18 Nov Part 1 Principles of autonomy and nonmalieficence

Part 1 Principles of autonomy and nonmalieficence

• An 83-year-old diabetic male, Mr. Jones, is brought into the emergency department because of respiratory distress by his care-giving daughter, with whom he lives. In examining him, the emergency department physician discovers that Mr. Jones has gangrene on his right foot up to his ankle. Mr. Jones’ daughter reports that her father has been diagnosed with Alzheimer’s disease. A preliminary capacity assessment is consistent with mild dementia but one of the nurses suggests that Mr. Jones’ confusion might be the result of his respiratory distress, coupled with the disorienting atmosphere of the emergency department. The clinical recommendation is to perform a below-the-knee amputation. The patient refuses this surgery, saying he has lived long enough and wants to die with his body intact.
• Does the father have autonomy to make this decision? Why or why not? Response includes three definitions and examples that demonstrate an understanding ofhow the principles of respect for autonomy and nonmaleficence can conflict.
• Discuss the principle of nonmaleficence as it relates to actions of the providers. (1–2 pages) Response provides at least three relevant examples of information the hospital would use to determine whether to prioritize respect for autonomy or nonmaleficence.