can and is used by nurses in the field. This method of communication could be applied just as easily to the discussion and creation of advance directives as well as to other nursing care. The authors focused on a very theoretical model for advance directive. But rather end with a vague goal that nurses should be educated on the issues surrounding advance directives. Therefore the Theory of Goal Attainment may not be the best fit for this problem. Using the Theory of Goal Attainment raises an interesting
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ethical implications of placing this patient on the ventilator. We will discuss things the Patients brother Mr. Y should consider before agreeing to allow Dr. K to place the Patient Mr. E on the ventilator‚ and facts that affect the Patients Advance Directive. We will discuss violations of HIPAA seen in this Case Study. We will discuss the conduct of the Nurses in this case study. We will discuss the steps the professional Nurse should take based on the ANA code of ethics. Collaboration is not
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their health care. The medical facilities are required to provide the patient with informed consent information about these rights and the state laws on legal choices before they can be seen by the physician. Some examples of these types of advance directives are DNR (Do Not Resuscitate) Order‚ Durable Power of Attorney for Health Care‚ Health Care Proxy‚ Living Will‚ and Organ or Tissue Donation. Facilities use three different themes to help implement the PSDA. The first one is assignment of
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I don’t even like to consider the fact that one day I will die. Death is such an unknown. We all hope to live a long‚ high quality‚ and healthy life‚ but we don’t consider the alternative. We don’t talk to our family and fill out advance directives because we don’t want to face death. We don’t want to have difficult conversations‚ even though we all know that someday we will die. If we were more open and accepting of death‚ perhaps we would not fear it as much. We might be more willing
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Many ethical issues can be presented when working in the medical field; a few major issues are presented in the case of Schizophrenia. Schizophrenia is a mental disorder in which people may hear voices in their heads that tell them to do immoral things‚ which are not there. A Schizophrenic person may also sit for hours without moving or talking‚ and are not completely sane. This disorder is a result of genetic and environmental factors. One of the issues that are involved with schizophrenia is telling
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resuscitative measures should be used to revive the patient” (Pozgar & Santucci‚ 2010‚ pg. 132). The physician can write the do-not-resuscitate order at the request of the family‚ appointed caregiver‚ or from information obtained from an advanced directive (Pozgar & Santucci‚ 2010). Originally‚ the history of the do-not-resuscitate order stems from the case of Cruzan v. Director‚ Missouri dept. of Health‚ 497 U.S. 261‚ 110 S. Ct. 28411 (1990); the outcome of the case was that is it “recognized
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problems of advance directives are the following: a. Question of interpretation. b. Not informed c.______________________________________________ 7. In the absence of clear and specific advance directives‚ surrogates should Make as much as good and as less as harm decisions. 8. Decisions based on a patient’s best interest are justified by the ethical guideline of decisions that serve the patient’s interest and of beneficence or un-beneficence. 9. Among the advantages of advance directives
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Dr G. is proceeding on a course of action or plan of care that is directly contrary to the patients advance directive and his verbalized objections to the course of treatment proposed by the physician and that is concerning for her. There are multiple issues to consider. For the nurse‚ she needs to think about her code of ethics‚ her scope of practice and the legal issues regarding advance directives and Durable Power Of Attorney (DPOA). She also needs to consider the patients right to privacy and
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patient’s autonomy through knowledge and use of advance directives that consists of one or all of the following: living will‚ medical care directive‚ and durable power of attorney (Butts & Rich‚ 2008). An advance directive is an important tool in assisting the medical profession in knowing how aggressive they need to be in treating patients that are unable to make their wishes known. Many individuals with terminal illnesses have an advance directive and DNR in place that was developed while the
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service announcements about advance directives would increase awareness and encourage more people to have one. In order to determine if requiring everyone to have an advanced directive is helpful‚ a brief survey could be distributed to individuals who are near the end of their life and their family members after they’ve passed away to evaluate the effectiveness. Questions could be asked to the individuals about the quality of their life currently‚ if having an advance directive was helpful‚ and family
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