Inflicting Agony to Save a Life Sally Morganthau was an experienced nurse specializing in the care and treatment of pati

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Inflicting Agony to Save a Life
Sally Morganthau was an experienced nurse specializing in the care
and treatment of
patients suffering from body burns. She was newly assigned as the
primary nurse for
James Tobias, a 32-year-old man who had been on the burn unit of
Parsons County
Hospital for 4 weeks. He had suffered 60% body burns (40% first and
second degree
and 20% third degree) as a result of being trapped in a house
fire.
It was clear to the staff that Mr. Tobias would survive his
injuries but that his treatment
process would be a long and painful one. He would be hospitalized
for months and
would face a number of operations. He would probably lose his
eyesight and have
limited mobility due to extensive muscle damage in the lower
extremities. Of greater
concern to the staff was Mr. Tobias’s mental distress associated
with his tankings and
dressing changes. He often screamed with agony as the staff worked
on his dressings.
He demanded that they stop, but the team, used to the screams of
its patients,
continued their efforts day after day. Because of the excellent
performance of this
particular burn team, patients for whom sur- vival would have been
unprecedented only
a few years ago now often pulled through.
One day after his daily tanking and dressing changes had been
completed and he had
been returned to his room, Mr. Tobias asked for Ms. Morganthau. He
insisted that no
fur- ther treatment be performed. He made it clear that he
understood that this would
mean his possibilities of surviving his injuries would decrease and
that if he did survive,
his contractures would be worse and his problems even more severe.
Yet he insisted
that the agony was too much for him, and he did not want any
further treatment.
Ms. Morganthau spoke with her nursing colleagues and discovered
that Mr. Tobias had
been demanding that they stop the treatments for over a week. A
psychiatric consult
had confirmed that Mr. Tobias was mentally competent and understood
the significance
of his decision. Dr. Albertson, the attending resident, was well
aware of Mr. Tobias’s
feelings. He had seen patients like Mr. Tobias before. Some who had
considered
refusing further treatment thanked Dr. Albertson and the staff
years later for going on.
Dr. Albertson knew that Mr. Tobias’s life was on the line. He was
not going to lose a
patient he knew he could save. What should Ms. Morganthau do?
To proceed with the case analysis, your group must:
1. Read and examine the case study thoroughly.
2. Focus on two to three problems.
3. Uncover possible solutions.
4. Select the best solution.
Please help me thank you i need right now the answer the best
solution.