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Ethical Concern

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Ethical Concern
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  • Slide: 1
  • Surgeon's Office
  • Hi, I am assisting Ella to her appt today
  • Nice to meet you both, the doctor will be right with you
  • Slide: 2
  • HI, I am Doctor Apple, how can I help you today.
  • I am Ruth and I am assisting Ella to her appointment today, we are from an assisted living home and we have concerns regarding her getting enough nutrition.
  • Slide: 3
  • Why do you have this concern? Is she not eating or is having issues with swallowing?
  • Well Ella has Down Syndrome and fights with the staff regarding eating and is losing weight, we would like to see if we can have a feeding tube placed.
  • I like food!
  • Slide: 4
  • We do not place feeding tubes unless it is needed, Ella has no difficulty with swallowing. What does the family think about this?
  • The family does not have much to do with Ella and because she is losing weight the state feels like this is the right decision.
  • Slide: 5
  • I cannot see the need to place a feeding tube, if your insistent, we will need to call in the ethics team to meet.
  • The staff cannot get Ella to eat, why are you not willing to help us feed her? Please hold this meeting
  • Slide: 6
  • Mother of Ella: Why would you put a tube in my daughter?!
  • Surgeon: These meeting is being held to discuss the need of a feeding tube.
  • Ethics member: This patient does not have any concerns with swallowing.
  • State: Your daughter is losing weight and will not eat for staff
  • Slide: 7
  • Ella's mother:I will come by the home and help feed her, she does not need this.
  • Surgeon: This patient can swallow; I do not feel like a feeding tube is warranted for her.
  • State: Ella will continue to lose weight, if we do not do something.
  • Ethics member: I agree that something needs to be done to help her eat but putting her through surgery for a feeding tube is not what is best for her.
  • Slide: 8
  • I am here to do what is best for my patients,
  • Thank you for doing what was right for Ella and what she would want.
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