UNIT III CASE STUDY 1
UNIT III CASE STUDY:ALICE’S FRAIL MOTHER
The ethical dilemma in the case study involves the advance directiveissued by Alice concerning her mother’s wishes if her heart stoppedbeating. The nursing facility had failed to honor the patient’srequest by placing her on a heart monitor when she suffered a cardiacarrest at the Community Hospital. An advance directive is related tothe Do-not-Resuscitate (DNR) order in that they both inform thedoctor on the kind of care the sick should receive when they fall ill(Weiss & Tappen, 2015).
The law in Missouri State, where Oak Grove nursing facility islocated, allows a DNR order to be honored. However, for it to beimplemented, the patient or their representative should fill the DNRform that includes signatures and dates from the doctor and the sickperson or their guardians. It should then be printed on a purple cardstock that may be copied (Weiss & Tappen, 2015). Alice had notcompleted the forms authorizing the DNR order upon her mother’sadmission to the facility. Therefore, when her mother suffered thecardiac episode, the community hospital could not honor the advancedirective and if they did it would be illegal.
The possible solution to the scenario would be engaging in opencommunication. Alice needs to consult with the physician on thewishes of her mother and make the final decision. If she selects theDNR order, Alice should fill the required forms and fulfill all thelegal requirements. The doctor out of respect for the autonomy of thepatient or their representative shall honor the request depending onthe terms they agree (Weiss & Tappen, 2015). Besides, it is thelegal and moral rights of the patient to determine their treatment.
In conclusion, I believe signing the DNR order allows the patient toacquire the care they deem best for themselves. It also guides thephysician to know when exactly to apply the directive and avoid anyerrors that may cost the life of a patient. Thus, the communityhospital was justified not to honor Alice’s advance directive.
Weiss, S. A., & Tappen, R. M. (2015). Essentials of nursingleadership and management. Philadelphia. F.A Davis.