ipl-logo

Case Study Advance Directives

815 Words4 Pages

1. What is your understanding of the Advance Directive for Healthcare and how does your facility (current or past) deal with the issue?
There are two different types of Advance Directives, a Health Care Power of Attorney and a Living Will. An advance directive is a proactive legal document a patient fills out in advance making their wishes know in regards to complicated health care decisions in case they are unable to make the decisions for themselves for some reason. This document appoints a health care power of attorney to make the decision on the patient behalf if they are unable In my facility, we ask all patients or their representative upon admission if they have an advance directive in place. If they do not have one we …show more content…

Having worked in critical for many years I personally believe as demonstrated in the LearnScape video that having the discussion and putting those wishes down on paper can be one of the best gifts a person can give their family or loved ones. I once had an older seasoned nurse tell me that to her there are things a lot worse than dying. Unfortunately I grew to understand completely what she meant by that statement.
3. While an emotional topic for many, Assisted Suicide and certain forms of euthanasia have been supported in certain US states (Oregon for example) and countries (Switzerland). What is the nurse 's role (if any) in the U.S. in these end-of-life issues?
Euthanasia remains illegal in the United States but, assisted suicide is now legal in three states: Washington, Oregon, and Montana. The primary difference in between euthanasia and assisted suicide is who administers the lethal dose of medication. The nurse role should be similar to that listed above in regards to Do Not Resuscitate (DNR) and Allow Natural Death (AND). The nurse should not only support the patient but the patient’s family/ loved ones as well not judging the patient or their decision.
4. Which ethical principles do you believe are at play during LearnScape video …show more content…

References
Bipartisan bill encourages Americans to complete ‘advance directives,’ plan for life-sustaining health decisions| News Releases| U.S. Senator Chris Coons of Delaware. (2015, November 18). Retrieved from http://www.coons.senate.gov/newsroom/releases/release/bipartisan-bill-encourages-americans-to-complete-advance-directives-plan-for-life-sustaining-health-decisions
Nursing Care and Do Not Resuscitate (DNR) and Allow Natural Death (AND) Decisions. (2012, March 12). Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/Nursing-Care-and-Do-Not-Resuscitate-DNR-and-Allow-Natural-Death-Decisions.pdf
Olin, J. (2012, February 24). Nursing’s Role in Assisted Suicide | Notes from the Nurses ' Station. Retrieved from http://www.rncentral.com/blog/2012/nursings-role-in-assisted-suicide/
Short Definitions of Ethical Principles and Theories Familiar words, what do they mean? (n.d.). Retrieved from

Show More
Related
741 Words | 3 Pages

An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.

Read More
1841 Words | 8 Pages

Since Oregon began allowing physician-assisted suicide of the terminally ill in 1997, more than seven hundred people have ended their own lives with prescription medications in the state alone (NPR.org). Physician-assisted suicide is not only becoming a topic of controversy in the United States, but foreign countries as well. Supporters of the issue believe that competent people who do not have a chance of longevity should be able to choose their fate. Opponents argue that terminal diagnoses can be inaccurate, or that the person with the illness may not be capable of making informed decisions. Assisted suicide refers to the act of one giving another the “Instructions, means, or capability to bring about their own demise.”

Read More
1701 Words | 7 Pages

The first ethical mistake that was made was the DNR status being deflected by the team. In “ANA’s Code of Ethics for Nurses with Interpretive Statements”, it states the right to self-determination in Provision 1.4. This provision guides nurses to know that “patients have the moral and legal right to determine what will be done with and to their own person”. The role of the nurse is to be an advocate for the patients’ wishes (ANA, 2015). There should have been a push to have the DNR signed the first time the family asked for it and not deflected (Chen, 2019).

Read More
1020 Words | 5 Pages

1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred

Read More
303 Words | 2 Pages

Make and keep your major health decisions with advance health care directives. While they vary by state, advance directives can carry significant importance, especially as one gets older and increasingly concerned with health care and end-of-life decisions. Typically, two basic advance directives can cover a patient’s needs: the durable power of attorney for health care and the living will. Both serve the purpose of empowering the individual concerning personal health care in the case of incapacitation by illness or injury.

