Jimmy Chang, a 20- year- old college student, is admitted to your institution fo

Question

Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because "Jimmy has suffered enough." You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using both an ethical and a legal approach?

Explanation / Answer

   Informed consent is mandatory for special procedure,treatment and diagnosis..When patient is with advanced metastatic cancer sharing information with patients and family about chemotherepy and additional chemotherepy is highly challenging..
There is a potential for unpleasant or life threatening side effects will be there..so that jimmy father not accepted for informed consent additional chemotherapy..Proper information and comprehensive communication from their oncologists and supportive care team is must..Due to lack of understanding between patient and doctor the family refusing the treatment..some people accepting the treatment with less survival expectations..
   when patient or family refusing begin the chemotherapy the informed consent previously obtained null or void.the nurse must contact the oncologist about family retraction,the oncologist was informed..he will change to a patients decision about discontinuing chemotherepy treatment..
    Best course of action for jimmy from an ethical perspective is Utilitarianism (the belief that the value of a thing or an action is determined by its utility)..It is a ethical view of point of claiming what is moral for this situation..By the way of moral we can not bring happiness and stop the pain..as per utilitrianism it is immoral to provide chemotherepy when patient is already ill,and also its unethical to force someone to go and get the treatement when they refusing it..it is up to the patient happiness with out harming him to respect the jimmy's father choice.Jimmy is choosing to go for high-value pleasure inorder to avoid physical harm..
   As a nurse we should be aware that when aiming for good..The percentage of survivors with cancer develop with unrelated cancer in the next 15years..Equal judgement about people rights and treatment mis understanding will be fact..we must be go for better ethical and moral perspective to make the patient life to happiness and end of life..

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