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The Incident The incident that I have chosen involved caring for a 76 year old critically ill patient who I am calling Mr Jones who had suffered from respiratory failure which led to a build up fluid in the lungs and caused pneumonia The infection spread from his lungs to contaminate his blood causing sepsis which poisoned the kidneys and lead to renal failure In addition to this Mr Jones may have possible brain damage due to a hypoxic event when he did not get adequate supply of oxygen He is unable to communicate due to his unconscious state and a endotracheal tube which is enabling him to breathe The future does not look good for him he has long standing problems with little chance of recovery The hospital staff may be able to prolong his life but the quality of it would be in question if he has to endure the care that would be necessary to look after him Mr Joness relatives have been contacted and have no record of any will of any kind no one seems to know what he would want the hospital staff to do for him give him every possible chance to live but prolonged the agony of fighting to live and the pain involved or allow nature to take its course and withdraw treatment and keeping him pain free Talking to the relatives of Mr Jones to get some idea of what he might have wanted may be the only way of knowing The essential factors that have contributed to this experience are The fact that Mr Jones is unlikely to live much longer Mr Jones is unable to speak He has left no will to convey his wishes in this given situation If the hospital staff does try to keep him alive he may have brain damage and he may be very unhappy about his subsequent quality of life The significant background factors are
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