Mr. Martinez was a seventy-five-year-old chronic
The decision to request a DNR order
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Summary of scenario
Mr. Martinez was a seventy-five-year-old chronic obstructive
pulmonary disease patient. He was in the hospital because of an upper
respiratory tract infection. He and his wife had requested that CPR not be
performed should he require it. A DNR order was written in the charts. In his
room on the third floor, he was being maintained with antibiotics, fluids, and
oxygen and seemed to be doing better. However, Mr. Martinezâ??s oxygen was
inadvertently turned up, and this caused him to go into respiratory failure.
When found by the therapist, he was in terrible distress and lay gasping in his
bed.
Question
Should Mr. Martinez be transferred to intensive care, where
his respiratory failure can be treated by a ventilator and his oxygen level can
be monitored? For your response to the Mr. Martinez scenario, think about the
contextual features, quality of life, patient preferences and medical
indications. Then, provide an ethical rationale.
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