Preview

Dnr's Are They Wrong or Right?

Satisfactory Essays
Open Document
Open Document
541 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Dnr's Are They Wrong or Right?
Case Study: Mr. Martinez
Brittney Wiggs
PHI 3200
Professor Greig Mulberry
November 28, 2012

Brittney Wiggs
November 28, 2012
PHI 3200
Professor Greig Mulberry
Case Study: Mr. Martinez

The case study goes as such: Mr. Martinez was a seventy-five year old COPD (chronic obstructive pulmonary disease) patient. He was in the hospital because of an upper respiratory tract infection. He and his wife had already requested that CPR should not be performed if he required it and a DNR is placed in his charts. While in his room on third floor, being maintained with antibiotics, fluids, and oxygen and seemed to be doing better. However, Mr. Martinez’s oxygen was inadvertently turned up, causing him to go into respiratory failure. This scenario in my opinion causes for drastic measures and I personally feel like his wishes should be overthrown by what the caring physician sees ethically and morally right. The doctor should look at all the circumstances in front of themselves and make an ethical decision. Mr. Martinez was previously being treated and had been improving. Although some may argue that he already has a disease that could be terminal. Looking at the bigger picture of the situation that he was being treated for the upper respiratory infection and he was progressing. I believe he should be transferred to intensive care so that his oxygen level can be monitored and his respiratory failure be treated by a ventilator. My ethical reasoning is his health did not decline because of lack of improvement, but because of a medical error that caused the problem. With that being the scenario then every drastic measure should be taken to treat the respiratory failure and get the oxygen levels stable. Even if Mr. Martinez and his wife requested the DNR as well as the do not perform CPR. I feel that it would be unethical to grant his requests knowing the medical error. Some individuals believe that God has control which he does and if a health issue comes up then let



References: Edge, R. S., & Groves J. R. (2007). Ethics of health care: A guide for clinical practice. Clifton, NY: Thomson. ISBN: 9781408031766

You May Also Find These Documents Helpful

  • Good Essays

    Hsm 542 week 2 you decide

    • 785 Words
    • 4 Pages

    The morals involved here is the patient’s right to refuse care if she chooses and also the right to die. The moral principles of ethics involved also in this case are: Beneficence- act of doing good, demonstrating kindness, showing compassion, and helping others; Non-maleficence- avoiding the infliction of harm; Justice- the duty to be fair in the distribution of risks and benefits, and; Autonomy- recognizing an individual’s right to make his or her own decisions.…

    • 785 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Dnr Ethical Dilemmas

    • 515 Words
    • 3 Pages

    Patient Preferences: The patient has not been involved in the decisions regarding her current treatment, and did not have a DNR in place or an advance directive in place regarding situations such as this. The family who had been acting as surrogates, were ready to stop treatment and place a DNR based on the prognosis given about the patient. As of now no one has fully assessed the patient's decision making capacity or asked the patient about her preferences, despite her regaining consciousness and her improved mental state.…

    • 515 Words
    • 3 Pages
    Good Essays
  • Good Essays

    This article present a case in which the patient and the family made a decision in favor of resuscitation that ran contrary to the physician’s medical judgement. The author argues that, where a patient request for treatment in conflict with physician’s responsibility to provide what he or she believes to be good medical care, a resort to autonomy alone is insufficient. The principal of autonomy, which allow patient to refuse any procedure or choose among different beneficial treatment, does not allow them to demand nonbeneficial and potentially harmful procedure. This is important because CPR should not be considered an alternative to be offered by physicians in such cases. Instead, the physician should have listened to the patient’s hopes and fears, reassured him that the physician should would continue to be there and provide appropriate therapy, and, if necessary, refer the patient to psychiatric personnel or clergy.…

    • 547 Words
    • 3 Pages
    Good Essays
  • Better Essays

    The ANA Nursing Code of Ethics applies to this case study in that it addresses ethical responsibilities and the nurse’s role in advocating for the patient. Section 1.4 of The Code of Ethics for nurses is the right to self-determination and applies to this scenario. This code should impact the nurse in his or her profession decision when caring for this patient. The code of ethics should serve as a guide to the nurse in this scenario empowering the nurse to use the knowledge that the patient had previously set forth in legal documents to discuss with the physician, the legal and moral obligations of the healthcare team in regards to this patient’s treatment plan. The Code of Ethics provides a basis for the nurse to guide his or her practice and support of the patient. It would be unethical for the doctor to place this patient on a ventilator. The patient took steps to ensure that future healthcare decisions would be addressed in the event that he could not make his own decisions. This legal document not only specified Mr. E’s wishes, but also included a durable power of attorney to make decisions for him in the event that he was unable to do so himself. By placing Mr. E on a ventilator,…

