When her wishes were in conflict, their obligation was to help resolve it. Unfortunately Terri’s condition left her unable to communicate and her wishes weren’t clear until much later. It was difficult for nurses to side on any side other than giving her the best quality of care, ensuring dignity of Terri. (ANA, Provision 2.1). Any animosity or displeasure for the choices of care that Terri’s guardian and parents made during the 15 year battle were to be put to the side and to maintain professionalism (ANA, Provison 1.2). Supporting Terri’s right to determination was not totally impossible. The nurses can help by including the guardian and any other decision makers in the decision making process by providing them with resources, options and details to make in informed decision of life sustaining care, DNR and End of life care (ANA Provision 1.4) Confidentiality is to be maintained with the patient’s legal guardian and in this case it was. Although a little deceptive, the Terri’s parents were not disclosed every bit of information. They felt as if Michael was “hiding” medical information from them, but as her legal guardian that was his right. It’s imperative that as they continued care for Terri over the years they advocate the importance of the rights of the patient, and that they give the same quality of care the last years of her life as they did the first few months. With the media and community outrage and involvement with the case, nurses had to make sure the provisions were not taken lightly especially privacy and confidentialty (ANA, Provision 3.1,
When her wishes were in conflict, their obligation was to help resolve it. Unfortunately Terri’s condition left her unable to communicate and her wishes weren’t clear until much later. It was difficult for nurses to side on any side other than giving her the best quality of care, ensuring dignity of Terri. (ANA, Provision 2.1). Any animosity or displeasure for the choices of care that Terri’s guardian and parents made during the 15 year battle were to be put to the side and to maintain professionalism (ANA, Provison 1.2). Supporting Terri’s right to determination was not totally impossible. The nurses can help by including the guardian and any other decision makers in the decision making process by providing them with resources, options and details to make in informed decision of life sustaining care, DNR and End of life care (ANA Provision 1.4) Confidentiality is to be maintained with the patient’s legal guardian and in this case it was. Although a little deceptive, the Terri’s parents were not disclosed every bit of information. They felt as if Michael was “hiding” medical information from them, but as her legal guardian that was his right. It’s imperative that as they continued care for Terri over the years they advocate the importance of the rights of the patient, and that they give the same quality of care the last years of her life as they did the first few months. With the media and community outrage and involvement with the case, nurses had to make sure the provisions were not taken lightly especially privacy and confidentialty (ANA, Provision 3.1,