Role development

Presentation AssignmentCase Study
Consent and Refusal of Care: Can government overrule a child’s wishes in life threatening medical
cases? Yes/No
In March 2015, Makayla Sault was diagnosed with acute lymphoblastic leukemia (ALL) and
authorities said she had a 75 per cent chance of survival if she underwent chemotherapy.
Makayla, whose family is from the New Credit First Nation near Caledonia, Ont., underwent 11
weeks of chemo at McMaster Children’s Hospital in Hamilton, but eventually abandoned it
while in remission to pursue alternative and traditional indigenous medicine. When Makayla
decided against continuing chemotherapy, the hospital referred her case to the Brant Children’s
Aid Society.
RUBIC
State clearing the summary of your position.
Ethical decision
Debate clearly uses an ethical decision making framework to
Making
organize debate. All steps are included.
Framework
Theoretical
Discussions are based on ethical theories and principles.
Analysis/Ethical
Accurate use of a wide variety of theories and principles clearly
Principles
highlights the multi- dimensional aspects of the dilemma.
Evidence of a high level of critical thinking.
Nursing
Clear, comprehensive, and accurate use of relevant nursing
Literature/
codes and standards. All legal issues clearly discussed. Use of a
Issues
wide variety of scholarly nursing research to support
discussions.
Conclusion and
Clear decision about action to be taken stated. Conclusions and
Action Plan
actions are well supported by theories, principles, nursing
standards and laws. Clear statement of why recommended
action was chosen.
Facilitated
Come up with two questions to ask the class.
question
Your Role In this case: You are the patient’s nurse. You need to advocate for your patient and
support the child’s decision. Support your argument using theories and principles, relevant
nursing codes and standards, also use minimum 2 scholarly nursing research to support your
discussions.
Add information to enhance the scenario. For example, you can add details regarding
cultural backgrounds, religious beliefs, specific personal values etc. as needed.
Use Micheal Mcdonald as the framework.
1 page. Max I and half pages.
Case 2: A spouse’s right?
You are a newly graduated RPN working on a busy surgical unit. You are leaving a patient’s
room when you hear an announcement “Code Blue, room 212”. This is a room on your floor.
You soon become aware that a patient at the end of the hall has just had a cardiac arrest. The
code blue team comes from all ends of the hospital and is soon in the patient’s room attempting
to resuscitate him. The patient’s wife is outside the room, screaming, and staff are trying to calm
her down. She is begging to be allowed into the room where her husband is being treated. You
explain to her that it might be upsetting for her but she continues to insist loudly and very
emotionally. You are aware that family members are not permitted to be present during
emergency situations. But you enter the room and ask the team to reconsider due to the
circumstances. Several members of the team state that the wife would find it disturbing and that
they “don’t want her watching us.” You return to the wife who says “He is my husband, not
yours. I want to be with him.”
Case 1 Rubic should be applied in the case as well,
Your Role In this case: You are the patient’s nurse. You need to advocate for your patient.
Support your argument using theories and principles, relevant nursing codes and standards,
also use minimum 2 scholarly nursing research to support your discussions.
Add information to enhance the scenario. For example, you can add details regarding
cultural backgrounds, religious beliefs, specific personal values etc. as needed.
Use Micheal Mcdonald as the framework.
1 page. Max I and half pages.