CASE SCENARIOCRITICAL THINKINGQuestions:

Question Answered step-by-step CASE SCENARIOCRITICAL THINKINGQuestions:Nurse Allen is assigned in the Medicine ward, he is in charge of 2 patients being evaluated for liver transplantation. Mr. West is a 47-year-old Filipino, former military personnel, male and diagnosed with alcoholic liver cirrhosis.  He is a heavy drinker for 20 years, he claims he quitted taking alcohol recently.  He has a past medical history of posttraumatic stress disorder, Diabetes Mellitus and gastrointestinal bleeding due to portal hypertension.  He is currently being treated symptomatically with lactulose, albumin, antibiotics, and IV fluid boluses when necessary.  He has generalized edema, jaundice, has low blood pressure, experiencing episodes of slight dyspnea, and has periods of confusion.  Mr. W.W. has good financial and family support.  Inside the patient’s room are his wife and two teenage daughters who often tell the nurses that their father “is a great dad.” He is unlike other abusive alcoholics. His laboratory results including creatinine, bilirubin, and coagulation studies/MELD score indicate that his likelihood of mortality in the next three months is 71.5%. A. R. is a 48-year-old Filipino male who is diagnosed with acute liver failure.  He has a past medical history of autoimmune hepatitis, spontaneous bacterial peritonitis and diabetes Mellitus.  He came to the hospital for transplant workup because he was suffering from intractable pruritus, ascites, and intermittent confusion.  When talking to doctors, he complains that recently his quality of life has been unacceptable and he is always feeling fatigued.  A.R. has a large extended family that is often at his bedside and he is financially secure.  His laboratory results/MELD score predict his likelihood of mortality in the next three months to be 52.5%.1.     Describe what are MELD and Child-Pugh Scores for Liver Disease. 2.     What factors do we need to consider when choosing the best recipient for the organ transplantation?3.     Which patient do you think is the best recipient for the next liver organ available for transplant? Justify your answer. 4.     What ethical principles are involved in the allocation of limited resources. I added this question  !!All answers must be supported with related literature. Health Science Science Nursing NURSING 201 Share QuestionEmailCopy link Comments (0)