help me

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mr x developed ischemic stroke that resulted in his inability to swallow as well as other physical and mental sequel doctor advise to remove the nasogastric tube and to schedual him for percutaneous endoscopic gastroestomy

mr x displayed prominent deficit in cognition mainly in domain of memory and judgment

the nurse planned to obtain the consent from signed and book him or make an appointment with surgeon for the procedure in general service hospital

determine eligibility of mr x for counselling rationalize answer ?

identify the type of that is most propriate consent from mr x ?

describe the prerequisite for signing the consent form ?

identify other types of informed consent ?

describe the process of resolving ethical problem?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

As you have been told already, several times.....we do not give out answers.....show us your work and we will help.

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Specializes in Reproductive & Public Health.

Come on, don't phish for answers on allnurses! Look in your books, research articles, come up with an answer yourself. If you have questions about the process or aren't sure of your answer, then look to allnurses for clarification. Remember, allnurses won't be there when you take your tests in school, and we certainly won't be there for your NCLEX!

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Specializes in Complex pedi to LTC/SA & now a manager.

In the US the nurse ensures the consent is complete and witnesses signatures but the consent must be obtained by the physician. A cognitively impaired individual may require formal medical and legal assessment to determine competency to give informed consent especially if a formal advance directive or medical power of attorney are not. in place.

However your choice of vocabulary and syntax appear that you are not US based and therefor the standards of the ANA (American Nurses Association) and laws/regulations of the US likely do not apply to your scenario.

Based on your laws and educational resources what do YOU think ?

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Specializes in Complex pedi to LTC/SA & now a manager.

Also you have at least four threads entitled "help me" please consider using a more descriptive thread title such as "homework assignment regarding determining informed consent "

We can help those who want to learn and make the effort rather than "tell me the answer now pllllzzzzx'

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i understand the question but the last question i dont understand it

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i dont need answer i need to understand to fotmation more details about this case

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Specializes in Complex pedi to LTC/SA & now a manager.

What country are you in? What applies in US is not relevant to other countries and the practice of nursing. What do you not understand?

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i dont understand the last question in this case (describe the process of resolving ethical problem?)

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i live in palestine and i syudy emergency nursing

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and in my book applies ans based in the us

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Specializes in Complex pedi to LTC/SA & now a manager.

What steps would you take to resolve the issue? In the US the hospital ethics committee could be called on an urgent basis, two physicians can assess the patient for competency (assuming no next of kin, medical power of attorney or living will in effect ) and the hospital legal team can begin the process to have the patient declared incompetent and a medical guardian can be legally appointed and make medical decisions on the patients behalf including consent to procedures. Until the patient is declared legally incompetent the physicians cannot obtain an informed consent for any further treatment or procedures. Nurses do not obtain consent in the US. They witness the consent and can ensure the patients questions have been answered but the process of informed consent is a physician's responsibility

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