    • 978 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Nursing, as other medical profession, aims at helping and saving the life of other. As much as nurses and physician wants to intervene to prolong a patient life, it’s important to consider patient’s wishes. Ethically, intubating Mr.E without proper discussion and consideration of his wishes is against his living will. It’s a violation of Provision I of ANA Code of Ethics in respecting patient’s dignity. The nurse also fail to meet the Standards of Competent Performance based on California Code of Regulation, Article 4, code 1443.5, which stated “ [nurses] acts as the client’s advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the client […]” (p.70)…

    • 1357 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    Ilene, many of the ethical dilemmas faced by nurses could be eliminated if people would take the time to let their family know what interventions they would want in situations like this. End-of-life planning and advanced care directives will increase the quality of life of a dying patient, ease the ethical decisions having to be made by family members, and will ensure that personal wishes will be abided by (Eggertson, 2013, p. E617). Many people talk about what they do and do not want but never write them down. This leaves the family, doctors, and other health care members second-guessing the wishes of the patient whenever they are too ill or sick to make decisions themselves. If your patient had made these decisions earlier and made it…

    • 140 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    The simple principles of medical ethics are “to avoid harm”, “to do well”, “the right to act freely”, and “acting fairly towards the patient”. Doctors should try to save patient’s life instead of ending it. They have the responsibility not to kill the trusting patients, but give all their best to secure the life of their patients. Even if the patients are hard to cure, they should still try and not make euthanasia an option. Therefore, doctors do not have the right to decide whether their patients would live or die as long as their patients are alive, there is always a hope for curing. For instance, many European countries are legalizing euthanasia. Unfortunately, not only doctors, but also nurses are favoring euthanasia in the extreme…

    • 616 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Physician-Assisted Suicide

    • 2476 Words
    • 10 Pages

    Imagine a frail elderly woman laying in the nursing home in pain. This woman is 80 years old and has been diagnosed with terminal lung cancer and her heart cannot withstand treatment via radiation or chemotherapy. She has less than six months to live. Day in and day out you pass her room and hear her crying out from the immense pain. The pain medications are no longer working. She’s tired of fighting, tired of hurting, and tired of waiting to die. After consideration and discussions with her family she has decided to ask the doctor to help and end her life. The doctor feels remorse for the elderly lady and wants to help but cannot decide if it is the ethical thing to do because he knows that what he’s being asked to do is considered physician-assisted suicide.…

    • 2476 Words
    • 10 Pages
    Good Essays
  • Good Essays

    Dnr Ethical Dilemmas

    • 1078 Words
    • 5 Pages

    The Ethical dilemma of autonomy of the patient’s right to refused advanced medical…

    • 1078 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Canadian Health Care System

    • 2959 Words
    • 12 Pages

    This paper was prepared for HCM 510, Ethical Health Care Management, taught by Professor Browne.…

    • 2959 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    The judge should have the final say in when a person should be taken off of life support, with two disagreeable parties. Unfortunately, the person on life support does not have the ability to determine when to end life support. The battle is perhaps one of the most important cases the court system has dealt with. For the first time in history, medical ethics have been under great inquiry.…

    • 505 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Dr. Malesker is part of a critical care team where patients will present to the ICU with a critical illness. The situation is further complicated when the family members of the patient cannot decide what to do for the patient. The patients will present without previously informing their families about the kind of end-of-life care they want. This is where the case becomes an ethical issue, when the patient’s autonomy and ability to make their own decisions is compromised. With the differing opinions between family members, it further complicates the ethical issue.…

    • 505 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Aid In Dying

    • 1211 Words
    • 5 Pages

    The ethical issues that arise for ones that are for life-sustaining treatment are potential recovery, sanctity of life, personal request, and professional physician integrity. Although there are often minimal benefits seen with the use of extreme measures to prolong life, the potential recovery is valid reason for patients to continue with life-sustaining treatment. The sanctity of life, which is the belief that people are made in the image of God and their lives are sacred and should be protected and respected at all time, is dependent upon the patient. Patients’ values and beliefs may differ, but if the patient has a “low quality” of life and still believes that their life is sacred, then the ethically correct decision is to continue with life-sustaining treatment. As mentioned previously, due to laws that have been created, patients have the right to choose the care and treatment that is provided to them near the end of life. Therefore, it is seen as unethical if anything or anyone takes that decision away from the patient, which again calls into question professional physician integrity. A physician is reliable for providing exceptional care to the patient and attending to the…

    • 1211 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Medical ethics spans far past providing patient care and includes every aspect of the medical profession.…

    • 315 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Code of Ethics Paper

    • 333 Words
    • 2 Pages

    The culture of a health care organization, whether big or small, plays an important role in the ethical decision-making. However, when small businesses serving the health care industry place more emphasis on profit, they risk losing their integrity. Health care practices that are more concerned with their place in the market, for instance Health Maintenance Organization (HMO) often face greater challenges in maintaining ethical standards. On the other hand, an organization that promotes a thoughtful culture fosters decision-making based on what’s best for the patients, the staff and the community as a whole (Ray, 2012).…

    • 333 Words
    • 2 Pages
    Satisfactory Essays