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Steve is a 31-year-old Caucasian male.  He is an active substance abuser and was struck by a car

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Asked by DeanJellyfish3702

Steve is a 31-year-old Caucasian male.  He is an active substance abuser and was struck by a car while wandering on a busy street. He has a C4 spinal [cord] injury and is in acute respiratory distress.  He is sedated and ventilated.  He is not progressing as would be expected.  Every time he begins to improve, he regresses.  On his last admission to a psychiatric faculty for substance use relapse and depression, Steve completed a healthcare proxy.  He also discussed his wishes with his family.  His brother states, “He never wanted to live like this.  He does not want to be a burden.” The brother is requesting that all artificial life support be removed.  Steve’s entire family agrees that this would be what Steve would want (Grace, 2018, p.306). 

Discussion Posting: 

Consider that you are the nursing caring for Steve.  Based on the readings assigned above and those from the module, address the following in a well-written, succinct initial discussion post.   

Your initial posting should be 3-4 paragraphs in order to thoroughly respond to each prompt.  Within your answer to these prompts, you must integrate your understanding of Provisions 1 and 2 of the ANA Code of Ethics. 
What is one ethical dilemma you have identified in this case and how would you address it as Steve’s nurse? 
Discuss what, if any, additional information or resource you would seek before a decision is made about removing or not removing Steve from life-sustaining treatment. 
Describe the impact that palliative care and/or an ethics consultation could make in a case like Steve’s. 
Explain how is palliative care is a basic human right and describe one action that you can take as a professional nurse to uphold this right? 
SCIENCE
HEALTH SCIENCE
NURSING
NURS MISC

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