Ethical Writing Assignment Discuss in your initial

Ethical Writing Assignment Discuss in your initial post: What ethical dilemmas does the patient’s situation present? (Paragraph 1) Review the situation from a nursing point of view. (Paragraph 2) Then consider the patient’s or a family member’s point of view. (Paragraph 3) 50 year old African American Male with no Advanced Directives Unknown past medical history-No medications, has not been to a primary care physician in 30+ years. Collapsed in the post office, bystander CPR started (no AED used), EMS arrival patient in PEA Patient’s down time-70 minutes, transferred to the ICU 6 days later patient cardiac arrested-PEA-Down time-35 minutes AssessmentNeurological-unresponsive, does not respond to voice, does not withdraw to pain Pupils-round, sluggish Left-4, Right 5-Corneal Reflex-Absent Glasgow Coma Scale-3, RASS Score -5 Respiratory rate-tachypnea and ataxic Cardiac-heart rate-120’s A-Fib GI-active bowel sounds in all 4 quadrants, incontinent GU-Urine-Foley-cloudy, yellow, sediment-30 ml/hr Integumentary-Pressure Ulcer(stage II) on coccyx EEG-impression-low voltage brain activity, intermittent myoclonic seizures (seizures are not visible to the RN) MRI-Anoxic Brain Injury After 2 weeks the patient was not able to be liberated from the ventilator. The patient was unresponsive, did not respond to voice or painful stimuli, pupil responsive was sluggish and the corneal reflexes were absent. The patient underwent a tracheotomy and PEG tube insertion per the request of the family. The patient was transferred to a long- term patient care facility after a 2 month hospitalization. The initial post includes one relevant in-text citations from a Nursing/Medical Journal.

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