How would you feel if your wishes as a patient were not respected? As nurses, we are trusted individuals in the public’s view due to many factors; however, when there is a lack of accountability within team members, there can be many risks involved. In the scenario with Jacob, a 32-year-old patient, his wishes as a DNR advanced directive were not respected. A registered nurse named Lashanda usually works on another unit, however, was sent to Jacob’s unit to cover the staff who are out for lunch. Everything seems to be going well with Lashanda; however, when she finds Jacob unresponsive, she calls a code and begins CPR without being familiar with Jacob’s DNR order. It is every nurse’s responsibility to be aware of their assigned patients’ orders as part of holistic care, while respecting the patient’s wishes. By …show more content…
Furthermore, Jacob’s lung condition has set only some restrictions on his lifestyle because has been able to work and continue to be involved in church. Upon admission, Jacob’s wishes was to have his advanced directive as DNR if anything were to happen to him. Although the treatments other than resuscitation are not stated, I believe he would be treated with an antibiotic (if infection is bacterial) to fight the infection as well as oxygen at times of respiratory distress. Jacob is 32-years-old, which, like Lashanda, others would consider him young and wanting anything done to keep him alive. Furthermore, it is the patient’s wishes that a nurse must be familiar with and follow setting aside his or her (nurse) values or beliefs. As stated in an article, “The principle of autonomy is usually associated with allowing or enabling patients to make their own decisions about which health care interventions they will or will not receive” (Entwistle, Carter, Cribb, & McCaffery,
I spoke with the patient 's wife via phone, The wife states that she needs additional assistance for the patient. She states that she is aware that the patient 's health is declining and that she wants him to be comfortable at home. I discussed hospice services with the patient and the wife. The wife states that she would like hospice to evaluate the patient, the patient also agree for hospice to evaluate. Case reviewed with the patient 's nurse, the charge nurse, case management and hospice.
The nurse's role in this would be to advocate for the patient in granting the order and respecting the patient's right to
This process is called informed consent and includes the nature of the decision, reasonable alternatives, risks, benefits, and uncertainty to alternatives, assessment of patient understanding, and the acceptance of intervention. When the patient is able to provide informed consent, the treatment options should be followed because of the legal standards and ethical principle of respecting the patient’s autonomy. In other ways, if the patient unable to provide informed consent due to unconsciousness, the legally authorized surrogate may be able to provide informed consent (Koppel & Sullivan, 2011). Therefore, the patient’s autonomy is the first step in determining the withdrawal of life-sustaining treatments.
According to Singer (2011), autonomy refers to a person to live their lives according to their own decisions. Seedhouse (2009) has a different perspective, as he considers autonomy as a quality; the better quality the autonomy, the more the person is able to do. When it comes to healthcare and maintaining health status, there are two types of autonomy. These are creating autonomy and respecting autonomy. Creating autonomy refers to any work aimed at enabling an individual and improving their capacity to achieve their goals and to do things.
In class autonomy was defined as rational individuals being permitted to be self determining. Everybody that is deemed rational has the freedom of choice, especially when it comes to their body and free will. Medical physicians need to honor the patient’s rights and confidentiality in order to prevent violation the patient’s autonomy. To do this the physician always needs to tell the truth, list all options and potential outcomes, and know that the patient has the right to say no. Patient’s can’t be forced into treatment or misinformed.
