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Essay on cardiopulmonary resuscitation
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Recommended: Essay on cardiopulmonary resuscitation
It is very important to discuss resuscitation efforts with patients, once they are admitted to the hospital. Regardless of the patient’s situation, they have the right to choose the care provided to them. Cardiopulmonary resuscitation, “is an emergency procedure performed on individuals who experience a cardiac arrest” (p.420). There are numerous conditions or health problems that can bring about the need for cardiopulmonary resuscitation. The need for cardiopulmonary resuscitation may come about suddenly or gradually. Cardiopulmonary resuscitation can bring about legal ethical issues if not handled correctly. It is important to discuss cardiopulmonary resuscitation status with patients because it can unwanted harm to the patient, legal …show more content…
Recently there was a code performed on a ninety-four year old woman, who had stated early that she did not want cardiopulmonary resuscitation efforts. However, the do-not-resuscitate order had not been legally activated prior to the emergency situation. “Do-not-resuscitate orders are those prescribed by a physician indicating that, in the event of a cardiac or respiratory arrest, no resuscitative measures should be used to revive the patient” (p. 420). Since the staff were required to perform resuscitation efforts on the ninety-four year old woman, the code lasted for about thirty minutes and the fragile lady suffered from multiple fractured ribs. The family watched in horror the death of a loved one, knowing it was not what she would have wanted. Why did the staff perform resuscitation efforts on a patient that stated she wanted a do-not-resuscitate order? The answer is simple, the staff were legally obligated to perform the resuscitation. “Do-not-resuscitate orders must be in writing and signed and dated by the physician. Appropriate consents must be obtained either from the patient or his or her healthcare agent” (p. 420). In this situation, the patient and physician had not consented to the do-not-resuscitate order before the emergency. Therefore, the patients expressed wishes were
Paramedics deemed the patient competent and therefore Ms. Walker had the right to refuse treatment, which held paramedics legally and ethically bound to her decisions. Although negligent actions were identified which may have resulted in a substandard patient treatment, paramedics acted with intent to better the patient despite unforeseen future factors. There is no set structure paramedics can follow in an ethical and legal standpoint thus paramedics must tailor them to every given
Emilio is terminally ill and is under the care of the Children’s Hospital in Texas. He is placed on life support by a respirator and is given pills causing the child to spend majority of his time in the pediatric intensive care unit unconscious. Showing no signs of improvement, the physician has requested the parents look for another hospital willing to continue aiding Emilio within a period of 10 days. Under the Texas “futile-care” law, the hospital’s ethics committee can, “declare the care of a terminally ill patient to be of no benefit,” allowing them to terminate care after a given time period. (Moreno, Sylvia. Case Puts Futile-Treatment Law Under a Microscope.
Although we haven't covered these systems in detail yet, which of the following systems would involve gas exchange of CO2 and O2?
The boundaries of right to die with dignity are hard to determine. Keeping the terminal patient comfortable is the purpose of comfort care, however there could be a very thin line between what we consider terminal sedation and euthanasia. In theory, comfort care is quite different from euthanasia. Keeping the patient comfortable and letting the nature take its course is at the core of comfort measures (Gamliel, 2012). Yet, the line between keeping comfortable and facilitating death is often blurry. Euthanasia refers to the practice of intentionally ending a life in order to relieve pain and suffering (Gamliel, 2012). The purpose of this paper is to highlight the ethical issue of keeping comfortable vs. hastening death, and the ethical principles involved. Facilitating or hastening death is considered unethical or even illegal.
The triage set up for evacuation didn’t give priority to critically diseased patients; instead many were euthanized by the exhausted medical and nursing crew. Unexpectedly, the rescue came to evacuate the entire hospital on the fifth day of the events. Fink ponders the legal consequences of the deadly choice to euthanize patients and the ethical issues surrounding euthanasia in health care setting during large scale disasters.
