Explain The Evidence-Based Practice Regarding Advance Directive DNR

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Task 1

A. Discuss the evidenced-based practice regarding advance directive DNR.

In 1991, the Patient Self-Determination Act (PSDA) mandated that all patients have to be given written information about their rights regarding decision making about their medical care. A do-not-resuscitate (DNR) order is an advance directive. It is a request for a healthcare provider to not provide cardiopulmonary resuscitation in an emergency; where the patient stops breathing or their heart stops. When a patient is admitted to a hospital, federal law (PSDA) requires that the patient be told their right to make advance directive. Evidence-based practices at hospitals support advance directives and supports the role that the nurse plays in this situation. The advance directive provides healthcare providers with information regarding what kind of emergency care to provide a patient when they are unable to articulate their medical decisions. The DNR order is placed in the patience medical record when all required signatures are completed. It usually requires the signature the signature of the patient or a legal representative (health power of attorney, or legal guardian), a physician and a witness that is over the age of 18 years old. B. Discuss …show more content…
It simply means that a patient has the right to make decisions about their medical care without their decision being compromised by their healthcare providers. This is where it is essential for the nurse to be knowledgeable and have the ability to provide accurate and complete patient health education. The nurse must also be aware of the moral and legal rights of the patient and have the ability to communicate that information to the patient. Normally an educated, well-informed patient will have an understanding of the risks and benefits of the tests, procedures, and/or process being offered and will have the ability to make a well informed decision to proceed or not
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