A number of ethical issues regarding end-of-life care decisi

A number of ethical issues regarding end-of-life care decision… A number of ethical issues regarding end-of-life care decision usually occurs in the absence of advanced directives and/or living will. Advanced directives and living will be not a common practice in the Philippines as in the following case: TJ, 65 years old, was rushed to the Philippine Heart Center because of chest pain at 8: 00 PM. He was suspected to have myocardial infarction and was given morphine for the pain. From the emergency room (ER) he was finally moved to a regular room at eleven o’clock in the evening. Two years prior to his admission to the Heart Center, he was operated on for prostatectomy because of Prostate Cancer. His bone scan showed that cancer has metastasized to his bone. Because his ProstateSpecific Antigen (PSA) was abnormally high, his medication for some time included testosterone. His wife talked to the children that if anything happens for the worst, she would opt for a Do Not Resuscitate (DNR). Six weeks after the operation, a linear accelerator was prescribed for six weeks. As a side effect, he had low hemoglobin which often necessitates blood transfusion. He was in and out of the hospital several times for this reason and was just discharged from the hospital a day before when he complained of chest pain thus bringing him to the Philippine Heart Center. The evening after his admission was uneventful when at 6:00 AM, he appeared to be pale and looked alarming. The wife called all the children to come to the hospital at once. Code blue was called, cardiopulmonary resuscitation (CPR) was initiated and intubation was done to no avail. TASK 1. GROUP  Answer the following s: 1. What ethical issues have you identified in the above case? 2. What values and beliefs about the case have you identified?Health Science Science Nursing NURSING 293

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