Acute Myelogenous Leukemia

Case Study

RH is a 32 year old male with a past medical history of acute myelogenous leukemia. He was given a blood product transfusion for bone marrow failure and cytopenia secondary to chemotherapy for AML. The patient is a Jehovah’s Witness; however, he accepted the blood transfusion. Now, the patient has altered mental status. He has a chest tube placed and on a ventilatory in the ICU. He is sedated, nonresponsive, and unable to make decisions for himself… due to his unresponsiveness. The patient has a wife, daughter, and parent’s that visit. He has no advanced directive.

Discuss how the nurse provided or could have provided for the spiritual and cultural needs of the patient.

How does nursing leadership advocate for safe, quality care?

Analyze ethical and legal standards that impacted the care of the patient and family. Possible discussion topics include: ethical standards for professional nursing practice, end-of-life decisions and advanced directives, respect for ethical rights of patients (autonomy, beneficence, etc.)

Analyze ethical and legal standards that impacted the care of the patient and family. Possible discussion topics include: ethical standards for professional nursing practice, end-of-life decisions and advanced directives, respect for ethical rights of patients (autonomy, beneficence, etc.)Reflect on additional learning that you need to enhance your care of a similar patient care situation in the future.