There are four types of advanced directives listed in your text. Please list and describe three of them: A. Living Will- allows you to make future healthcare decisions when a person’s becomes unable to make medical decisions on their own. This allows you to dictate your care without interference. B.
b. Do not resuscitate or (DNR)- This is an order placed into a person’s medical chart or medical record. It indicates that the person does not wish to be resuscitated if breathing stops. c. Durable power of attorney for healthcare- A legal document that empowers another person to make healthcare decisions for healthcare for an incompetent patient. It goes into effect after the person becomes incompetent and only pertains to healthcare decisions.
Seeking consent: working with older people Contents Page Introduction 1 Seeking consent: people with capacity 3 When adults lack capacity 9 Research 13 Withdrawing and withholding life-prolonging treatment 15 i Seeking consent: working with older people Introduction If your work involves treating or caring for people (anything from helping people with dressing to carrying out major surgery), you need to make sure you have the person’s consent to what you propose to do, if they are able to give it. This respect for people’s rights to determine what happens to their own bodies is a fundamental part of good practice. It is also a legal requirement. The Department of Health guidance, Reference guide to consent for examination or treatment, sets out in detail the current English law on consent and gives references to legal cases and good practice guidance from regulatory bodies for those who want to know more. This booklet focuses on the particular issues which may arise when seeking consent from older people.
‘ An advance directive is a legal document stating end of life treatment. This document states what the patient wants and does not want to have done to them when they are not able to let you know themselves. Advance directives states who will be in charge of decision making when the patient is not consciously able to make them their selves. The purpose of the advance directive would be for the physician to be able to know what treatments they can perform on the patient, and what treatments the patient does not want performed. 2.
Can a person who has Power of Attorney make health care decisions during advance care planning for end-of-life issues? Discuss. Background Making treatment decisions on behalf of critically ill patients with a high probability of death or prolonged morbidity is a common challenge in intensive or long term care. Patients are encouraged to convey their wishes for future medical treatment. This may be achieved through advance planning, either through a written document such as an advance care plan, or by appointing a person to make decisions on their behalf such as a medical enduring power of attorney.
When she was in her right state of mind she consented to treatment. Despite her refusal in the evening to allow the placement of the feeding tube, due to her being disoriented and not capable of making proper medical decisions, her physicians would have to wait until she’s coherent to ask her about informed consent, before placing the feeding tube. Therefore, physicians providing June with a “diagnosis, planned course of treatment, alternatives, risks and prognosis” all relate to how the Patient Bill of Rights applies to this situation (Showalter, p. 272). Based on the facts given in the scenario, would the patient be considered competent to decide?
Autonomy is the ability to then independently perform actions based on those decisions. Nurse autonomy considers the patients right to decide what is done to his/her body, allowing the patient to determine an acceptable plan of care, and acceptance by the nurse if the patient decides to refuse specific forms of treatment such as intubation and a feeding tube. In this case, it is the nurse’s responsibility to make sure the patient’s family honors the patient’s rights regarding refusal to be put on a
Obtaining a comprehensive health history or full physical examination is unnecessary until the acute distress has resolved. A focused physical assessment should be done rapidly to help determine the cause of the distress and suggest treatment. Although family members may know about the patient’s history of medical problems, the patient is the best informant for these data. 2. When preparing the patient with a right-sided pleural effusion for a thoracentesis, how will the nurse position the patient?
The Patient Bill of Rights has a significant impact and is essential for the people who are in the health care organization for the purpose of getting treatment properly and easily. In this scenario, June is suffering from anorexia and the doctors feel she may need to be placed on a feeding tube to save her life. June agreed to the procedure but became combative, disoriented and refused to have the tube place the evening before the procedure was to take place. The patient bill of rights applies, as the patient has a right to know what treatment options are available to one and what the possible outcomes may be. The patient has a right to decide one’s medical care.
Analysis- Response Writing Assignment In the article “ End of life decisions about withholding or withdrawing therapy: medical, ethical, and religio-cultural considerations” Manalo, 2013, critical care unit has patients who receive life saving treatments and intervention in order to sustain life. Some examples of the treatments and interventions are mechanical ventilation, dialysis, and cardiac balloon pump. At some point during their stay in the hospital, the patients and their families are faced with the question, if the treatments and interventions are not working to cure or fix their illness, what do they want done? Manalo argues that physicians should consult with the patient and patients’ family about end of life care plans when