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DNR Interactive Case Study
According to the ANA code of ethics, in the first provision, every person, regardless of socioeconomic position, is treated with respect and compassion by the nurse throughout all professional interactions. Nurses must treat all patients with kindness and care (Butts & Rich, 2019). Furthermore, professional nurses adhere to a code of ethics that guides their behavior as they work to improve the health of their patients, their communities, and the people in their care through measures including disease prevention, early detection, and treatment (Butts & Rich, 2019). In the case study, the nurse must make the tough choice of whether or not to prevent an unwilling resuscitation of her patient. The nurse had the added burden of attempting to assist the family members make sense of the situation while under enormous pressure herself.
During this case study, the failure of the father, who had designated that he did not want medical treatment and his children led to some misunderstanding between the certified nursing assistant, the physician, and the registered nurse, who was caring for the severely ill patient at the time of the patient’s passing. The nurse was responsible for advocating for and defending her patient in accordance with the documented healthcare directive he had provided and honoring his choice to maintain a DNR state. Typically, a nurse must speak out for him as an ethically responsible nurse committed to the nursing code of conduct. It is reasonable that children would want their dad to be brought back to life, and as caring nurses, one can relate to the fact that a situation of this kind might cause nurses to question whether or not they are making the proper choice.
Considering all the factors, DNR may be an emotionally charged and complex topic (Coca, 2020). Some patients could be willing to accept DNR procedures that allow them to get blood donations or drugs that might help them recover from their condition. However, a terminally ill patient may not consent to intubation, CPR, or feeding tubes (West, 2020). Preferences like this are included in the advanced healthcare directives. The goal of advance directives is to ensure that a patient’s wishes about end-of-life medical treatment are honored, notwithstanding the patient’s incapacity due to sickness or life-threatening illness (Brovman et al., 2018)
The case study reminded me of a time in my nursing career when I was faced with a scenario quite similar to this one: caring for a 95-year-old man who was willing to accept a DNR designation after finding that he had 18% pericardial effusion and required a feeding tube to support life. His wife remained by his side for a week after discovering his DNR order and persuaded him to make every effort to live. (Haddad & Geiger, 2018). The patient required defibrillation twice, and he was ultimately heavily sedated and admitted to the intensive care unit. When he made this choice, I was remorseful since I knew his wife had probably convinced him to undertake an act he did not desire to do only to satisfy her. He probably did not feel like arguing with her in his weak and aged condition. In the video, I just viewed a family member (presumably his son) with authority to act. I instructed medical professionals to do everything possible to resuscitate his pulseless loved one. It is possible that when the father was first diagnosed with his chronic illness, he wished to be revived. However, attitudes shift when patients realize that their quality of life will deteriorate rapidly. In the final stages of life, ethical constraints may be more challenging to surmount. When it comes to a patient’s treatment and their last desires, it is crucial for relatives and healthcare providers to be in constant contact.
Conclusively, nurses are expected to advocate for their patients, their families, and their healthcare teams. However, it is the role of educators to instill in students a strong sense of professional practices, ethical decision-making, and professional identity. A growing elderly population will only add to the difficulties we encounter as nurses in our everyday work, which mirrors the DNR case study. As nurses in the field, we should believe in our capacity to solve problems like this (Tisdale & Symenuk, 2020). We must also persuade our healthcare colleagues to keep a careful eye on things at work and to prioritize patient welfare above all else, even when doing so presents challenges. We will preserve the ability to deal with challenging issues related to the final stages of life by keeping open communication lines and cultivating a professional attitude.
Brovman, E. Y., Walsh, E. C., Burton, B. N., Kuo, C. E., Lindvall, C., Gabriel, R. A., & Urman, R. D. (2018). Patients with a do-not-resuscitate (DNR) order undergoing elective procedures have postoperative outcomes. Journal of clinical anesthesia , 48 , 81-88.
Butts, J. B., & Rich, K. L. (2019). Nursing ethics . Jones & Bartlett Learning.
Coca, A. (2020). DNR Case Study. https://www.youtube.com/watch?v=EqHJgmKbo1M
Haddad, L. M., & Geiger, R. A. (2018). Nursing ethical considerations.
Tisdale, D., & Symenuk, P. M. (2020). Human rights and nursing codes of ethics in Canada 1953–2017. Nursing ethics , 27 (4), 1077-1088.
West, E. (2020). Ethics and integrity in nursing research. Handbook of research ethics and scientific integrity , 1051-1069.
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Pardon Our Interruption
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Week 1 DNR Interactive Case Study Journal Nursing 440 Issues and trends in nursing November 5, 2021 Helen Ayala West coast University. Case study As nurses we abide by nursing code of ethics for example in provision 1 code of ethics the American Nurses association states, the nurse in all professional relationships, practices with compassion ...
DNR Interactive Case Study based journal entry for week one. Course. Issues and Trends (NURS 440) 170 Documents. Students shared 170 documents in this course. University West Coast University. Academic year: 2021/2022. Uploaded by: Mariel Sanchez. California State University Dominguez Hills. 0 followers.
DNR Interactive Case Study The first week case study was about DNR (do not resuscitate). The scenario represents a story about patient who has signed DNR prior the surgery. In main time the patient has durable Power of Attorney on his son. The patient fell under code blue and nurse refuse to continue CPR while the son yelling on the nurse to ...
