Appalachian College of Pharmacy Healthcare Discussion

Review the attached scenario in Moodle then ask at least one other healthcare team member in a profession different from the one you are pursuing [could be a student (in this class or not) or a working professional] to review the scenario. Need at least a page response

Each of you should identify your individual top two ethical dilemmas or questions. A component of your write-up should describe the differences and similarities (if any) between what was selected. Additionally, your write-up should include discussion of the code of ethics for your future profession of interest, as well as the code of ethics for the profession (future or current) of the other individual.

If each of you had the opportunity to create an interprofessional team to help this patient, what professions would this team consist of?

Scenario: 68 yo Latino male who presents with recent diagnosis of metastatic renal carcinoma identified
at a recent ED visit. Patient recently moved and is living with his daughter, age 40. He has 2 other
children (1 daughter, age 42, 1 son, age 45), both located out of state. Patient’s past medical history
includes type 2 diabetes, hypertension, and GERD. When speaking to the patient he nods throughout
the conversation but does not respond to questions. The patient’s daughter is present and reports that
her siblings will be traveling to see their father soon. She acknowledges that things are somewhat tense
in the family as her brother is not happy that the patient recently moved to live with her. The patient’s
daughter reports that the patient has been somewhat distant and more argumentative lately. The below
information is gathered from patient’s past provider records.
Social history:
Tobacco: none (quit 10 years ago)
Alcohol: 1 beer 3-4x/week
Employment: Unknown
Medications: Losartan 100 mg daily; Metoprolol tartrate 50 mg BID; Omeprazole 20 mg daily; Metformin
1000 mg BID; Glargine 55 units every evening; Aspart 10 units TID with meals; Ibuprofen 200 mg daily
PRN pain.
Allergies/ADR: Lisinopril (cough)
A1c 5.1%
BP 104/62
P 62
T 98.6
Height 5’8”
Weight 210 lbs
DNR (Do Not Resuscitate) order found in previous provider’s clinical records for the patient. No advance
directive or health care surrogate found in records.

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