Case Study: To Feed or Not to Feed Baby S is a neonate admitted to the NICU at t

Case Study: To Feed or Not to Feed
Baby S is a neonate admitted to the NICU at the county hospital where you work as the nurse manager. Mrs. S had an amniotic fluid embolus during her delivery, and Baby S experienced anoxia. Consequently, Baby S had an Apgar score of 0 at birth. The baby was “successfully” resuscitated but remained unconscious. All of the baby’s organs experi­enced hypoxic insult. Baby S was placed on a ventilator and parenteral nutrition was later initiated. Mrs. S is physically very weak and experiencing extreme grief, along with her husband, over the condition of their infant. They have two other young children, aged 2 and 5 years old. Baby S has been weaned from the ventilator but has remained unre­sponsive. Mr. and Mrs. S have requested that the hospital staff discontinue their infant’s nutrition and hydration. The NICU medical, nursing, and social work staff have not pre­viously experienced a situation quite like the one that is occurring with the S family.
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Case Study Critical Thinking Questions
Based on information that you know from the case study, use Jonsen’s Four Topics Method (pages 53 and 54 in your text) to answer the questions in each of the four boxes. Consider and discuss the applicable principles that accompany each box. Explain to me how the principles (autonomy, beneficence, nonmaleficence, and justice) apply to the approrpriate quadrant. The principles that apply to each quadrant are identified for you in the model. The discussion of the principles is worth 2 points per quadrant, leaving this part out leaves points on the table!
You are meeting with the neonatologists, the NICU charge nurse, the infant’s pri­mary nurse, the hospital chaplain, and the social worker in the NICU. What do you contribute to the group’s discussion with regard to how you think the staff should proceed in providing the best care for Baby S and her family.
How do the Baby Doe Rules (page 145 in text) affect this case?
As would be expected, Mr. and Mrs. S are also experiencing a great deal of emo­tional and moral suffering and grief. How would you handle your personal inter­actions with Mr. and Mrs. S, and what would you do to help educate your staff in working with families in a situation such as this one? What do you know about the grief that parents experience when their infant is extremely impaired or dies? How would you try to help Mr. and Mrs. S?
Please present your response in the form of a word document uploaded into this assignment.
Grading Rubric:
Case Studies – 100 points each (due by Sunday of the assigned week at 11:55 pm
Based on information presented in the case study, students will use Jonsen’s Four Topics Method to answer the questions in each of the four boxes, considering the ethical principles that accompany each box.

Jonsen’s Four Topics Method of Analysis (pages 53 & 54 in textbook)
Medical Indications –18 points; relating the associated ethical principle(s) – 3 Points
Quality of Life – 18 points; relating the associated ethical principle(s) – 3 points
Patient Preference – 18 points; relating the associated ethical principle(s) – 3 points
Contextual Features – 18 points; relating the associated ethical principle(s) – 3 points
Information should be formatted in narrative (paragraph) format to reflect the four topics and their associated principles.

Summary and Recommended Resolution – 11 points
The learners will then summarize the findings, answer any additional questions proposed and formulate a recommendation resolution.
Case Study Analysis: Using the rubric below, students will analyze selected case studies in written paragraph form. Responses should conform to APA guidelines
Grading Table
Case Study Analysis Grading Rubrics
Criteria
Points
Medical Indication
(Jonsen’s Four
Topics)
0
Not submitted or unacceptable.
8
Content is not comprehensive; not all major points are addressed.
17
Responses are not comprehensive but all major points are addressed. Ethical Principles are mentioned but not applied to the case.
21
Responses are detailed and comprehensive and include discussion of associated ethical principles.
Quality of Life
(Jonsen’s Four
Topics)
0
Not submitted or unacceptable.
8
Content is not comprehensive; not all major points are addressed.
17
Responses are not comprehensive but all major points are addressed.Ethical Principles are mentioned but not applied to the case.
21
Responses are detailed and comprehensive and include discussion of associated ethical principles.

Patient Preference
(Jonsen’s Four
Topics)
0
Not submitted or unacceptable.
8
Content is not comprehensive; not all major points are addressed.
17
Responses are not comprehensive but all major points are addressed. Ethical Principles are mentioned but not applied to the case.
21
Responses are detailed and comprehensive and include discussion of associated ethical principles.
Contextual Features
(Jonsen’s Four
Topics)
0
Not submitted or unacceptable.
8
Content is not comprehensive; not all major points are addressed.
17
Responses are not comprehensive but all major points are addressed. Ethical Principles are mentioned but not applied to the case.
21
Responses are detailed and comprehensive and include discussion of associated ethical principles.
Summary and Recommended Resolution to include discussion questions.
0
Not submitted or unacceptable.
5
Content is not comprehensive; not all major points are addressed.
9
Responses are not comprehensive but all major points are addressed.
11
Responses are detailed and comprehensive.
APA format to include supporting references/Grammar/Spelling
0
More than three errors
3
Less than three errors
5
No errors