Clinical Ethics: Should We Treat This Patient? This article presents a case study in the ethical decision making for patients with decreased cognition secondary to decline in function. Mrs. C is an 80-year-old female who had been diagnosed with back pain secondary to thoracic fractures of T7–10. Her past medical history included anxiety disorder, glaucoma, ... Article
Article  |   April 01, 1997
Clinical Ethics: Should We Treat This Patient?
Author Affiliations & Notes
  • Angela M. Mandas
    Long Beach Memorial Medical Center Long Beach, CA
  • Carole Roberts Wilson
    Foothill Nursing Center Glendora, CA
  • Comments and thoughts regarding this case study can be sent to Angela Ryker-Mandas at MGM84@AOL.com or Carole Roberts-Wilson at SUERTUDA@AOL.com.
    Comments and thoughts regarding this case study can be sent to Angela Ryker-Mandas at MGM84@AOL.com or Carole Roberts-Wilson at SUERTUDA@AOL.com.×
Article Information
Articles
Article   |   April 01, 1997
Clinical Ethics: Should We Treat This Patient?
SIG 11 Perspectives on Administration and Supervision, April 1997, Vol. 7, 11-14. doi:10.1044/aas7.1.11
SIG 11 Perspectives on Administration and Supervision, April 1997, Vol. 7, 11-14. doi:10.1044/aas7.1.11
This article presents a case study in the ethical decision making for patients with decreased cognition secondary to decline in function.
Mrs. C is an 80-year-old female who had been diagnosed with back pain secondary to thoracic fractures of T7–10. Her past medical history included anxiety disorder, glaucoma, osteoporosis, chronic obstructive pulmonary disease, colon cancer surgery, a bleeding diverticulum, and a vagotomy for a gastric ulcer. She had been living with her husband who had been her primary caregiver. She experienced a progressive increase in back pain for 3 months, with difficulty controlling pain at home.
She was admitted to a skilled nursing facility with the intent to control pain and for rehabilitation with physical and occupational therapy. Her current medications upon admission included Tagamet, Ativan, Elavil, Demerol, Motrin, Colace, Fosamax (used for osteoporosis), calcium supplement, and MS-Contin. She was taken off Demerol and given Trilisate for pain.
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