nessathecute

Female
from Vancouver, BC

  • Activity

    • Help with my Case Study

      8 years ago

      nessathecute

      Hey all - so I am currently working on my first case study for a Biomedical Ethics course (required for my Nursing program) and I would like some open discussion to occur. My prof encourages this so worry not - both cases will be posted below. I am leaning towards one of them but have done some outlines for both.

      Case 1
      Mr S, a 70-year-old male, has a history of recurrent deep depression, mood swings
      and bouts of irrationality which have estranged him from his children. He has no
      other living relatives. He undergoes a routine physical examination with Dr Y in
      preparation for a long-awaited and much-anticipated trip to Australia, the first thing
      he’s been enthusiastic about since the death of his wife three years before. In fact,
      planning and anticipating this trip has lifted Mr S out of a depression lingering since
      his wife’s death. Dr Y suspects a serious problem and orders more extensive testing,
      including further blood analysis and a prostate biopsy, which establish that Mr S has
      an inoperable, incurable tumour of the prostate. The tumour is not yet advanced,
      and is relatively slow-growing. Dr Y, having treated Mr S for many years, is aware of
      his history of depression, including a prior suicide attempt after losing his wife to a
      difficult and protracted battle with cancer. While Mr S is currently rational and
      capable of making decisions, such as planning his trip, past history indicates that he
      does not cope well when informed of serious health problems. He has a tendency to
      worry excessively and think and act irrationally when faced with such problems. Dr
      Y is concerned that if he informs Mr S of the cancer, Mr S will not go on his trip and
      may fall into a deep depression during which he may attempt to harm himself or
      even commit suicide. The slow progression of the cancer ensures that Mr S will not
      suffer the effects of the cancer while on his trip. Dr Y concludes that he is justified in
      withholding this diagnosis and prognosis from Mr S, at least until he returns from
      his trip. While in the office receiving the last of his inoculations to enter Australia,
      Mr S asks nervously, “Am I alright? I don’t have cancer, do I?” Dr Y tells him, “You’re
      as good as you were ten years ago.” Although the outright lie makes the physician
      uncomfortable, he believes that he is justified and that lying in this case is the best
      way to help his patient.

      Case 2
      Jimmy T is an 11-year-old boy who suffers from lymphoma (cancer of the lymphatic
      system). The oncologist has indicated that without chemotherapy Jimmy is likely to
      die within six months. She has also indicated that chemotherapy provides an
      effective cure in only 20 percent of cases like Jimmy’s; in most cases, chemotherapy
      produces at best an additional three-month to six-month extension of life. Jimmy is
      also compromised by an incurable neurological disease. This disease will eventually
      make it impossible for him to walk, talk, use his hands effectively, or control his
      excretory functions. Already his speech is slurred, and he cannot hold a pencil.
      Even without the lymphoma, the prognosis for him because of the neurological
      disease is death by the age of 18. Jimmy has been raised in a strong religious
      environment, and his belief in God has been an important comforting factor for him.
      After having the facts fully explained to him, he has accepted his situation and the
      inevitability of his death at a young age. He says that he does not want the
      chemotherapy and that he is ready to “go to God”. His parents, however, cannot
      reconcile themselves to losing Jimmy. They override Jimmy’s decision and tell the
      oncologist to proceed with the chemotherapy.

      smiley9.gifsmiley9.gifsmiley9.gif
      After I hear some opinions, arguments, etc... from you guys, I will give you some of mine and we can go back and forth. Basically what I have to do is demonstrate what I have learned by explaining what is going on in the case (paternalism, adolescent decision-making, information disclosure, etc...) and form an opinion on the basis of that information. What it is, how does it work, what are the benefits & issues, etc...
      Also if you have never taken a Philosophy course and/or do not know the technical terms for what is occurring in each case, that is okay with me, straight opinion is most welcome. Of course I will not plagiarize anything that you guys say but I am more using this as a chance to bounce my ideas around. I will be more than happy to share my finished product with you as well.

      Thanks all! smiley13.gif

    • Finally!

      8 years ago

      nessathecute

      At long last I have rid myself of the graduating licensing program in BC - so pleased with the freedom but annoyed I cannot get my auto co-op membership yet because servers are messed up *le sigh*

      Other than that, not much else is going on (how boring am I?)

      Saw Pirates 4 the other day - so awesome, almost want to go again but cannot justify buying another ticket lol

      I watched my niece and nephew over the May 24 weekend which, it was not so much watching but more like supervising now (they are 10 and 13 years old). They both have crazy hormones already and bicker far more than they used to! Not sure why, but my niece wanted to talk about growing up and asked a lot of questions, I stuck to the facts for the most part but gave her, what I thought, was some good info and advice. Yay me?

      I am losing my train of thought so I am off for the night...toodles!

    • 8 years ago

      nessathecute
    • Hel-lo Rooster Teeth...

      8 years ago

      nessathecute

      So, I am here, not sure what to do...have pics for later, but for now I am a gray and white smiley. Um, I am always up for meeting new people. I have met a lot of people on this site, particularly through DBBBL :-) They probably don't remember me though as DBBBL involves a lot of booze! Anymawho, hello and say hi back! If I am supposed to know who you are, please message me okies?

    • 2019 years ago

      nessathecute
  • Comments (8)

    • karlibean

      8 years ago

      I didn't even know you were coming to PAX! Yay!

    • unkowngamer

      8 years ago

      The plan is to have a Perseid meteor shower party, somewhere a good deal away from city lights. I'm thinking campgrounds somewhere, but I might be able to find something else.

      As for the straight razor and everything, I got it at the House of Knifes, which I'd advise against. I grossly overpaid, after looking up what I'd bought online.

    • MissZahrah FIRST Member Star(s) Indication of membership status - One star is a FIRST member, two stars is Double Gold

      8 years ago

      The stuff my mom gave me went back to my mom. The one bottle of syrup I didn't want went to my uncle, the rest of it was expired. There wasn't all that much anyway. Besides, I don't want to just donate "stuff I don't want". I want to donate stuff that I think might actually be useful.

    • AprilFire

      8 years ago

      Nessa, you create the emoticon faces by becoming a Sponsor. It's one of the perks!

    • nessathecute

      8 years ago

      Yes - me too! I think I will be sending some questions your way soon :-) Thanks!

    • She_Prime

      8 years ago

      Hello! Karli was telling me about you :) look forward to getting to know you! If you have any questions for me regarding nursing school let me know :)

      I'm Angela by the way.

    • nessathecute

      8 years ago

      Cool :-) tee hee

    • karlibean

      8 years ago

      I didn't know we were July birthday buddies! Same year too.

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