Mr. Annet is admitted to the Emergency department in acute respiratory distress. He is 89 and has been cared for at home by his daughter, Sonja, for several years. Sonja is his substitute decision maker since Mr. Annet has advanced Alzheimer's disease. Mr. Annet is severely dehydrated with many sores and bruises on his body and his condition becomes grave within an hour of admission, despite oxygen, IV, and bronchodilating medication. On chest x-ray, it is learned Mr. Annet has pneumonia, 2 fractured ribs and a fractured left clavicle. Sonja is upset and screams at the nurses, blaming them and the doctor for not doing everything possible. She threatens the team with a lawsuit if they do not put her father on a ventilator and resuscitate him if he deteriorates further. The charge nurse believes Mr. Annet has been abused, and possibly assaulted and wants to call the police, not only to report Sonja but to control her outbursts. The health care team opposes the charge nurse's plan, and the doctor says, "Who do you think you are; you will get us all sued".

1. What is the main ethical issue that is presented in the scenario? Is it a dilemma and why? 2. What are the ethical principles that might be involved and why? What ethical theory best applies to the situation and why? 3. Explain which CNO value(s) and commitments is/are involved in this case study and why? 4. Explain which CNA value(s) is/are involved in this case study and why? 5. Is there any legislation (law) that exists related to the chosen scenario that can aid in the decision-making regarding this case? If so, outline the legislation and how it is applied. The law may have limitations or exemptions to discuss. You will need to research this element independently. 6. Using either the Nursing Process as a framework (as outlined in the CNO Ethics Practice Standard) or the Decision-Making Process (listed on p. 93, Potter, Perry (2017) Box 7-4 examine the ethical situation described. Other relevant steps identified in the literature may supplement your analysis of the ethical issue. Where possible support your course of action with appropriate references/resources. 7. Decide on the best course of action based on your analysis and research and describe it. How would you carry out the implementation of the plan? How would the success of the plan be evaluated?

NURS 24998 Issues and Trends in Nursing and Health Care 8. Provide an individual reflective summary (LEARN), including how you felt throughout the process? Was your value system questioned or tested as you worked through the process? Did you feel comfortable with the proposed solution to the case study? How would you approach this situation in the future? (When answering this question ONLY, you may do so using the first-person ex. I felt...