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NSG2HEL Assessment Two: Ethical Principles Exercise

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Mr. Looi Eng Hong is a 72 year oldman who is recovering from a mild CVA and is currently admitted for severe exacerbation of his COPD with dyspnoea on minimal exertion. He has moderate dysphagia and dysphasia. During the last 48 hours he has spiked a temp at night and has become listless. On examination you note he is diaphoretic, looks flushed and glassy eyed and he is breathing through pursed lips. He remains febrile -his temp is 38.7 C and his SaO2 is 89% with 4 LPM via Nasal prongs. He has a severe cough with small haemoptysis. You auscultate his chest and hear decreased breath sounds and wheezing. The resident examines him and makes a provisional diagnosis is pneumonia. Mr. Looi doesn’t want an IV and refuses oral antibioticsor any other medication. Throughout the shift he continues to refuse foodand takes onlysips offluid. Enteral feeding is discussed and this will also enable antibiotic therapy however when this is suggested Mr. Looi he indicates that he doesn’t want the naso-gastric tube and becomes quite agitated. Mrs. Looi is happy for health care staff to do “anything that needs to be done.” The resident comments that antibiotics and the feeding tube arenotextraordinary treatment and queries whether or not Mr. Looi is actually competent to decide due to his overall condition.He asks you to go ahead and organize for NGTinsertion. The purpose of this assessment is for you to demonstrate your understanding and application of ethical theory and principlesin order to justify whether or not you will follow the doctors ordersand go against the patients wishes. Ethical principleswhich may be relevant to this case include:AutonomyBeneficenceNon-maleficenceVeracityFidelityJustice.Ethical theories which may be relevant to this case include:Consequentialism/UtilitarianismDeontologyRemember that the focus of Assessment Twois ethical and not legal issues. Thus, for example, even though there may be legal issues within this scenario, limit your discussion to ethical issues.

Suggested approachEnsure that you include atitle page correctly filled out with your  details.Include a brief introduction & conclusion with your paper.You may make use of sub-headings.Ensure correct application of APA6/7referencing guidelines both for in-text citations and on the reference list.Ensure your discussion of relevant ethical principles (or theory) is always applied to the case of this particularpatient.Consider the rights of all parties invol

NSG2HEL Assessment Two: Ethical Principles Exercise

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Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.

Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.

Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.

Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

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PHAR10010 Communication Skills for Pharmacy

Question: "The effect of clinical application protocols for topical medicines on treatment efficacy and safety". Introduction Opioid agonists such as morphine continue to be important analgesics in the treatment of pain in the immediate perioperative and critical care settings [1], although the ...

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ANTH110 Cultural Anthropology

Tasks: Introductions: The articles I have assigned all deal with the question of cheating and plagiarism in British, American and Canadian higher education. Their focus is on international students who have come to schools in those countries. The authors note that these students exhibit a greate ...

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PHAR10010 Communication Skills for Pharmacy

Questions: Question 1: Explain the influence of the Market on the choice of the main disease areas for which multinational pharmaceutical companies will attempt to discover and develop new drugs. Most multinational pharmaceutical companies are, to a great extent, “Market-Led”. Questi ...

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Lsm3223 immunology

Jason Chow, a 5-year old body was admitted to the National University Hospital due to severe sinus infection. Group A ?-haemolytic streptococci were cultured from his nose and throat. His serum was tested for antibodies against streptolysin O, an antigen secreted by streptococci, but no antibodies a ...

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