DNR Interactive Journal 2 DNR Interactive Case Study After watching the DNR case study for week one, I was able to get a brief insight into a scenario that might occur frequently in hospitals with patients who may have a DNR, but their families are unaware of their decision. As a prospective nurse, I can understand why nurses frequently face moral conundrums.
2 Week 1 Interactive Case Study Journal In the DNR interactive case study, the case revolves around a patient who was admitted with a DNR but whose son did not agree with having this in place when the patient began to code. The purpose of an advanced directive is to give patients the opportunity to have their wishes granted for end of life care (American Nurses Association, 2021).
Cases 4-9: The remaining cases of cardiac arrest occurred in the inpatient setting, with the responding provider unaware of the patient's DNR status.Five of these cases had a documented DNR order in the chart, while in the remaining case it had not yet been ordered. In three of the cases, DNR status was discovered during course of CPR and compressions were terminated.
DNR INTERACTIVE CASE STUDY 3 If the patient could have had an advanced directive, then the nurse could know easily what the issue that the patient had. An advanced directive informs the nurses about what kind of care the patient wants if the patient becomes unable to make medical decisions. This could have been easy because the nurse could understand what the patient wants.
J Am Geriatr Soc 1997;45:500-507. Paramedics brought to the emergency department an unconscious 70-year-old man with "Do Not Resuscitate" tattooed on his chest. The ICU team decided to honor ...
DNR INTERACTIVE CASE STUDY physician must generate a DNR order and when this is done the Doctor wants to know the reasons for refusing resuscitation. There are other resuscitative methods that follow with CPR such as electric shocks to the heart and insertion of a breathing tube for artificial respirations (Yang, Kwee & Krishna, 2012). Having read the DNR Case Study, and observing the turn of ...
Interactive case study: DNR . I can't upload the link, therefore I've attached each slides of the video. After you view the case study, respond to the following: ... After you complete the case study, use the journal tool in Canvas to reflect upon what you've learned from the case study and related learning materials this week. Compare this ...
DNR Interactive Case Study The interactive case study journal is about a Certified Nursing Assistant (CNA) who performed CPR on a patient who has a Do Not Resuscitate (DNR) order upon admission. The patient had an IVC filter placement surgery at 1630, and he was stable.
In the case study, the nurse must make the tough choice of whether or not to prevent an unwilling resuscitation of her patient. The nurse had the added burden of attempting to assist the family members make sense of the situation while under enormous pressure herself. During this case study, the failure of the father, who had designated that he ...
Interactive Case Study Journal Tatiana Vasallo November 1, 2022 West Coast University. On this week's interactive case study was related to DNR and when to listen to a patient versus listening to the family.
Running head: DNR Interactive case study 3 life. These types of preferences are indicated in the written healthcare directive. According to Interprofessional Journal on Healthcare Institutions, the purpose of an advance directive is to allow an individual to maintain autonomy in the end of life (EOL) medical decision-making process even when incapacitated by disease or terminal illness ...
After you complete the case study, click on the "Interactive Case Study Journals" link to reflect upon what you have learned from the case study and related learning materials this week. Once opened, choose the DNR Interactive Case Study Journal and follow the instructions listed within the journal. Compare this case study to your nursing practice and give a similar example from your nursing ...
1 Interactive Case Study Journal Student's Name Department, University Course Name/Number Professor's Name Assignment Due Date 2 Health Dilemma of Do Not Resuscitate (DNR) The case study is basically about the Do Not Resuscitate (DNR). DNR is a form signed by a physician with instructions that the patient should not be rescued in case of any ...
DNR Interactive Case Study Saily Perla West Coast University NURS 440 Issues and Trends in Nursing Dr. Strawn January 27, 2023 DNR INTERACTIVE CASE STUDY In a DNR (Do Not Resuscitate) situation, the nurse must follow the patient's wishes and the medical team's orders.
DNR Case Study Reflection After reading this week's materials and watching and listening to the DNR interactive case study, I learned a lot of very important information regarding end of life care along with what advanced directives really consist of. Advanced directives are written statements that an individual creates regarding the specific medical treatment that they prefer if they are ever ...
1 DNR Interactive Case Study Journal Student's Name Institution Course Date 2 As nurses must follow the nursing code of ethics. Nursing has codes of ethics since it "help protect, promote health and prevent illness and injury, alleviate suffering through diagnosis and treatment of human response and advocate for the care of individuals ...
DNR Interactive Case Study; Preview text. Week 1: Interactive Case Study Journal. West Coast University NURS 440: Issues and Trends in Nursing. The topic about DNR's, Living wills, and a power of attorney has always been very confusing to me. I have been in the medical field for about 4 years now, and each time this topic is brought up I have ...
Do not Resuscitate Do not Resuscitate. Complete the DNR interactive case study following the readings and presentation for this week. Associate what you have learned in your weekly materials with...
1 DNR INTERACTIVE CASE STUDY Interactive case study journals: DNR interactive case study NURS 440: Issues and Trends in Nursing West Coast University 11/06/16 2 DNR INTERACTIVE CASE STUDY I have learned from this case study is the communication is very important between health care professionals, patients and family members.
Running Head: DNR INTERACTIVE CASE STUDY DNR Case Study The concept of Ethical decision is a very important part as a future nurse when it comes to taking care of the patients. It is important to advocate for the patients and their wishes along with maintaining a higher professional act and thinking about patient safety at the same time. It falls under an ethical obligation to support the ...