The adrenaline rush that CPR causes helps the responder keep going in an attempt to restart the patient’s heart. Many people know about CPR and a lot are even CPR certified through organizations like The Red Cross or The American Heart Association. These basic life support skills have been developed over the years to bring people back to life and keep them alive. This is done by doing chest compressions, also known as cardiopulmonary resuscitation, which pumps the heart to keep tissue death to a minimum until the heart can be defibrillated into a normal rhythm. It also is done in attempt to put the heart into a shockable rhythm for defibrillation. Issues arise with resuscitating because of a term known as DNR. DNR stands for do not resuscitate, …show more content…
I personally feel like DNR reports should be respected, but require lots of specificity. This is because I know personally that in some situations I would want to be DNR, even though as of right now, I would like there to be an attempt to bring me back to life as I still have many things that I want to do and should do. I believe that states should require lots of specificity in filling out a DNR form in return because of situations like with the organ donors. That specificity could end up being the difference between life and death for someone who wants to fight for their life. Along with that, in those types of emergency situations, the specificity could help get treatment for organ donors quicker, which increases the chances of being able to save the lives of people who need those transplants. The limits should also be required because many times, a surrogate will not actually know what the patient would truly desire in the situation because each individual changes often in both mind and body throughout their lifetime (Ezekiel). The DNR reports should furthermore add limits so that medical professionals can make some decisions, like how currently, some operation rooms are set up so that DNR reports are not valid in them, especially during surgeries (Ludwig). Many people want respect for their decisions, especially when it comes to end of life care because death is a very touchy topic. I know I would want the same too when it came time, whether it is to have the health care providers try to keep me alive at all costs, or if it’s to just let me die after I’ve made sure I don’t have any regrets, also known as a wish for a
The one example of this that I found most relevant in the book is the situation of Armando. Armando was shot and the bullet lodged in the spinal canal. It caused enough damage to make him a paraplegic, but not enough to kill him. The ethics committee had decided that it was best to encompass a DNR because he had no health insurance, and his quality of life was not what it was before. When the doctors went to approve this with Armando, he denied the DNR and said that he wanted what ever was necessary to be done to him to save his life (Belkin p. 58-59). This made Cindy worried for the cost of keeping him alive was substantial. All the doctors and caretakers believed that he should be placed under DNR, however that was not what Armando wanted. The doctors believed that was the wrong decision. This correlates to what the quote was from the book on page 70; doctors can tend to be narrow-minded when it comes to the care of a patient. They believe that their course of action is the best and do not agree if the patient wants something different. This I have found is also true in my own personal experience with doctors. For example, when I was about 17 my wisdom teeth were growing in. I was in terrible pan from two of my wisdom teeth being impacted. My
Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant
We consider the legislation consistent with the principle that "respect for that person [who is capable of participating] mandates that he or she be recognized as the prime decision-maker" in treatment. [2] The patient is a person in relationship, not an isolated individual. Her or his decisions should take others into account and be made in supportive consultation with family members, close friends, pastor, and health care professionals. Christians face end-of-life decisions in all their ambiguity, knowing we are responsible ultimately to God, whose grace comforts, forgives, and frees us in our dilemmas.
Basic life support (BLS) is a skill that many people in the community are lacking. Nearly 400,000 out-of-hospital cardiac arrests occur annually in the United States (American Heart Association, 2012), and of this 89% of the people die because they did not receive immediate CPR by a bystander (American Heart Association, 2012).
