Case Study: Ethical issues regarding end of life care decision usually occurs in the absence of advanced directives and/

[answerhappygod]

Case Study:
Ethical issues regarding end of life care decision usually
occurs in the absence of advanced directives and/or living will. It
is also not a common practice in the Philippines, as in the
following case: OV, 65 years old, was rushed to the Hospital
because of chest pain at 9: 00 PM. He was suspected to have
myocardial infarction and was given morphine for the pain. From the
Emergency room (ER) he was finally moved to a regular room at
eleven o’clock in the evening. Two years prior to his admission in
the Hospital, he was operated for prostatectomy because of Prostate
Cancer. His bone scan showed that cancer has metastasized to his
bone. Because his Prostate-Specific Antigen (PSA) was abnormally
high, his medication for some time included testosterone. His wife
talked to the children that if anything happens for the worst, she
would opt for a Do Not Resuscitate (DNR). Six weeks after the
operation, linear accelerator was prescribed for six week. As a
side effect, he had low hemoglobin that often necessitates blood
transfusion. He was in and out of the hospital several times for
this reason and was just discharged from the Hospital a day before
when he complained of chest pain thus bringing him to the Hospital.
The evening after his admission was uneventful when at 6:00 AM, he
appeared to be pale and looked alarming. The wife called all the
children to come to the hospital at once. Code blue was called,
cardiopulmonary resuscitation (CPR) was initiated and intubation
was done to no avail.
Questions:
1. What ethical issues have you identified in the above
case?
2. What values and beliefs about the case have you
identified?
3. What could have been different if the requirement of DNR was
consummated? 4. What are the current hospital practices for DNR