An Advance Directive appoints a surrogate decision maker also known as the durable power of attorney for health care agent, to make medical decision on a person’s behalf (Nabili & Shiel Jr., 2015). Similarly, some states recognize orally spoken advance directives as legal. Advance directives primarily consist of three types a living will, durable power of attorney, and Do-Not-Resuscitate Order. “A living will is a document that specifies the kinds of medical treatment a patient desires and can be very specific or very general” (Alfonso, 2009, p. 43). This document only becomes effective when it reaches the hands of the health care team caring for the patient (Alfonso, 2009, p. 43).
A person acting as the Durable Power of Attorney can implement several important necessities for example: making medical decisions not covered by a living will. The appointed Medical Power of Attorney in a legal document is supposed to make all medical decisions. The document can specify when the acting person takes on the responsibility of Medical Power of Attorney. This document can identify if medical interventions are wanted or not needed. Two forms guide the Medical Power Of Attorney: the “Living Will” and “Advance Medical Directive” and clearly indicates what course of action the patient would want taken in medical circumstances.
References Gahm, G. A., PhD., Reger, M. A., PhD., Kinn, J. T., PhD., Luxton, D. D., PhD., Skopp, N. A., PhD., & Bush, N. E., PhD. (2012). Addressing the surveillance goal in the national strategy for suicide prevention: The department of defense suicide event report. American Journal of Public Health, 102, S24-8. Retrieved from http://search.proquest.com/docview/964018400?accountid=28698 U.S. Department of Health and Human Services (HHS), Office of The Surgeon General, & National Action Alliance for Suicide Prevention (2012, September).
To receive a prescription, the prescribing physician and a consulting physician must agree to another multiple set of conditions. Both physicians must agree with each other to an appropriate diagnosis, determine whether patients are capable of health decisions, patients must also produce a written request to both physicians, patients must pass all psychological examination, prescribing physician must inform patients other alternatives, and last, but not least, patients’ next-of-kin could be notified about the prescription request. These protocols are to be met to provide patient comfort and avoid disaster. The Death
The support planner first explained to the participant that what kind of program the BLH Company giving, and what we do as a support planner. Then the support planner went over the plan of care individually. The support planner explained the environment assessment and the participant refused the services. Also, SP went over the Medical Day Care and the participant stated that she will be in the program very soon. SP explained to the participant about the nursing monitoring and support planner to give a better
In this case, healthcare professionals actively participate in the patient death. According to ethical principles, healthcare professionals should do good and do no harm for patients. Therefore, assisting in her death violates the principle of nonmaleficence. In addition, active euthanasia defines as an intentional act of ending patients lives, whether or not the dying patients request. Four states, Oregon, Washington, Vermont, and Montana have approved laws of the practice of physician-assisted suicide.
In order to improve the quality of care and patients safety, the employee should operate within their scope of practice. Due to the incident which took place earlier, I would make sure the correct policy and procedure are put in place to eliminate any unauthorized staff from prescribing any form of medication. Medical assistants (MAs), are not license to prescribe medication (American association of medical assistants, 2017). The MAs administrative duties and clinical duties will be clearly outlined in the policy and procedure book. As the nurse practitioner, I would initiate a telephone triage line, which will give the patient access to a licensed personnel after hours.
Nursing-sensitive indicators (NSIs): Clinical quality outcomes. Retrieved from http://www.mghpcs.org/pcs/magnet/Documents/Monday/MM_010713.pdf McClellan, M. (2013). Improving health care quality: The path forward. Brookings. Retrieved from https://www.brookings.edu/testimonies/improving-health-care-quality-the-path-forward/ Stevens, K. (2013).
One of the questions is, do you have an advanced care directive or would like information on one. Sometimes people ask questions such as, “What is an advanced care directive”? Or “What does an Advance care directive do?” or “Why would I need one?” So, then I tell them what one is and the reasons how it could be helpful to them. If they do want the information, then I give them an Advance Care Directive that is supplied by the St. Cloud Hospital.