An alert and oriented 62-year-old client was diagnosed with colon cancer. Surgery was recommended,..

An alert and oriented 62-year-old client was diagnosed with
colon cancer. Surgery was recommended, and she agreed to surgical excision of
the tumor. Postoperatively, she experienced serious complications and remained
in the surgical intensive care unit for 2 months. During that time, she
experienced cardiac failure, temporary respiratory failure, and renal failure
and required multiple surgical procedures.

One day she was asked to sign a consent form for surgical
revision of her colostomy. She refused, stating that she could no longer
tolerate any procedures and that she was ready to die a
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An alert and oriented 62-year-old client was diagnosed with
colon cancer. Surgery was recommended, and she agreed to surgical excision of
the tumor. Postoperatively, she experienced serious complications and remained
in the surgical intensive care unit for 2 months. During that time, she
experienced cardiac failure, temporary respiratory failure, and renal failure
and required multiple surgical procedures.

One day she was asked to sign a consent form for surgical
revision of her colostomy. She refused, stating that she could no longer
tolerate any procedures and that she was ready to die a peaceful death. The
nurse informed the resident of the client’s decision. The resident called the
attending physician, who ordered a stat dose of Valium 10 mg IM for the client.
He then stopped by the nurses’ desk and asked that the client be prepped for
surgery.

1. Identify three elements needed to ensure informed
consent.

2. Did this client give informed consent?

3. Identify which of the elements of informed consent were
met or not met. Be sure to include your rationale.

4. What type of ethical dilemma does this case study
present?

5. Which ethical principle pertains to this situation?

6. Explain the deontological view of this ethical dilemma.

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