age forty-two, was admitted to a skilled nursing unit after surgery for head and neck cancer with lymph involvement, newly diagnosed. Jack is a hard-working employee at your restaurant in a small, rural town a few hours from the nearest big city. Grace H. is a retired teacher who is suffering from Alzheimer dementia, who lives in a nursing home. The range of topics covered by our broad definition is presented by several different means, including lectures, structured role play, case studies and videos. A twenty-month old Puerto-Rican boy is brought to the clinic by his mother who believes he has a folk gastrointestinal illness, called empacho. H��W�n����C=z��*���`z:�4�$h'y�Y�jL�.V��sn-�d��A`@�H��{�����C�i!X�?Β"�+�8�Kƞ�}���Ï�RƋ��q���/x��f. "Stop everything. In groups, read aloud the following case studies and discuss the questions below. Patti, a 52-year old woman with history of asthma, chronic obstructive pulmonary disease, hepatitis C and substance abuse, presented to the emergency department after cardiac arrest at home with subsequent return of spontaneous circulation. This leads to other treatment decisions and dilemmas which become ethically complex. Resuscitation attempts succeeded; however, over the course of a few days he went into multi-system failures. From journalism to performing arts to foreign policy to scientific research to social work, these cases explore a range of current and historic ethical dilemmas, their motivating biases, and their consequences. Case Studies. She is a rather remarkable girl in that she lives independently while still a senior in a high school. During the next five months repeated attempts to wean Mrs. Wanglie from the respirator were unsuccessful; she was conscious, aware of her surroundings, and could recognize her family. college admissions, high school, standardized testing, race, income, inequality, wealth, level playing field, SAT, ACT We update our Case Studies and Educational Resources regularly. When the trial court refused the order to withdraw life-support, her father, who was her guardian, appealed. Freda is a 32-year-old lady living in a long-term care facility who is chronically ill with multiple sclerosis. After an emergency c-section, Baby Girl X undergoes many surgeries to remove parts of her colon. The situation is dire, and Joe seems to "get it". A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. JD is a 25-year-old patient who sustained massive head trauma and neurological injury in a motorcycle accident. CASES OF WITHDRAWING / WITHHOLDING TREATMENT. Case Study - The Case of Angela C The Department of Bioethics offers many programs, including our highly successful Master of Arts program in Bioethics and Medical Humanities, which emphasizes the multi- … When Patti’s husband didn’t respond to attempts to contact him, with no advance directive, it was deemed more helpful to support the care team’s communication efforts and to provide an ethics perspective with procedural recommendations and “what if” options. This case study explores whether the provision of artificial nutrition and/or hydration is a medical treatment, and in what situations should artificial nutrition and/or hydration be offered? 80-year male with multiple medical problems with esrd, dementia, stroke, bedridden and with low blood pressure. The High School Bioethics Project was established by Arthur L. Caplan, PhD, in 2001 at the University of Pennsylvania. Case 14 - Drawing the Line on Gerrymandering. 1 0 obj<>/Font 27 0 R/ProcSet 71 0 R>>/Type/Page>> endobj 2 0 obj 46 endobj 3 0 obj<>stream A nurse experiences moral distress with being told to continue monitoring a 100-year-old patient's blood work as long as she remains on blood thinners. Teri is also a member of the American Society for Bioethics and Humanities. Her bill was close to $20,000, but she had no insurance and no savings to fall back on. A 49-year-old male came into the cardiac care unit with an inferior wall myocardial infarction, and shortly thereafter coded. She tells you that she was an adoptee given back to foster care and then abused in that system. An 84-year-old non-ambulatory nursing home patient was confined to semi-fetal condition with "sever organic brain syndrome." Alice watched her mother’s long slide into Alzheimer’s type dementia, certain that her mother’s careful attention to advance care planning would be able to prevent her worst nightmares. Case Studies In Bioethics Search for it on the Web, as there Case Studies In Bioethics are plenty of websites that offer online homework help. He has been missing work for medical treatments outside of town and has recently started to show signs of losing weight and having a cold all the time. He had always been eager to get health problems fixed, including the most recent issue, which required colon surgery. You should then outline the stakeholders in the case, the possible options in the case, and which option each stakeholder might choose. She has been married thirty-two years and has three adult children. endstream endobj 4 0 obj 49 endobj 5 0 obj<>stream When she subsequently gets sepsis and shock again, the parents are faced with the decision to continue aggressive treatment, leaving her to only receive nutrition by IV and possibly not live past about a decade, or to allow her to die naturally now. Students examine case studies involving bioethics. She voices desires to die peacefully and not to have a feeding tube placed. She tells you that she was an adoptee given back to foster care and then abused in that system. My patient, Ms. P, was dying right in front of me. 2. Both young people sustained severe injuries. Case Study Discussion. Permanently unconscious, she has only brain stem function. Jennie is a 79-year-old woman who had suffered from hypertension, diabetes and many strokes. View Assignment - Bioethics Case Studies.docx from BIOLOGY 101 at Clinton High, Clinton. When a therapy is "futile" how much power should the mother have to demand the treatment? The best that can be hoped for now, says his critical care physician, is discharge to a long-term acute care hospital (L-TACH). Question: Do you do another round of dialysis? The patient wants an operation that the surgeon is reluctant to offer because of her frailty and high operative risk. After refusing surgery twice, her doctor tells her that he cannot be her doctor any longer. He does not feel he can contact the chiropractor, but feels that the manipulation could worsen Herman's injury. The infections in this patient’s legs are so severe that a double amputation is recommended, also. Center for Clinical and Research Ethics Washington University St. Louis School of Medicine Ethics Research Core Medical Ethics Empirical Evidence-Based Fiona had no health insurance. He sustains a severe brain injury is and shows no signs of consciousness, including the most recent,! 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