Read More
293 Words | 2 Pages

The legalization of PAS under the DWDA influences the nursing profession because it gives patients an alternative option to the usual end of life care, also called hospice or palliative care. However, the American Nurses Association (ANA) position statement regarding PAS and euthanasia states that participation in these acts contradicts the Code for Nurses with Interpretive Statements and is discordant with the principles of the nursing profession as a whole (ANA Center for Ethics and Human Rights, 2013). The most similar alternative is palliative sedation, a practice in which high dose narcotics are administered to keep the patient comfortable; however, this may accelerate the patient’s death as the narcotics suppress the central nervous system

Read More
619 Words | 3 Pages

Similarly, the ANA position statement mentions the need for nurses to engage in respectful discussions about resuscitation preferences with patients, recognizing their personal autonomy for their plan of care. This comparison shows the importance of the nurse’s role in advocating for their patients and working with the interprofessional team while doing so. Next, both the position statement and Provision 1 highlight compassion in nursing practice. Provision 1 mentions the nurse's duty to practice with compassion, while the ANA position statement says the DNR order should not lead to any diminishment in quality of care, which I believe takes compassion, especially in sensitive situations such as end-of-life care. Finally, both the ANA position statement and Provision 1 highlight the importance of promoting patients' well-being and alleviating suffering.

Read More
599 Words | 3 Pages

Dominican University Ethical Considerations in End-of-Life Care: The Role of Advanced Directives. Tanya De La Riva THEO 368 02 Dr. Rachel Hart Winter April 17, 2024 End-of-life care plunges deep into ethical questions of the autonomy and consent issues around informed decision-making by the patient regarding his or her own medical treatment. Advanced directives (ADs) are important tools that help in respecting the autonomy of the patient and ensure that end-of-life care is implemented in the spirit of the patient's will. This paper discusses advanced directives in healthcare, highlighting the ethical balance that ADs bring forth between patient and practitioner autonomy. Advanced directives are instruments that enable a person

Read More
702 Words | 3 Pages

Attention getter: I will tell the importance of having an advance directive, the reasons that should make someone choose to prepare this document, and the benefits of having one Thesis Statement: Having an advance directive is a decision all middle age and elderly individual should make, and have when it’s needed, which allows you to get the care you prefer at the end of life. Question based on Thesis: Why not have one prepared and allow yourself to get the care you prefer

Read More
1523 Words | 7 Pages

By implementing these recommendations, policymakers can enhance the Medicare Hospice Benefit policy to better serve individuals with changing prognoses and promote patient autonomy and choice in end-of-life care

Read More
361 Words | 2 Pages

“Be smart, be strong, live honorably and with dignity, and just hold on” (Fray). Physician assisted suicide or better known as Death with Dignity isn’t your everyday topic or thought, but for the terminally ill it’s a constant want. The Death with Dignity isn’t something that all people or religions are in favor of and nor is the act passed in all states in the United States. Only three states in the U.S. today, Oregon, Vermont, and Washington offer their residents the option to have aid in dying as long as all the requirements are met. Death with Dignity doesn’t effect just the terminally ill person, but as well as family and friends around them creating many conflicting thoughts when opinion if Death with Dignity is truly moral and a choice

Read More
1736 Words | 7 Pages

The dying patient no longer has quality of life, they have lost their independence, are lonely, are forced to endure inevitable pain, are publicly humiliated, are suffering immensely, and are forced to watch their loved ones grieve because of them. It is an innate Constitutional Right to choose how to die, since we all will die. There comes a point when the poking and prodding becomes too much, when the patient wants to just die in silence in the loving arms of their

Read More
546 Words | 3 Pages

The purpose of experiencing a hospice clinical was to give me the opportunity to observe and participate in the care of my patients who are receiving hospice care in their home. My first encounter occurred in Jenks, Oklahoma at the patient’s personal home. Upon entering the house, we were greeted by his wife and one of their sons. Before we spoke with the patient we had a pre-conference in the patient’s living room with his wife. My nurse asked how the patient’s wife was doing and the wife stated that she needs more help with his care.

Read More
1855 Words | 8 Pages

Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.

Read More
751 Words | 4 Pages

Federal Advanced Directive Advanced directives became a national topic of discussion following the passage of the 1976 California Natural Death Act otherwise known as the Natural Death Law, Death with Dignity Acts, or Living Will Acts. California passed the law in 1976 after a 31 year old woman, Karen Ann Quinlan, slipped into a coma, was hooked up to life support equipment and her parent’s request “that the respirator be disconnected and that their daughter be allowed to die 'with grace and dignity, ' because there was no hope she would recover” (McFaden, R., 1985). Quinlan was connected to a respirator for a year while her parents argued for her rights, the law went into effect in 1977. The law confirmed the rights of the terminally

Read More

More about Case Study Advance Directives

Related Topics

Open Document