What are the cultural issues in D.M.’s case?

Medical Futility


D.M., a 65-yr-old Asian woman, has breast cancer with metastasis to

the liver and bone. The family asks you why their mother is not

receiving chemotherapy. They want to make sure that she will be

resuscitated should her heart stop. They are aware of her diagnosis

and that she only has a few months to live. In morning rounds, you

were told that D.M. does not want any more treatment that would

prolong her life.

Ethical/Legal Points for Consideration

• Although court decisions have varied, legally there is substantial

consensus about the right to privacy (a constitutional right), right

to informed consent and refusal of treatment, and rights about

end-of-life decision making. The Code of Ethics for Nurses

addresses the key components in the informed consent process

that nurses must address.


• A patient who is an adult and is competent (defined as capable of

understanding and interpreting information, making choices, and

communicating those choices) solely retains the right to make

personal health care decisions.

• The Patient Self-Determination Act requires that the patient be

asked on admission whether they have an advance directive. If

available, it is placed in the medical record. If the patient does not

have an advance directive, it must be documented.

• The National POLST Paradigm is an approach to end-of-life

planning that emphasizes patients’ wishes about the care they

receive. The POLST Paradigm is an approach to end-of-life

planning emphasizing the medical orders and includes coverage

regardless of location (e.g., hospital, home, assisted living).


• Often families have difficulty accepting the finality of a terminal


• Sometimes family members have conflicting interests (e.g.,

finances, property, inheritance rights) that influence their

decision-making abilities.

Discussion Questions

1. How can you help D.M. communicate her wishes to her family?

2. How can you and the interprofessional team help the family in

planning end-of-life care that incorporates their mother’s


3. What are the cultural issues in D.M.’s case?

find the cost of your paper

Calculate your paper price
Pages (550 words)
Approximate price: -

High Quality Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level or professional level, and we will assign a writer who has a respective degree.


Experienced Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.


Free Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document.


Timely Delivery

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension.A 100% refund is guaranteed.


100% Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text.


24/7 Customer Services

Tutorpro support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Tutorpro Homework Help Services

At Tutorpro, we have top rated masters and PhD writers who will help you tacke that homework and score A+ grade. Tutorpro services covers all levels of education : high school, college, university undergraduate, masters and PhD academic level.


Essay Writing

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.



Admission Essays

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.



Essay Editing

Tutorpro academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.



Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. This is free because we want you to be completely satisfied with the service offered.