Essay Debbie Brooks Case Study – Nursing Assignment Help

Assignment Task:

CASE STUDY 1: Debbie

Debbie Brooks is a 32-year-old hairdressing student who recently separated from her partner of 6 years. She is 12 weeks pregnant. You are an enrolled nurse caring for Debbie in the short stay ward where she has been admitted for a termination of pregnancy. 

Debbie tells you that she would like to have children in the future but wants to finish her hairdressing apprenticeship first, which will take another 3 years. She is aware that the older she is, the harder it is to conceive. You know that getting pregnant after the age of 35 is difficult and these women often have high-risk pregnancies with complications. Debbie is planning to freeze her eggs so she can use them in the future. Debbie’s former partner lives in your street and occasionally say hi to one another.

1. A. Define Beneficence and non-Maleficence 

B. Describe one (1) potential ethical consideration related to using reproductive technology that is relevant for this patient. (100-150 words)

2. Explain the term “bioethics”.

3. A. What is an ethical dilemma? 

B. Identify an ethical conflict that may arise in this case (50 words)

4. Debbie’s decision to terminate her pregnancy may conflict with a nurse’s personal moral beliefs (Part A, B, C). 

A. How should a nurse act in this situation to ensure Debbie receives the care that she is entitled to?

B. If you found yourself in this situation, what framework or guidelines would you use to assist you in the decision making?

C. Where would you find these frameworks or guidelines? 

5. Should you tell Debbie’s former partner about the termination of pregnancy? Please use Kerridge’s ethical decision-making model in your answer to make the decision.
 

CASE STUDY 2: Tilly

You are working a night shift in a busy hospital. Earlier in the day a well- known film actor, Jordan Starr was admitted to your ward for prostate surgery. You are working tonight with RN Tilly. She arrived 10 minutes late for handover because she had been at a family birthday party. You start work with the people you are allocated to care for and a little bit later you are outside the open door of Jordan’s room. Tilly is in the room and you can see that Jordan is asleep. You notice Tilly open his bag, take out a watch and put it back into her pocket. She then used her phone to take an unflattering photo of Jordan with her phone and uploaded it to her Facebook page with a comment ”Look who is here! I am lucky to be Jordan’s nurse tonight. He doesn’t look as cool as he does in the films”. Tilly sees you at the doorway  and noticed you concern. She whispers “it’s OK because my Facebook security settings are set to private and so only my family will see the photo”. You return to the nurses’ desk and Tilly comes and sits beside you. You notice the smell of alcohol on her breath.

6. Is it okay for Tilly to post the photo to social media? 

Why or why not? What policy does this specific behaviour of Tilly breach? 

7. Describe two (2) ways in which Tilly’s behaviour breaches professional practice guidelines. 

8. Explain how the Crimes Act 1958 is relevant to Tilly’s behaviour?

9. A. Define the term negligence. 

B. In your opinion, does Tilly’s behaviour meet the criteria for negligent behaviour? Justify your response using legal rationale.

10. A. Define the term ‘valid consent’ 

B. In your opinion, does Tilly’s behaviour meet the criteria for valid consent? Justify your response using legal rationale

11. A. Define the term ‘defamation’. 

B. In your opinion, is Tilly’s behaviour defamatory in nature? Justify your response using legal rationale.

12. A. What are the four (4) mandatory reporting areas for all regulated health care professionals? 

B. Considering Tilly’s behaviour during the shift, can you identify any conduct that you would be required to report to authorities? 

C. If so, how would you proceed and who would you report the behaviour to?
 

CASE STUDY 3: Branco

Branco Popalovich is a 92 year-old man. He is a resident n an aged care facility where he has lived for the past 5 years. He has past history of right sided CVA with a dense left hemiplegia, Parkinson’s disease, advanced Lewy-body dementia and gout. Branco cries for much of the day and often tries to get up from his chair, which puts him at risk for a fall. He requires full assistance to eat and drink. Branco’s daughter Martha is the legal guardian. She speaks with his GP and asks that Branco’ no longer be given food or fluids and the GP documents this as an order in Branco’s progress notes after a thorough assessment of Branco’s current health status. However, Branco keeps pointing at the jug of water beside him, The GP has also documented a not for resuscitation order in Branco’s notes. 

13. A. Is the order to withhold food and fluid a legal order?

B. Can you conscientiously or morally object to the other instead provide Branco with food and fluid knowing that this will prolong his life. 

14. Should you perform CPR if he has a cardiac arrest? Why or why not?

15. A. Define false imprisonment. 

B. Can you restrain Branco to prevent him from getting out of the chair? 

C. Why or why not?

16. A. Is it appropriate to push Branco back into his chair when he tries to stand up? 

B. Could this be considered abuse? Explain your response using legal reasons

17. Martha asks you to call a Buddhist monk to come and perform a cleansing ceremony for her father, but you know that Branco is a practising Catholic.
-Do you follow this request?

-Describe two potential ethical conflicts

18. Branco falls out of his chair during your shift and breaks his femur. He is transported to hospital by ambulance but dies later that night. His case is referred to the Coroner because it is a death related to an accident.

List three different types of documentation that you would use as the nurse relating