You are caring for a patient who has become unresponsive after surgery. Prior to surgery, the patient stated he did not want heroic or life•sustaining measures if anything should happen. This conversation occurred in front of his family, who made light of the comment because the surgery was considered routine. No papers regarding his wishes (DNR or advance directives) were signed. At this time, you are unable to contact any of his family members. You inform the attending physician of the patient's wishes and lack of documentation to that effect. The physician decides to call a code and initiate lifesaving measures. The patient never regains consciousness and died.

Part A: Examine "Case #1," a hypothetical medical scenario. Select FOUR ethical principles and explain WHY these four are most significant In your judgment. Use examples and quotes from the actual case narrative to support your discussion. Your defense of each ethical principle will constitute approximately 2. 3 grammatically correct sentences. The technical requirements for the assignment: typed double spaced and font site 12.

Part B: Apply the FRAMEWORK for analysis to "Case 1":

This section of your paper will have four major paragraphs:

I. Assessment: what Information do we have about the FACTS of the case? Is there anything else would we need to know that might clarify or offer more understanding about how the case is presented? Is there anything questionable or NOT in the case?

II. Determination: Describe the potential options for a plan of action: Is there a particular approach that IS taken? What is it?

III. Implementation: What WAS the course of action: what approach WAS taken? Were there any criteria involved that dictated how the approach would move forward? Can you envision options that may have been Ignored?

IV. Evaluation: what is the outcome of the plan taken? Are there any aspects that require mentoring or modification? Why?