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Do Not Resuscitate: A Case Study

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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
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In many hospital cases a group of people in charge are always trying to make the best decisions for patients. At times decisions are usually the hardest to comprehend when dealing with life or death circumstances. In the book Five Days of Memorial by Sheri Fink, hurricane Katrina hit, doctors and nurses made a triage decision to place people into three different categories depending on their conditions. In category three, patients remaining were DNR ( Do Not Resuscitate) patients, who aren't to be revived, which were the last patients to leave Memorial Hospital. Dr Ewing Cook, a chief medical officer, states in the book of Five Days At Memorial , that they “only had two choices:quicken their deaths or abandon them.”

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Even in a persistent vegetative state a person still has fundamental rights under the state and federal constitution to refuse or direct the withdrawal of death prolonging procedures. The hospital fear of removing the feeding tube is justified under most state laws. Only in a few states it has been legalized for physician-assisted suicide. That is they allow doctors to assists patients to end their lives if the patient are to ill to do it by themself. In other states, doctors who assist their dying patient end their life of excoriating pain and suffering could be charged with murder.

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Sheriff and Van Sell are nursing professors at the Women’s Texas University and Strasen is a nursing director at the University of Texas Southwest. Sheriff, Van Sell and Strasen present research that suggests nurses and physicians are more likely to encourage family presence during resuscitation (FPDR) if there is a written policy addressing specific criteria for the inclusion and exclusion of family during these procedures. The authors provide a framework to use when writing a hospital policy regarding FPDR. The authors identified several common barriers healthcare professionals have about FPDR and found educational programs about the positive outcomes of FPDR could drastically increase the number of physicians and nurses who would encourage

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Patient decision should be honored unless the patient or a legal appointee makes changes or agrees to rescind, for example when the patient is scheduled for surgery. The care provider should not assume that the patient will agree to hold DO-NOT-Resuscitate orders due to scheduled surgery or procedure. It is required of the physician to inform the patient, family, and/or surrogate of the intent to hold DNR orders and allow them to make an informed consent (HCEHC, 2005). In such situations where the care provider is torn between following the patient’s decision and implementing procedure that in one way or another conflicts with DNR orders, the risk management team at the institution, state or national level should be consulted for advice. All

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Will, the physician in charge went against the patient’s wishes and gave a person who signed a DNR, CPR. This was against hospital rules because the patient signed a legal contract that said, “If I ever go into cardiac arrest, do not resuscitate me.” The doctor said that “she will thank [him]” at the end, but as discussed in class, DNR should all be followed because we have to give enough respect to the patient to grant them their dying wishes. The patient or the patient’s family could sue the doctor, anyone who helped resuscitate, or even the entire hospital because they broke a legal contact. The nurses who helped resuscitate the patient knew that the patient had a DNR, and that it was wrong to resuscitate her, but they did it anyway because a figure of authority asked them to do so.

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Life To Euthanasia A distinct beep echoes around the operating room; a defibrillator is quickly set to 200 joules as the doctors rush to save the patient. Suddenly, a phone call reaches the operating room. The operating surgeon is notified of the patient’s request for euthanasia prior to the surgery that was found hidden in a drawer. Should they end the patient’s life?

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These protocols are to be met to provide patient comfort and avoid disaster. The Death

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Grey’s Anatomy Grey’s Anatomy is a drama/romance medical TV series. In the medical drama episode “Happily Ever After?”, this episode explores the complex world of medical decision-making where Doctors are faced with a critical choice regarding the resuscitation of Maxine, a patient closely related to one of the hospital’s Residency Doctors. The two Doctors are faced with a decision that could end their career if they take the wrong steps. The scenario revolves around the pivotal decision of whether to resuscitate a DNR (Do Not Resuscitate) and a DNI (Do Not Intubate) patient or not.

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Relevant legal and ethical considerations, focusing on the 4 main ethical principles and how each of these apply to this case using research evidence. Focusing on the ethical theory of Beauchamp and Childress, it is considered one of the most fundamental elements for beginning a discussion in the Not for resuscitation (NFR) debate. (Fornari, 2015). The four main ethical principles, autonomy, non-maleficence, beneficence and justice hold the grounding block for issues of this nature. End of life care is an imperative characteristic of acute stroke nursing, as stroke mortality rates remain high, regardless of enhancements in the health care industry.

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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

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I believe in everyone’s rights to not wanting extreme measures on keeping them alive also known as a Do Not Resuscitate order. I am strongly believe it is a right everyone should keep in mind for themselves in my mind. Anyone with this type of order signed should be respected by their loved ones when or if it comes to that time in their lives. My beliefs in respecting these orders to anyone who has signed or brought it up to their loved ones come from many personal and professional experiences in my life. One personal experience actually involved my maternal grandma.

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Firstly, I will criticise Principlism as a unifying theory of bioethics wholly applicable to ICU based on definition and specificity. Lack of definition of the four principles allows much scope for interpretation which reduces their applicability to some complex moral issues arising in ICU. I will also contend that attempts by some advocates to award an increased value to autonomy are at variance with the origins of principlism and suffer from a lack of clarity in their conception and application. Then, given the myriad of conflicting moral issues surrounding end-of-life affairs in ICU, I will argue that the proposed methodology suggested by proponents of principlism to resolve conflict is flawed and overly dependent on moral

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Assisted suicide is a rather controversial issue in contemporary society. When a terminally ill patient formally requests to be euthanized by a board certified physician, an ethical dilemma arises. Can someone ethically end the life of another human being, even if the patient will die in less than six months? Unlike traditional suicide, euthanasia included multiple individuals including the patient, doctor, and witnesses, where each party involved has a set of legal responsibilities. In order to understand this quandary and eventually reach a conclusion, each party involved must have their responsibilities analyzed and the underlying guidelines of moral ethics must be investigated.

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Therefore, this paper will discuss the current evidence that the systematic offering of family presence during resuscitation (FPDR) is an ethically sound practice, with minimal demonstrable harms to patients and family members. FPDR is also a supportive approach to achieve the autonomy

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Guilt is also involved with this decision, along with Mitford’s decision. The family in this case feels that once their relative is on the ventilator that they would be killing the relative if they were to remove life support. This is due to the fine line that is still debated among health care professionals about the deciding line when a human being is actually dead or not. Since health care professionals cannot come to a complete consensus on when a person is actual dead, it is difficult for untrained family members to decide that their relative is dead when they see brain activity or involuntary reflexes. Kaufman describes this decision as: “For families, the ‘decision’ to withdraw life-sustaining technology is viewed as a move against hope, against imagining potential recovery, and it is no wonder they hesitate or refuse to make these decisions (Kaufman

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