Mr. Gold is a patient in your rural ICU and for the past 4 months. He is on a vent and is paralyzed from ALS. The only real movement is that he can blink his eyes. At times when

Mr. Gold is a patient in your rural ICU and for the past 4 months. He is on a vent and is paralyzed from ALS.

The only real movement is that he can blink his eyes. At times when you are caring for him he appears to be crying and it is disturbing to you because he cannot readily communicate.  His wife comes in daily and asks many questions about how he is doing and has a hard time not crying. 

The physician orders many daily tests. You wonder why since Mr. Gold certainly will not recover from this devastating disease.

One day the wife comes in demanding to have Mr. Gold removed from the vent.

The Pulmonologist orders a ‘weaning trial’; which Mr. Gold fails. You attempt to log into the computer to review his data, however the computer system is down.  

Without access to the computer system containing Mr. Golds information, you are concerned as you need it to understand what is going on.

Address the following questions regarding this case and provide evidence to support it from our course materials or outside readings in your main post.

1. How      could you apply one or more aspects of the Scope and Standards of      Practice, Code of ethics for Nurses with Interpretive Statements and      patient advocacy to Mr. Gold’s case?
2. In      terms of malpractice, you wonder whether there is a possibility of      malpractice or negligence in Mr. Gold’s case.  You decide to      investigate to learn more by watching the Quaid video. In thinking about      malpractice, what elements appear obvious in the Quaid video, or do they?      What were the underlying issues in this case? What could apply to Mr. Gold      as well as the Quaids? Explain each and defend with evidence.