MAKE THE DECISION USING UTILITARIAN ETHICS AS THIS WEEK’S CLASSWORK AND DISCUSSIONS HAVE BROUGHT YOU TO THAT SKILL AND THEN TO WRITE IT UP IN THE FORM OF A MEMORANDUM FOR THE HOSPITAL RECORDS.
make the decision using utilitarian ethics as this week’s classwork and discussions have brought you to that skill and then to write it up in the form of a Memorandum for the hospital records. Remember that this record could be reviewed by the Peer Review Committee or the Hospital Trustees at a later date.
Ok, Lead Surgeon, it is time to do what you do best! You are the Lead Surgeon in a major hospital, and by virtue of your seniority you are also the key decision maker for transplant cases. Right now you have three people who are waiting and hoping for a suitable heart to become available. Your cell phone rings suddenly, and you are notified that a heart has become available—meaning that you need to make a quick yet sound decision about which patient will receive the heart and then schedule surgery for today. There is a lot at stake. The decision must be made almost immediately. Like all actions, you will need to write your decision into medical documentation before you begin. Yes, that means YOU! In the limited time before you would begin surgery, you need to consider the cases; the technical issues involved also, and write a Memorandum for the Record to document what decision you made and what considerations you included in your process. This will be on the record, so it needs to be thorough in case it needs to justify your actions at a later date. Jerry – Male, 55 year old family man, mid-level manager Jerry, a father of 3 children and at the age of 55, is in the Ward awaiting a suitable heart for transplanting. His wife Joanie is a stay at home mother with no education beyond high school and no career. Jerry is the middle level manager at a carpet distributing business and 5 year short of his retirement eligibility. Jerry and Joanie have three teenage children aged 14, 16, and 19. The 19 year old is a sophomore at college; the 14 year old is mildly autistic, and the 16 year old is an astronaut wannabe. If Jerry gets the heart, his chances of living another 10-15 years are very high. His heart is damaged due to the use of steroids in his early 20s when he was involved with bodybuilding before the dangers of steroid use were fully known. Lisa – Female, 12 year old lifelong health issues Lisa is one of those precocious girls – a doll-like girl at the edge of becoming a teenager. She reads voraciously and yet likes the activities of a younger girl
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