understood DNR is in place? Or do we continue to treat only the symptoms of
Caring for people is my passion. My senior year of high school is when I witnessed my grandmother live on a ventilator for about a week. It awakened a new level of passion in me to care for people with cardiopulmonary problems. The Respiratory Therapy Care profession has intrigued me with how they improve the quality of life in their patients. I will enjoy working closely with patients in addition to working high tech equipment. By entering into this program and graduating out of this program I know that this will satisfy my personal goals for the next five years in many ways. The continues challenges of trying to figure out what’s wrong the heart that day or what’s wrong with the lung the next day will always keep me on my toes. It will always
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
One of the greatest dangers facing chronic and terminally ill patients is the grey area regarding PAS. In the Netherlands, there are strict criteria for the practice of PAS. Despite such stringencies, the Council on Ethical and Judicial Affairs (1992) found 28% of the PAS cases in the Netherlands did not meet the criteria. The evidence suggests some of the patient’s lives may have ended prematurely or involuntarily. This problem can be addressed via advance directives. These directives would be written by competent individuals explaining their decision to be aided in dying when they are no longer capable of making medical decisions. These interpretations are largely defined by ones morals, understanding of ethics, individual attitudes, religious and cultural values.
According to the American Heart Association (AHA), over 350,000 people experience cardiac arrest outside of hospitals every year. Every second that a heart doesn’t beat dramatically decreases a person’s survival rate. CPR is a simple way to keep blood pumping through the body until medical personnel arrive. Only 46 percent of cardiac arrest victims receive CPR, primarily because most bystanders don’t have the proper training. Fortunately, schools are in a unique position to greatly improve that statistic.
When loved ones are lifeless and in a vegetative state with no means of speaking for themselves then the PAS is the way to go. In the case of Nancy Cruzen lasting eight years the medical expenses had to of financially put a burden on the family. At the age of adulthood when parents are not legally responsible for you, your drivers’ license should reflect on a choice of a PAS. If we can donate organs, why not speak for ourselves on a DNR, PAS, or hope. My choice would be after 2 weeks, let me go.
In closing, despite all of the different opinions that people have on PAS, there are many good outcomes that come with the decision. Having the right to make a “choice” is what PAS comes down to. Many argue that it is inhumane, while many will argue that it is a choice. If choosing PAS as a last dying right, then one should respect that choice. It is a choice and only the patient should have the right to choose.
Imagine finding your child pulse less and not breathing. What a terrifying thought! Would you know how to save your child’s life? The number of parents that do not know CPR is astounding. Simply knowing CPR could make a dramatic difference in the lives of you and your loved ones.
I personally feel that the life of a person is well above all policies and regulations and if an attempt to rescue him or her from death at the right time remains unfulfilled, it is not the failure of a doctor or nurse, it is the failure of the entire medical and health community.
This can be seen in the case study as ethical and legal arise in resuscitation settings, as every situation will have its differences it is essential that the paramedic has knowledge in the areas of health ethics and laws relating to providing health care. The laws can be interpreted differently and direction by state guidelines may be required. Paramedics face ethical decisions that they will be required to interpret themselves and act in a way that they believe is right. Obstacles arise such as families’ wishes for the patients’ outcome, communicating with the key stakeholders is imperative in making informed and good health practice decision. It could be argued that the paramedics in the case study acted in the best interest of the patient as there was no formal directive and they did not have enough information regarding the patients’ wishes in relation to the current situation. More consultation with the key stakeholders may have provided a better approach in reducing the stress and understanding of why the resuscitation was happening. Overall, ethically it could be argued that commencing resuscitation and terminating once appropriate information was available is the right thing to do for the
With the establishment of the DNR order, withholding CPR from an individual has reformed into standing as “ethically appropriate if the anticipated benefit outweighs the harm. However, since then, the literal meaning of DNR has not been clear, thus causing confusion that remains problematic in clinical practice” (Yen-Yuan 4). With the renovation of the DNR order, people and health care providers have worked to progress defining what the DNR order stands for along with people gaining autonomy in their choice of death. Additionally, associations and activists keep pushing forward in the refinement of the DNR order: “there has been increasing focus on promoting quality of care for the dying [. . .] However, the persistent problems with DNR orders suggest that physician behaviors toward communication with patients about goals of care and resuscitation decisions have not measurably changed in the past 20 years” (Yuen 7). Through the efforts of benefactors such as the American Heart Association and others, the DNR order will continue to increase in quality over time as improvements are made. The DNR order sprouted from the first incentives that people deserve a say in how they shall die and today has transformed into a necessity that functions to entitle people to their own choice of death or