Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
Follow up one paragraph with intext citation and reference
What is the role of the doctors in deciding whether or not to respect Mr. Gomez’s advanced directive?
Although advance directives provide a legal basis for physicians to carry out treatment using a health care proxy which in this case is Elena, they also should reflect the patient’s values and preferences. The physician is in a position where he should integrate medical knowledge together with Mr. Gomez’s individual values, and cultural influences into his end-of-life care.
The doctor should respect the autonomy of Mr. Gomez decision of not having dialysis and only perform tube feedings until he eventually passes away. Advance directives are legal document that must be respected by all healthcare professionals (O’Sullivan et.al 2016).
Does Mr. Gomez’s estranged wife have the authority to step in and ignore Mr. Gomez’s advanced directive. Explain your reasoning while providing evidence-based solutions in your conclusion
Mr. Gomez estranged wife has no authority to question any decisions made concerning his care because he has a healthcare proxy which is his daughter Elena. Based on the fact that this legal document exists, Mrs. Gomez, Elena’s mother cannot alter any decisions made by her daughter. Physicians and all healthcare professionals are mandated to follow and respect such documents and be advocates for the patient in the time of dilemma between family members.
Mr. Gomez appointed his daughter as a proxy because he trusts that she will make sound decisions and respect his wishes in the event he cannot do so for himself. According to Lipkin in his article, he states that many patients avoid talking about healthcare proxy until it is brought up by their physicians. Physicians are encouraging families to have such conversation and designate a proxy that they trust and understand their wishes (Lipkin, 2016).
Gomez’s estranged wife has filed temporary order to ignore the advanced directive. If you were Elena, how would you handle this dilemma? What rights does Elena have that allow her to honor her father’s wishes?
Elena has the right to honor her father’s wishes because she is his healthcare proxy and she has full understanding of what her father wants. Even if she does not agree with her father’s decision of not wanting dialysis, she is mandated to respect those wishes and advocate for her father to get the exact care he wishes for.
Also, if I was Elena, I will try to have a conversation with my mother and educate her more on advance directives and what they really mean in situations like this. She can also request counselling for both of them with the hospital ethical committee.
What is the role of the ethics committee and how can they best support the client and his family?
The ethical committee is there to perform the following;
-Educating healthcare professionals about ethical principles.
-Consultation for decision making for health care professionals.
-Consultation for decision making for family.
-Developing organizational policies.
The ethic committee can support the client and his family by educating them about the situation and helping them make appropriate decisions.
Lipkin K. M. (2016). Brief report: identifying a proxy for health care as part of routine medical inquiry. Journal of general internal medicine, 21(11), 1188–1191. https://doi.org/10.1111/j.1525-1497.2006.00570.x
O’Sullivan, R., Mailo, K., Angeles, R., & Agarwal, G. (2016). Advance directives: survey of primary care patients. Canadian family physician Medecin de famille canadien, 61(4), 353–356.
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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