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Question:
Write an essay that draws decision-making framework (McDonald & Then 2019) to explore and analyse the legal and ethical implications of the case study outlined below.
You will be writing from the perspective of yourself as a nursing student. You are a nursing student on clinical placement in an intensive care unit (ICU) where you meet Juliet, a 48-year-old woman diagnosed with colon cancer.
Juliet was a university lecturer in biochemistry, and she presented as alert, orientated and intelligent. Juliet understood her diagnosis and agreed to have surgery to remove the tumour and whatever else could be done. Following the surgery, she experienced multiple complications and remained in ICU for several weeks. During that time, Juliet required many surgical procedures and experienced significant pain. One day, Juliet was asked to sign a consent form for revision of her colostomy and removal of scar tissue. Juliet becomes angry, saying she does not want to suffer any more pain or undergo further procedures, but just wants to be left alone.
You and the registered nurse taking care of Juliet inform the doctor of her wishes. The doctor prescribes sedation for Juliet and plans to come back later to obtain a signed consent form once Juliet has calmed down. Apply the decision-making framework (McDonald & Then 2019) to this case study.
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