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Greater Harm Case Summary

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Case Analysis: The Greater Harm
Ikuko Lubow RN submitted to Debra Bennett-Woods, EdD, in partial fulfillment of
HCE 430R C71 Applied Ethics in Health Care
Regis University
July 30, 2016 Introduction This is a case of Mr. Clark, frail 79 year-old male who was brought to emergency department (ED) when his neighbor found him unconscious in diabetic coma. Mr. Clark has end-stage pancreatic cancer which he has been treated at VA hospital. Mr. Clark has stated he would like to seek treatment as long as possible and declined palliative care from VA and its physician. According to Cancer Research UK, advanced stage of pancreatic cancer, such as the one Mr. Clark has, survival rate is two to six month(Cancer Research UK, 2015). When Mr. Clark was brought to ED, he also had heart failure and his kidneys are not functioning properly. There are no financial situations available but considering his age, Mr. Clark is eligible for Medicare for his medical needs. The only existing family Mr. Clark has is an estranged sister in California. Mr. Clark’s primary care giver has been her neighbor, Sonja for 20 years. Mr. Clark has been seeing in the VA hospital in metropolitan for over 25 years and he refused to find primary care physician in his area. The VA would not accept Mr. Clark’s transfer …show more content…
Contrary to the patient wishes, if there is evidence of patient’s inability to make decision for himself/herself physician may make decision for the patient(Regis University, 2005). VA physician tried to persuade Mr. Clark to agree on DNR and palliative care due to his poor prognosis with his pancreatic cancer. Now that he is unable to voice his opinion, ED physician would like to order DNR for him. Even if ED physician orders DNR for Mr. Clark, physician has an obligation to treat him for his diabetic coma, the main reason for this ED

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