Pro-Side: By allowing the family to be present during resuscitation of their loved one they are made aware of everything that was done to revive the patient. This could be beneficial to the family member in the circumstance that the patient doesn’t survive so that the family would know for sure that everything possible was done. This may help with the grieving process of the family in that they would not dwell on what more could have been done for their loved one. After the patient passes, the family becomes the nurses primary focus and it is our responsibility to help the family along in the grieving process. As for the patient being resuscitated, the patient may want their loved one to be by their side in case they don’t make it, and if the policies prohibited the family’s presence, the patients dying wishes would not be followed. …show more content…
In regards to the family, seeing their loved one be resuscitated may be a traumatic experience. In the event that the family member was to faint during the occurrence nurses would have to divert their attention away from the current patient and also provide care to the family member. This could mean the difference in the patient surviving or not, and therefore would negatively affect the patient. The family member also would be at risk for PTSD in the event that they witnessed their loved one die traumatically. As for the nurse, having the family present increases stress on the nurse which could also affect the patient’s outcome. In the event of a code blue, nurses need to be focused in order to think fast and provide the best care in a timely manner. Imagine how the nurse may not be able to focus in the circumstance where the family was hysterical and
In many hospital cases a group of people in charge are always trying to make the best decisions for patients. At times decisions are usually the hardest to comprehend when dealing with life or death circumstances. In the book Five Days of Memorial by Sheri Fink, hurricane Katrina hit, doctors and nurses made a triage decision to place people into three different categories depending on their conditions. In category three, patients remaining were DNR ( Do Not Resuscitate) patients, who aren't to be revived, which were the last patients to leave Memorial Hospital. Dr Ewing Cook, a chief medical officer, states in the book of Five Days At Memorial , that they “only had two choices:quicken their deaths or abandon them.”
Ethically, there is a bit more of a gray area. The hospital has tried to give the husband time to reconcile his feelings of grief, but it can’t afford to continue to ignore the wishes of the patient’s living will for the husband’s grief to
The first ethical mistake that was made was the DNR status being deflected by the team. In “ANA’s Code of Ethics for Nurses with Interpretive Statements”, it states the right to self-determination in Provision 1.4. This provision guides nurses to know that “patients have the moral and legal right to determine what will be done with and to their own person”. The role of the nurse is to be an advocate for the patients’ wishes (ANA, 2015). There should have been a push to have the DNR signed the first time the family asked for it and not deflected (Chen, 2019).
Now I am old enough to know that death is not the end, but it is the beginning of a new life. We have to submit our lives to God and ask him for the strength to move forward. Worldview about life after death will largely determine how the patient and families welcome death. Now, as a Christian nurse, I can see death in the light of the resurrection of Jesus Christ (GCU, 2015). If I can help the family members to go through this traumatic experience and the grieving process, my Christian calling as nurse will be
The pros of this order are that the patient does not have to suffer, and they can be comfortable. The cons are that it can be seen as unethical, and it gives up any chance of revival and you cannot change your decision. In conclusion, the Do-Not- Resuscitate order is very important. It has a lot of moral dilemmas involved with it, as well as legal implications. It is a fatal bioethical topic.
The purpose of this review article is to identify the benefits of an open visitation policy within the critical care unit, and explore the barriers impeding family presence. The key finding of the review is that a nurses’ decision to allow unrestricted family presence is negatively influenced by perceptions opposing an open visitation policy and gaps in knowledge about the benefits of family presence. Nursing perceptions opposing open visitation are discussed according to key themes, including: legal ramifications, nursing morale, provision of care, patient wellbeing and family wellbeing. The advantages of unrestricted family presence for patients and families are acknowledged, and used to contradict the opposing perceptions. Implementation
The patient’s family is also cared for by hospice during and following the patient’s demise; however, this is not a service provided by
Families sometimes do not agree with the situation. Families will try to put their ideas or plans what they want and not for the loved one. It is a subject they is very difficult to put oneself in that situation. Stated in the article End-of-Life Challenges: Honoring Autonomy “respect for patient autonomy is part of the healthcare code of ethics and many countries (eg, United States and Israel) legally protect patient autonomy and informed consent.” The last wishes for patients travel from the foods they eat, to where they want to die, who they want to be there for them.
1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred
It makes my heart hurt to see someone, or have to place someone, in that situation. Even though I know at the time it has to be done, because all other options have been exhausted, sometimes it is necessary to protect the staff and the patient. All too often staff who forget how blessed they are because they have a place to go home to,
The progress that was made in medical technology changed where people would die. Johnson writes how, “In the late 1800s, the number of people in the United States who died in a hospital was under 20 percent”. By 1970, this number skyrocked to where almost all Americans were dying in hospitals (Johnson, 2004). In this way you are not having to personally deal with the deceased person. It is not like the past where, “Family members washed the body, built the coffin, and prepared the grave site...”
Morals and common sense also have a play in whether to use palliative sedation. I think the fear of legal action from the family stops many medical doctors from using sedation. My personal back story of when my Aunt had a disease where she couldn’t fend for herself anymore; she couldn’t wash herself, she couldn’t feed herself nor do anything that a normal person could do. She eventually was hospitalized for months and was always in pain. I killed me and my family to know that there wasn’t anything for us to do about how she was feeling.
When identifying areas which are affected, the problem spans from lack of assistance with activities of daily living, to major medical errors. One study focused on improved resuscitation rates related to appropriate nurse to patient ratios. Those involved in the study site the American Heart Association’s “chain of survival” to directly correlate their evidence. “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” argues that nurses with an appropriate patient load are able to make contact with their patients more frequently, and for longer periods of time, giving those with a potential for cardiac arrest a more “timely response” to their cardiac event. Since “timely response” is the initial phase in the “chain of survival”, the subsequent steps are more likely to yield favorable outcomes.
No matter how urgent the situation, it was important to maintain an air of calm and control. In a crisis the last thing people need is someone who is out of control. In the trauma room or the OR when things are going south, everyone looks to the doctor and it is at that time, calm and assuredness can bring calm and focus back to the situation. But patient not only need to know thier provider is in control, they need to know that God is in control. This is the unique side we bring to healthcare that those that don't know Christ do not.
(2016) in the Philippines utilizing cross-sectional study shows that there is a gap appreciating disaster nursing protocol in their own workplace. While, Romer & Hebda (2013) enumerates roles of bedside nurses during a disaster utilizing five tier triage systems. The study putted thrust on how nurses should respond in times of disaster focusing on the safety of the patient as well as the nurses’ safety. However, it has not test the level of compliance to the hospital protocol in order to assess implication to existing incident command systems.