Category: Advance Directives
Advance directives are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your own wishes.
Top Ten Myths About Do Not Resuscitate (DNR) Orders
If you or your loved one has a severe illness, you may have heard about do not resuscitate (DNR) orders. This medical order tells the health care team what to do if the patient’s heart stops beating or they stop breathing. It is an incredibly crucial decision that can affect the quality and length of life. However, there are many myths and misunderstandings about DNR orders that can make it hard to choose what is best for you or your loved one. In this article, we will explain what DNR orders means and why it is important to understand it. We will also debunk the top ten myths about DNR orders and share the facts that can help you make an informed and respectful choice.
Read MoreTop Ten Myths About Do Not Resuscitate (DNR) OrdersTop Ten Myths About CPR for Terminally Ill Patients
You may think that CPR is a miracle that can save anyone’s life, but that is not always the case. CPR is not practical for terminally ill patients, and it can cause more harm than good. In fact, studies show that only about 5% of terminally ill patients who receive CPR survive to leave the hospital. Many of them suffer from brain damage, broken ribs, or infections because of CPR.
This article aims to help you understand the truth about CPR for terminally ill patients. We will debunk ten common myths you may have heard or believed about CPR and provide you with accurate and reliable information. We will also help you make informed and respectful decisions about CPR for your loved one based on their wishes and values.
Read MoreTop Ten Myths About CPR for Terminally Ill PatientsFull Code vs DNR: The Implications for Terminally Ill Patients and Their Caregivers
Choosing between full code and DNR for terminally ill patients can be challenging. This article explains the differences, benefits, and drawbacks of helping caregivers and families make informed decisions.
Read MoreFull Code vs DNR: The Implications for Terminally Ill Patients and Their CaregiversHospice and the Pennsylvania Orders for Life Sustaining Treatment — POLST
A review of the implications of each choice for the terminally ill patient as well as the loved ones of those who are terminally ill. This form comes into practice typically under two conditions… no pulse and is not breathing OR has a pulse and/or is breathing (but while not mentioned is typically in the last two weeks of life if no measures are taken with the understanding that any and all measures do not guarantee a longer time frame). Let’s review the form below:
Read MoreHospice and the Pennsylvania Orders for Life Sustaining Treatment — POLSTDNR and the Terminally Ill
Navigating conversations about Do Not Resuscitate (DNR) orders with terminally ill patients and their families can be challenging yet crucial for ensuring that the patient's wishes and comfort are prioritized. The decision between opting for DNR or full code often involves delicate emotions, medical considerations, and ethical concerns. In this article, we will delve into a methodology that has proven effective in facilitating these discussions, particularly in the context of hospice care. Drawing from years of experience and successful outcomes, we'll explore approaches that prioritize compassion, clarity, and patient-centered care. Additionally, we'll reference valuable resources to enhance understanding and guide these critical conversations.
Read MoreDNR and the Terminally IllEnd-of-Life Decisions: Don’t wait until it’s too late for advanced directives
Autonomy, the right to receive or refuse medical treatment is a crucial element of health care ethics (American Nurses Association (ANA), 2011; Plakovic, 2016). Nurses are involved in helping patients and families be aware of when end-of-life is occurring, and in educating the patient and family about end-of-life legislation that helps guide everyone committed to continue the right of patient autonomy when the patient is no longer able to express their wishes. Before the Patient Self Determination Act, we had the famous cases of Karen Ann Quinlan and Nancy Cruzan who were, from a point-of-view, forced to suffer for ten or more years of futile treatment (Miller, 2017). Now, we have advanced directives that allow patients to express their wishes while they are able, yet we still have ethical dilemmas when either those needs are expressed vaguely or not at all. It is in the best interest of the patient and the patient's loved ones for advanced directives to be utilized and kept up to date.
Read MoreEnd-of-Life Decisions: Don’t wait until it’s too late for advanced directives