NURS 5051-Discussion: A Failed Bone Marrow Transplant.

ORDER NOW FOR AN ORIGINAL PAPER!!!NURS 5051-Discussion: A Failed Bone Marrow Transplant.

A 14 year old boy is hospitalized for relapse of leukemia after a failed bone marrow transplant. The family has been told his condition is terminal, there is nothing more to be done except keep him comfortable.

His mother is distant, uncommunicative and rarely visits. When she does, she doesn’t touch Robbie or speak to him. She sits in a recliner by the window reading novels and requesting cokes multiple times per visit.

The interdisciplinary team calls a family meeting, but the mother is conspicuously absent. Robbie’s father is frantic, demanding further treatments, regardless of low likelihood of efficacy. During the family meeting, he directs the team NOT to tell Robbie he might die, as he would lose hope. He states: “In our culture, we keep this news from patients to avoid upsetting them.”

You are the nurse. When you are alone caring for Robbie, he asks you “Am I dying?”

1. How should you respond?

2. What are three options you could select?

3. How does the Code of Ethics guide you in the virtue of truth-telling?

4. Who is the authorized decision-maker in this case?

5. What other considerations play a part in your response?

6. What insights did you gain about a nurse’s role in end of life care where family dynamics are touchy?

7. How does a nurse deal with conflicting opinions about a course of treatment?

8. To whom is the nurse most accountable: the patient, the patient’s family, or the physician?

9. How does a nurse balance these conflicting loyalties?

10. How does the Code of Ethics guide you in the spur of the moment when a response is expected momentarily? What ideas did this assignment prompt in your thinking?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.