Dnr Do Not Relieve Essay

Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was

This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between nonmaleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.

Though ethics committees have been helpful, scores of physician-patient disagreements end up in the U.S. court system with inconsistent results. The states adopted individual “statutes regulating DNR orders and their provisions vary in analysis throughout the U.S.” (Bishop, Brothers, Perry & Ahmad, 2010). One ethical dilemma that is constant in emergency rooms, the intensive care unit and terminally ill persons is a futility of treatment. In the case of CPR/DNR, New York State wanted to enact a law that describes the decisive responsibilities of the patient, and the family or surrogate, and physician. “In April 2003, the New-York Attorney General asserted that the DNR law would require a physician to obtain a consent of the patient’s health care surrogate before entering a DNR order, even when the physician

Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means

Sandra is sixty years old, she was diagnosed with dementia three years ago, however last year she suffered a massive stroke which affected her right side leaving her unable to use her right arm and leg which has left her having to use a wheelchair, Sandra is also suffering from depression which she takes antidepressants for. Sandra lives at home with her husband Michael who is sixty-five years old, they also have two children called Louise and Laura. Louise lives in Australia and worries about her mother not receiving the help she needs, she thinks that her mother should go into a care home, Laura lives close and

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

Some care aides were wonderful and went out of their way to go the extra mile; however, I noticed many of them didn’t tell the residents what they were going to be doing before they would do it, which would scare many of them. Often the residents would scream or wince from shock or pain, as the care aides would begin their care without prior disclosure. Many residents were not verbal, or had dementia and that was considered to be the factor in which it was justifiable to treat them this way. I was dismayed at how I witnessed the lights turn on, the blankets torn off, the residents being turned from side to side and their briefs being taken off, leaving them cold and completely exposed without any notice or indication of what was going to happen.

Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.

Many courts continue to make case-by-case decisions concerning community efforts to manage eldercare facilities and services and hospice care with zoning regulations. Regulations that put limits on: (a) square footage, (b) the number of permits based on the distance between facilities, (c) restricting any administrative space on premises, (d) 0ccupancy turn-over rate, (e) aesthetic

Do Not Resuscitate, "is a written physician's order that prevents the healthcare learn from initialing cardiopulmonary resuscitation (CPR) in the event that a patient's heart stops" (Earp, French, & Gilkey, 2008, p. 348). It had all started within the year of 1960, Kouwenhoven and his colleagues, were the first to announce closed chest cardiac massage as an efficient way of resuscitating victims when undergoing a cardiac arrest (Yuen, Reid, & Fetters, 2011, p. 791). As a patient advocate, my goal is to be able to provide the upmost care to my patients. DNR policy is relatively what patients need to be aware of because it is their only chance of getting any wishes to be followed through towards the end. Yuen (2011) explains how with DNR there

It was not long after I started my job at a long term acute care center that I had a patient who came for vent weaning to our facility. This patient was unresponsive for a while and her oldest child had the durable power of attorney (DPOA). By the time the patient came to us, she was able to communicate by mouth wording or using the alphabet board. She was alert and oriented sometimes, and confused other times. Her problems started with stroke and respiratory depression, but doctors found out that she had very progressed form of cancer and not much chance of survival as they were treating her for stroke. The problem was that DPOA still wanted the patient to be full code and would not listen to the health care members to consider her mother’s

A DNR is one of the most debated legal contracts practiced in the medicine field. Basically, it means that if something happens to you and the situation calls for medical intervention in order to reclaim consciousness and remain alive, you have the power to dictate whether or not that intervention actually occurs. EMT’s, doctors, nurses and other medical personnel must stand by your wishes. If they fail to do so they could be lawfully punished.

Ann is seventy-seven-year-old that was diagnosed with moderately advanced Alzheimer’s disease two years ago. She has periods of confusion, frustration, anger and obsessive thinking. When Ann began to realize her health was deteriorating, she and her husband Frank discussed their wishes should anything happen to them. Ann stated she would not want to be hooked to a breathing machine if she had no chance of survival and no papers were ever signed regarding this. Frank sincerely loved Ann, they were married for sixty years. As Ann’s Alzheimer’s progressed, Frank started to take care of Ann by cooking for her and cleaning all while watching her health decline. Eventually, for Ann’s safety she was admitted to a long term care facility. After three weeks in the nursing facility Ann developed pneumonia and was transported to the local hospital and started on

In this case a patient was involved in an automobile accident and was left in a vegetative state. The hospital made the choice to

A Do not resuscitate (DNR) order is a legal document written by a licensed physician, which is developed in consultation with the patient, surrogate decision maker, and attending physician. This document indicates whether the patient will receive resuscitative care, cardiopulmonary resuscitation (CPR), or advanced medical directives, in the setting of cardiac and/or respiratory arrest. A DNR can also be referred as a no code when identifying a patient’s resuscitation status. If a patient has an existing DNR it allows the resuscitation team, taking care of the patient, to either withhold or stop any resuscitation measures, and therefore respect the patient’s wishes. Historically, DNR orders did not become active in the care of patients until 1974, when it was identified that patients who received CPR, and survived, had significant morbidities (Braddock & Derbenwick-Clark, 2014). Braddock and Derbenwick-Clark further noted, the American Heart Association (AHA) recommended that physicians, in consultation with the patient, family, and or surrogate, place on the patients chart when CPR was not indicated. This documentation is now what we refer to as the DNR order and has become the standard to allow autonomous respect for patients, and their families, to make informed medical decisions. Therefore, the purpose of this paper is to discuss the legal aspects, ethical issues, and the application surrounding the DNR order.