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1
NURS 4234: SUMMER 2016 SCENARIO
Mrs. G, a 58 y/o woman with terminal cancer arrives in the ED of a Texas hospital following
an overdose of narcotics. When her husband and daughters arrive, they inform the ED
physician that Mrs. G was diagnosed with ovarian cancer with metastasis six months ago
and she is six weeks post the last course of chemotherapy. The family explains she has
been in severe pain and was found unconscious and barely breathing in her bedroom.
Upon arrival in the ED Mrs. G was intubated, placed on a ventilator and started on
Dopamine for hypotension. The patient did not have a living will or durable power of
attorney according to the family who demand aggressive care despite her attempt to
commit suicide and a full code order is placed by the attending MD. After five days in the
ICU without improvement in neurologic status, the healthcare team is convinced further
interventions are inappropriate and could cause additional client harm. In a family meeting
the daughters insists on continued support including additional
surgery/chemotherapy/radiation and prolonged ventilator support despite the opposition
from the husband who demands that the physician “finish the suicide”.
Consider the following as you write your paper:
Can providers complete the act of suicide? Is removing her from the ventilator assisted
suicide? Who decides? What are the legal ramifications in Texas for providers? Should a
family be allowed to demand continued medical care when the healthcare team believes
that the patient will not benefit from further therapy?
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