The Do-Not-Resuscitate (DNR)

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Introduction
Legitimized in 1976, advance directives (ADs) were designed to formally document a patient’s wishes to physicians and other providers in the event they lose decision-making capacity. Advance Directives encompass three types of documents; the first is in the form of a surrogate decision maker or durable power of attorney for health care (DPAHC), in which a designated person is the deferred authority in terms of patient’s wishes. Secondly, with respect to life-sustaining measures, a living will, specifically outlines described medical treatment desired. Lastly, the do-not-resuscitate (DNR) is a request to withhold cardiopulmonary resuscitation (CPR) in the event a patient’s heart stops or a cessation of breathing occurs. Either one or all forms of ADs implemented by patients can protect their autonomy and ensure congruence with patients’ values and preferences (Silveira, Kim, & Langa, 2010).
Meanwhile, the introduction of Patient Self-Determination …show more content…
With the use of the Culture Care Preservation and Maintenance mode, the action taken are those assistive, supportive, facilitative, or enabling professional actions and decisions that help cultures to retain, preserve, or maintain beneficial care beliefs and values or to face handicaps or death (Leininger, & McFarland, 2006; McFarland, & Wehbe-Alamah, 2014). The theory, while bridging culture and care, has given rise to the ever-growing ethnonursing and transcultural nursing and is recognized as a major field of study and practice and its application has demonstrated relevance in all aspects of patient education. The proposed project’s pedagogical approach will incorporate transcultural nursing and ethnonursing qualitative research

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Nt1310 Unit 4

types of advanced directives are a DNR or Do Not Resuscitate Order, a Living Will, a Power of Attorney and Healthcare Proxy (medical power of attorney) and the Uniform Anatomical Gift Act (organ donation). The DNR order is the abbreviation for do not resuscitate. A DNR is an indication that a terminally ill patient should not be placed on life prolonging treatment. In order for a patient to request a DNR order the adult must be competent. Patients who request a DNR order are usually patients…

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to refuse or terminate medical treatment came about in 1976 and lead to the common medical use of the do not resuscitate (DNR) order (Geppert, 2010). In 1990, the patient Self-Determination Act required hospitals to uphold a patient’s right to make personal health care choices and determined that a patient could refuse any medical treatment, including resuscitative measures (Geppert, 2010). The DNR order is usually issued within a hospital setting as a doctor’s order, to eliminate unwanted medical…

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Ethical Dilemmas In Long Term Care

There are many ethical dilemmas that management and the professional staff of a long-term care facility may encounter. A typical scenario in a long-term care facility is when the medical staff is confronted with special orders of DNR (Do-Not-Resuscitate) in a patient’s chart and conflicting views of other family members. For instance, a patient who might have mild dementia and is suffering from shortness of breath, coughing and wheezing might deteriorate rapidly and needs hospitalization. The medical…

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Patient Case Study: Long-Term Care

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family’s desires conflict with one another. For example, a Do Not Resuscitate order (DNR) which can be a difficult decision because of its implications. Therefore, ethics, values, morals and bioethics must be considered when deciding the course of action that should be taken. This paper will analyze the ethical implications of this dilemma by utilizing the ethical decisions model and integrating ethical principles and tying that to a patient with a DNR and the family…

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