Community/Public Health Nursing 6th Edition by Mary Nies ,Melanie McEwen

تمرين 16

Al Smith is 76 years old, lives alone, and suffered a massive stroke in his home. He was found by his older brother, Joe, who had come to visit him. Joe immediately called 9-1-1, and Al was rushed to a nearby hospital. Joe informed the health care providers at the hospital that he wanted everything done for his brother.
Complications from the stroke included irregular breathing, paralysis on one side of the body, aphasia, severe confusion, and problems with vision. Because of subsequent worsening of his breathing and nonresponsiveness, Al was started on ventilation therapy.
Joe called to inform their sister Rose, who lives out of town, about the incident and condition of their brother. Rose was very upset with Joe for allowing Al to be connected to a ventilator. She claimed that Al would not have wanted this.
1. What should Al Smith have done to make his wishes known
2. What discussion should his siblings have had to prevent disagreement
3. What are the ethical principles involved in this case
4. What are the legal implications