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Consider this case: the patient you are treating is like the example in the over

ID: 70791 • Letter: C

Question

Consider this case: the patient you are treating is like the example in the overview, an elderly man who presented with breathing difficulties and reduced pulse oximetry. His condition has continued to deteriorate until now he is non-ambulatory and is developing pneumonia. He can no longer communicate with the health care team and the decision is focused on whether to put him on a respirator. The physician does not think the respirator would be curative; in other words, she thinks the patient would become dependent on the respirator and would not likely ever be off the respirator. He is a widower and his daughter has been the most frequent family member present at the hospital. She tells the health care team that her father would not want to be put on a respirator, so she does not want it ordered. During the conversation between the health care team and the patient's daughter, a breathless man comes running down the hall and identifies himself as the older son of the patient. "Do everything for my father. Spare no expense. I want every possible procedure done to keep him alive."

What is the most appropriate action for the health care team to take and explain your answer?

Explanation / Answer

I would suggest respirator would be an extra support to him.

As patient is suffering with pneumonia. As part of prescribed therapy, the client must use a bedside incentive spirometer to promote maximal deep breathing. The nurse checks to make sure the client is using the spirometer properly. During each waking hour, the client should perform a minimum eight to ten sustained, voluntary inflation maneuvers.

As patient is old extra care and concern must be taken checking his condition everytime and do the needful according to the expert/Doctor advice