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Family's Presence During Resuscitation

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Pro-Side: By allowing the family to be present during resuscitation of their loved one they are made aware of everything that was done to revive the patient. This could be beneficial to the family member in the circumstance that the patient doesn’t survive so that the family would know for sure that everything possible was done. This may help with the grieving process of the family in that they would not dwell on what more could have been done for their loved one. After the patient passes, the family becomes the nurses primary focus and it is our responsibility to help the family along in the grieving process. As for the patient being resuscitated, the patient may want their loved one to be by their side in case they don’t make it, and if the policies prohibited the family’s presence, the patients dying wishes would not be followed. …show more content…

In regards to the family, seeing their loved one be resuscitated may be a traumatic experience. In the event that the family member was to faint during the occurrence nurses would have to divert their attention away from the current patient and also provide care to the family member. This could mean the difference in the patient surviving or not, and therefore would negatively affect the patient. The family member also would be at risk for PTSD in the event that they witnessed their loved one die traumatically. As for the nurse, having the family present increases stress on the nurse which could also affect the patient’s outcome. In the event of a code blue, nurses need to be focused in order to think fast and provide the best care in a timely manner. Imagine how the nurse may not be able to focus in the circumstance where the family was hysterical and

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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).

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The pros of this order are that the patient does not have to suffer, and they can be comfortable. The cons are that it can be seen as unethical, and it gives up any chance of revival and you cannot change your decision. In conclusion, the Do-Not- Resuscitate order is very important. It has a lot of moral dilemmas involved with it, as well as legal implications. It is a fatal bioethical topic.

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We allowed the parents in while the patient was being resuscitated. While doing this it displayed to them that we were doing everything feasibly and humanly possible to save his life.

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The purpose of this review article is to identify the benefits of an open visitation policy within the critical care unit, and explore the barriers impeding family presence. The key finding of the review is that a nurses’ decision to allow unrestricted family presence is negatively influenced by perceptions opposing an open visitation policy and gaps in knowledge about the benefits of family presence. Nursing perceptions opposing open visitation are discussed according to key themes, including: legal ramifications, nursing morale, provision of care, patient wellbeing and family wellbeing. The advantages of unrestricted family presence for patients and families are acknowledged, and used to contradict the opposing perceptions. Implementation

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Deadlines are not met, a cynical or resentful attitude develops, a persistent sense of fatigue pervades both are the nurse’s personal and professional’s life. Today the proportion of acute patients entering the health care system through emergency

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Families sometimes do not agree with the situation. Families will try to put their ideas or plans what they want and not for the loved one. It is a subject they is very difficult to put oneself in that situation. Stated in the article End-of-Life Challenges: Honoring Autonomy “respect for patient autonomy is part of the healthcare code of ethics and many countries (eg, United States and Israel) legally protect patient autonomy and informed consent.” The last wishes for patients travel from the foods they eat, to where they want to die, who they want to be there for them.

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Because sometimes families don’t want to follow protocol and want something else. Nurses would often come with concerns such as informed consent, pain, or some other goal. One of the difficulties in nursing ethics, are not limited to end of life

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It makes my heart hurt to see someone, or have to place someone, in that situation. Even though I know at the time it has to be done, because all other options have been exhausted, sometimes it is necessary to protect the staff and the patient. All too often staff who forget how blessed they are because they have a place to go home to,

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For the patient, unrestricted family presence facilitates opportunities for family members to support their loved ones by providing reassurance, and emotional and physical comfort 20,21 Patients report feeling a sense of security when family members are present, as their needs and desires are more likely to be accurately communicated to the healthcare team.20,21 In a qualitative focus group study (n=8) family members attested that they knew the patient more than anyone and were in the best position to provide accurate patient information, make decisions based on the patients needs and desires, and advocate for their loved ones.4 Furthermore, unrestricted family presences provides opportunities for nurses to learn about the patient, gather an in-depth and realistic history, and determine appropriate needs and care requirements, including post-hospitalization

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This is very unfair and selfish of the family to keep them alive during this time. They cannot enjoy life because they have no brain function, and are only being kept alive by machines. Most people would not want to live in that kind of a situation. This can get very expensive for the family who would be just keeping them around for selfish reasons because they can’t imagine life without that person. Another thing that is ethical is having a DNR (do not resuscitate) this can be very good because it ensures that people know when the time comes they won’t have to put the decision on the family of when “to pull the plug.”

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Morals and common sense also have a play in whether to use palliative sedation. I think the fear of legal action from the family stops many medical doctors from using sedation. My personal back story of when my Aunt had a disease where she couldn’t fend for herself anymore; she couldn’t wash herself, she couldn’t feed herself nor do anything that a normal person could do. She eventually was hospitalized for months and was always in pain. I killed me and my family to know that there wasn’t anything for us to do about how she was feeling.

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