18 Jul HOW WOULD YOU WORK WITH THE FATHER IN DESCRIBING AND DECIDING ON THE VARIOUS RESUSCITATION OPTIONS?
Situation: An adolescent with incurable cancer had been hospitalized for three weeks, spending the past eight days in the intensive care unit. His physical deterioration and suffering created anguish in his father and in the health care team. The attending physician discussed, with the father, the likelihood of the adolescent having a cardiac arrest. He described the actions the team would take for a full resuscitation as well as the varying levels of resuscitation approved by the treatment setting (which included a do-not-resuscitate option) and asked the father to express his preferences regarding resuscitation. The father initially chose the do-not-resuscitate status for his son and completed all of the official paperwork to implement that decision. During the next 12 hours, the father actively solicited from nursing, allied health and medical staff their definitions of do-not-resuscitate. He then contacted the attending physician to rescind his decision, choosing instead to have a full resuscitation order in place. He explained his decision change, “When I saw that the staff did not all define resuscitation in the same way, I decided that I would not leave that in their hands. I am my son’s father and I will be his father to the end.” This new decision was enacted and over the next four days, the young patient showed clear signs of dying. His father stayed with him in the intensive care unit and witnessed the changes in his son’s physical appearance. He began commenting on those changes and on his son’s obvious suffering. Within two hours of his son’s death, the father told the nurse that he did not want his son to be resuscitated. This information was immediately conveyed to the health care team and a brief discussion with the physician, father, and nurse was convened to affirm this decision.
Questions
1.Define/describe do-not-resuscitate status? What has contributed to this definition? How would you work with the father in describing and deciding on the various resuscitation options? How do you imagine the description of what occurs at the varying levels of resuscitation might effect the father’s decision? What communication skills could have been employed to facilitate this discussion/decision-making?
2. What constituted suffering for the son? The father?
3.What members of the interdisciplinary health care team do you think could participate in this case—i.e. members that you see as having a contribution unique to this case?
4. As a member of the health care team, what would be the source of any personal distress or anguish in this case?
5. As a health practitioner, think about what the father meant when he rescinded the DNR stating, “I am my son’s father and I will be his father to the end.” How might the introduction of palliative care and/or hospice at an
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Writedemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.