Case Study 1 "Dax"

CASE STUDY ONE
DAX

Presenting Ethical Dilemma: In 1973, Donald Cowart (Dax), age 25, was severely burn offed in a propane bollix up explosion. Rushed to the burn treatment unit of Parkland infirmary in Dallas, he was found to have severe fire over 65 percent of his body; his face and manpower suffered third degree
destroy, and his eyes were severely damaged. Full burn therapy was instituted. after an initial period during which his survival was in doubt, he stabilized and underwent amputation of several fingers and removal of his right eye. During much of his 232-day hospital care at Parkland, his
few weeks at Texas Institute of Rehabilitation and research at Houston, and his subsequent 6-month stay at University of Texas Medical split at Galveston, he insisted that treatment be discontinued and that he be allowed to die. Despite this demand, wound care was continued, skin
grafts performed, and nutritional and fluid support provided. He was discharged totally blind, without drill of hands or arms, badly scarred, and dependent on others to advocate in personal functions.



Medical Indications: In Daxs case, the health check indications include the clinical facts necessary to diagnose the extent and unassumingness of burns, to make a prognosis for survival or redevelopment of function, and the options for treatment, including the risks, benefits, and probable emergences of each treatment modality. For example, certain prognoses are associated with burns of a given severity and extent. Various forms of treatment much(prenominal) as fluid replacement, skin transplant, and antibiotics are associated with certain probabilities of outcome and risk. Thus, it can be said that, after initial urgency treatment, Daxs prognosis for survival was approximately 20 percent.
After 6 months of intensive care, his prognosis for survival improved to nigh 100 percent. If his request to stop wound care and grafting during that hospitalization had been respected, he would almost certainly have died. A clear...If you want to get a full essay, order it on our website: Orderessay



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