need answer to case study questions Exercises Case 1 Mr. L is an 80-year-old man
ID: 432695 • Letter: N
Question
need answer to case study questions
Exercises Case 1 Mr. L is an 80-year-old man who has developed difficulty in swallowing (dysphagia). He is not very concerned about his symptoms, but his granddaughter is worried and convinces him to undergo a thorough medical examination. The ex reveals a mediastinal mass impinging on the esophagus. A biopsy is recommended. If the mass is found to be can cerous, immediate major surgery, including laryngectomy and tracheostomy, would be needed to avoid obstruction Radiation and chemotherapy might produce palliation but probably would not produce a cure. Even with aggressive treatment, obstruction could be delayed for a while but not indefinitely. Mr. L otherwise is in good health and is alert oriented, and mentally intact. He lives in an apartment near his adult granddaughter, on whom he relies for trans- portation. He has not asked many specific questions about his current situation, because he does not want to impose on the physician's time for lengthy explanations, but Mr. I has not executed a durable power of attorney for health care document. The granddaughter has requested that the phy- ian not tell Mr. L the diagnosis because of fear that Mr. L uld not tolerate either the diagnosis or the disfiguring operation very well. She states that history of depression. The granddaughter further argues that Mr. I's symptoms are so mild he may not need the surgery and, in any event, at his age an invasive plan of care would not be appropriate. Should Mr. L be told his diagnosis and prognosis? Why or why not? Can a decision be made to withhold this infor mation from Mr. L based on his granddaughter's warning about his emotional state? Has Mr. L implicitly delegate his decision-making authority to his granddaughter?Explanation / Answer
Here Mr.L 's granddaughter clearly stated that his grandfather has fear and he has some history of depression so Mr.L should not know about his condition and his diagnosis and prognosis.
Yes we should take decision based on granddaughter's warning about his emotional state, because she got some experience with him.
Yes here Mr, L implicitly delegated his decision making authority to his granddaughter because he is living with her and not ready to know more details about his health condition and he consult doctor because of his granddaughtegra pressure and she really worried about his health and concerned about his health
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.