Module 4 Assignment Nursing ADN Program Gerontology Ethical and Legal Paper 30 Points Due Date: May 17,2017 Directions: You will use the following information to create a plan to address the legal and ethical dilemmas now present in G.T.’s case. G.T. is a 69 year old Hispanic woman. She was widowed five years ago and lives alone. Her son and daughter live near-by. She emigrated from Mexico in her teens, and married a man of eastern Indian decent that she met in an English speaking class. G.T. has a high school diploma, and worked for many years as an administrative assistant to an insurance executive. Her mother followed a Curandero as her primary health care provider when G.T. was growing up in Mexico. G.T. follows some western health care practices at the insistence of her daughter, but leans towards more cultural beliefs and sees a Curandero along with a physician. G.T. loves to cook and garden, and makes many traditional foods. She is retired now, has a cat and is very involved in her church. G.T. has a medical history of Diabetes Mellitus Type II, which is not well controlled, hyperlipidemia, hypertension, and gout. Five months have passed since G.T. came to live with her daughter, D.M. She was admitted to the hospital 10 days ago when she became too weak to stand and began complaining of excruciating pain. She has been diagnosed with stage 4 bone cancer, metastasized from undiagnosed breast cancer. She was a full code, but began talking about a DNR. She has spoken with her son, daughter, nurses and doctors over the past two days and stated on several occasions that she wants to a DNR. Before the paper work could be completed G.T. lapsed into a coma. D.M. feels guilty about the past few months, and is refusing to agree to a DNR. She is G.T.’s health care surrogate and refuses to make her mom a DNR. G.T.’s son thinks his mother made her wishes clear, and that his sister should sign the DNR. The physician believes there is little hope that G.T. will regain consciousness. G.T.’s son is demanding the physician write the DNR, and becomes very tearful and agitated “My mother did not want this, she is suffering, I can’t believe you cannot do anything.” D.M. is just as adamant about her refusal. Instructions You will create a plan to address the ethical and legal dilemma. APA Format The paper must include the following Identify and clearly summarize at least three legal and ethical issues. Propose a plan to address the three legal and ethical issues that includes: evidence based rationales for major components of the plan, with two appropriate, evidence-based supporting sources at least three legal and ethical principles must be correctly identified and applied to the case during the presentation clearly addresses cultural considerations in the proposal Please Note: This is a paper not a presentation.
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