Siobhan is a 57-year-old female who has been diagnosed 18 months ago with Motor Neuron Disease. After discussions with her family, neurologist and GP, Siobhan completed an Advanced Care Plan (also known as a health direction) 12 months ago, which clearly states that if her health deteriorates that she does not want specific treatments to prolong her life such as admission to intensive care. She has developed a chest infection in the last couple of days. This morning, Siobhan’s husband finds her confused and disorientated with a high fever and rapid breathing. He calls an ambulance, and she is transferred to the emergency department, and a copy of her Advanced Care Plan is given to the Ambulance Officers. In the emergency department, Siobhan is unable to effectively communicate because of her current acute illness. Siobhan’s husband explains to the health professionals that Siobhan had in recent times come to terms with her diagnosis, and that she was looking forward to the upcoming birth of their first grandchild in approximately 5 months and an interstate family holiday after that. Siobhan’s husband expressed that he thought she would want to be treated for her severe chest infection, as the antibiotic therapy was likely to be effective.

QUESTION: In light of Siobhan’s written direction in the Advance Care Plan, which is now 1 year old, that refused intensive care treatment, analyse and discuss at least three relevant ethical and legal considerations that the team of health professionals must assess to determine their next steps (support with references).

Your manager calls for an urgent staff meeting and reports that a complaint has been made by the family of an organ donor patient, Jessica. The donor family had requested not to be identified, but at the funeral of the donor, the family of the organ receiver, Malala, approached them and wanted to thank them in person for their lifesaving decision. The donor’s (Jessica’s) family are threatening civil action against the health service for the emotional distress this has caused them.

Further investigation has determined that a family member of the organ receiver, Malala, entered a lift where they overheard a group of health professionals discussing the sad case of a 16 year old girl, without naming her, who had died recently as a result of an accident on Northbourne Avenue close to Civic, and who’s organs were able to be donated. The family of the organ receiver (Malala) searched the internet and found the media report which gave the names of Jessica and the people involved, where they lived and the details of the funeral.

Reflect upon the case study above and apply a reasoned approach in your response to the scenario, highlighting at least three key relevant legal frameworks and ethical concerns (with references).

Discuss the common cuts of beef and the unique nutritional qualities they provide. Discuss common cuts of beef that patients may desire as healthier options. Discuss common cuts of beef and their tenderness qualities. Review preferred cooking methods for these cuts of beef.

What are some things one has learned through the process of classical conditioning, operant conditioning, and observational learning? How would one learn them?

Discuss how multiculturalism and diversity play roles in diagnosis and treatments. Are there barriers to providing quality healthcare to communities due to the racially and ethnically diverse population? What do you think can be done to meet these challenges?