However, I don’t believe this to be true for all cases. I believe that this argument is dependent upon the case because sometimes respecting a patient’s wishes can produce a better outcome than not respecting
The ethical issue of “Do Not Resuscitate,” or DNR, is prevalent in society today. Do Not Resuscitate Orders first found their origin in the healthcare system in the 1970s when it was decided that cardiopulmonary resuscitation, CPR, may not be beneficial for all patients who go into cardiac arrest and could cause more harm than good as CPR can be very rough, sometimes to the point of ribs being broken. (Yuen, Reid, & Fetters, 2011). The number of DNR orders has increased prominently, to the point where they are no longer limited to patients with terminal illnesses or those going into a possibly life-threatening surgery as was the case when DNR first came about. Nancy Crigger and Jeri Sindt (2015) explain in their article, “Respecting patient’s
Principlism is an ethical theory applied particularly in relation to bioethics, divided in four prima facie: respect for autonomy, non maleficence, beneficence and justice. Respect for autonomy results in freedom to make choices without external control which is expected to be both accepted in binding in others (McLean, 2009). In this essay i am going to discuss the person’s autonomy and the role of the health care professional regarding the implementation of an advanced care directive including the features of a valid consent and how that relates to an advanced care directive, the importance of respecting a patients choices and the exceptions to this, when paternalism is ethically justified. These concepts will all be analysed from the perspective
Abstract Patients have a right to receive the best treatment possible in medical settings around the world. Sometimes a patient can refuse that treatment and as nurses we have to stand by and let that happen. Despite the fact that informed consent is not always directly obtained by a nurse, we still have a duty to assist the physician and patient in order to make the process as fluid and smooth as possible. One of the best interventions we can implement is guide a patient by educating them so that they understand the procedure and the risks involved with it; by doing so, we preserve patient autonomy.
Making end of life decisions concerning treatment is never easy for the family of the dying patient. When educating loved one about the end of life care and treatment the healthcare provider must considered the cultural and spiritual prospective of the family. Futile treatment is describe by the author as “treatment which provides no chance of meaningful prolongation of survival or may only briefly delay the inevitable death of the patient”. The health care providers at time are stigmatized by the family members are even seen as a doctors who doesn’t care when face. When my sister in-law went into the ICU and her oncologist told the family not to considered any form of life supporting method, they were very reluctant ,and would like her to
The four core ethical principles that are called into question in the movie “Miss Evers’ Boys” are autonomy, beneficence, nonmaleficence, and justice. Autonomy refers to the right of the patient to function independently and the ability to self-direct. This means that patients are entitled to decide what will happen to them, and if deemed competent, they have the right to either consent to or refuse treatment. All nurses and healthcare personal would be required to respect the patient’s wishes, even if they do not agree with them. Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient.
The Patient When a patient asks for help from a doctor, the first response should be neither ready compliance or moral disapproval, but rather a careful search for the sources of suffering which might be improved by other means short of death. However, the patient's right to freely voice their end-of-life treatment choice should be respected. The healthcare professional should respect the patient’s autonomy while considering its limitation and carry out their duties to help the patient without doing harm (Karnik, 2016).
Vivian was in severe distress and pain therefore requested to not be revived if her heart failed. This is an act of paternalism because the nurse has the patient's best interest in mind. Once her heart had failed it would against her autonomy to resuscitate her. The nurse was protecting her autonomy because of her diminished state, and therefore she was respecting the patient's
I believe the most compelling reasons to give patients maximum autonomy over decisions regarding their care is because patients should have self-ownership over their own body, and the quality of life. may seem dependent on the patient’s interest over the physician’s decision. The definition of patient autonomy is to have personal freedom of one 's decision that is free from both controlling interferences by others and from personal limitations that prevent meaningful choice. While on the other hand, a physician’s duty of “beneficence” is the hippocratic oath in which action that is done for the benefit of others such as help prevent or remove harms or to simply improve the situation of others. I believe patient autonomy over weighs prioritization over the medical professional’s duty due to the fact the main concern overall is over the patient’s health.
When it comes to decision making the patient has the right to exercise autonomy. The patient has a right to know their treatment plan, alternative treatments, choose to implement the treatment of choice or chose not to. The patient also has the right to stop the treatment plan that was implemented, but he also has the right to know the consequences of his decisions when he chooses to refuse, stop or postpone treatment until further notice. As I mentioned previously the patient has the right to exercise autonomy, but they are also responsible for the outcome of their choices. If the patient chooses to leave AMA or be transferred to another facility they also hold the right to do that, but we as nurses must always tell them the truth regarding their decision as well as the outcomes of those decisions.