Four doctors, three terminally ill patients, and a nonprofit organization called Compassion in Dying, came together to file a suit arguing that prohibiting PAS is against a person’s right to liberty (Illingworth & Parmet, 2006). This became known as the Washington et al. v. Glucksberg et al. case. This case went to the Supreme Court in January of 1997 and by that following June was ruled constitutional to uphold PAS as illegal (Washington et al. v. Glucksberg et al., 1997). The penalty for any assistance in a ...
Before, there were no breakthroughs with the opportunity of saving lives. Innovations in medical technology made contributions to correct abnormal heartbeats and save lives by using a defibrillator and modern respirator. Who would know that the rapid discoveries would include successfully giving patients surgical transplants? Furthermore, President Lyndon Johnson implemented an executive policy requiring the usage of medical response trauma teams. Since 1976, this executive order has allowed the widespread use of CPR, and organizations like the American Red Cross and the American Heart Association were founded. “About 6.4 million people now survive angina chest pain each year, while an additional 700,000 people survive a heart attack each year (pg. 15 of Last Rights) Despite these remarkable breakthroughs that help those badly injured, the law becomes vague and allows more opportunities for misinterpretation on defining death. As a result, this could be advantageously used against the best interest of others and the government. “This ten-year mishmash of laws is what led the previously mentioned President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, established by an act of Congress in 1978 , to tackle the first task of defining death.” (pg. 81). The President’s Commission forced the U.S Supreme Court and
In the case Lunsford v. Board of Nurse Examiners, the nurse had an unprofessional conduct by violating a duty to her patient leaving the patient unattended and at risk of complications (BON, 2013a). Lunsford, as a professional nurse had the responsibility to assess the patient’s medical status and treat the patient within her scope of practice taking the appropriate measurements to prevent the worse, regardless of the doctor’s orders of sending the patient to another facility. “The Board of Nurse Examiners in Texas suspended the nurse’s license to practice after the Board found that the nurse’s conduct was unprofessional and dishonorable conduct likely to injure the public” (Wolf, 1986, p. 222). Nurse Lunsford fail to take the patient’s vital signs, and did not implement the nursing interventions required to stabilize the patient’s condition or to prevent complications. Her conduct is considered an “unprofessional conduct,” which is any act, practice, or administration that does not conform the accepted standards of nursing practice. Also, this case is a clear example of the nurse responsibility and accountability to act independently regardless of the physician’s order when this order is not safe for the patient. If the nurse has any objections about an order, the nurse has the obligation to question the physician. By no doing so, the nurse violates the nurse-patient relationship and put at risk the patient’s safety. In a situation, in which a physician’s order put the patient at risk, the nurse has the obligation to exert her professional judgement and withdraw from rendering services ordered by the physician (Wolf, 1986, p.
It is important that people are in control of what happens to them while under the care of their doctor, especially if they're alert and aware. A provider cannot force treatment; if a patient is unconscious, the situation changes because competency and informed consent are not present.
...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.”
Implementation of advance directive or do not resuscitate (DNR) order on patients undergoing surgery is at times compromised in institutions
The problem explored in the article was stated as a problem statement. In this article, the authors explain about the stressful situations of families having loved ones die in the intensive care unit. They also state that this problem is very important because there is poor communication between staff, physicians, and surrogates in the plan of care for end-of-life measures (Lautrette et al., 2007).
Neonatal resuscitation is intervention after a baby is born to strengthen it’s breathe or to boost its heartbeat. Approximately 10% of neonates require some assistance to begin breathing at birth, but only 1% require serious resuscitative measures. Informed consent regarding neonatal resuscitation is a constant ethical debate. This discourse ordinarily occurs between doctors and parents; parents often feel that the decision has been made for them, believing that they were not fully informed of any consequences that may occur before making their final action plan, or thinking that their opinion was not taken seriously; however, doctors see the procedure in a different light, that the parents can’t choose the best option for the child regardless of counseling, or performing as the parents wished but believing that the result could have differed if the parents had known all the effects that it will have further down the line, or convinced that they would have made a better
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.
President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Defining Death: A Report on the Medical, Legal and Ethical Issues in the Determination of Death. Washington, D.C.: U.S. Government Printing Office, 1981.