End-of-life Decision-making Process Essay - 870 Words

Nurses provide guidance and address the problems in the end-of-life decision-making process. It is the nurse’s role to explain to families and other healthcare professionals when an advance directive would be put to use. An advance directive serves as a guide for clinicians to respect and honor the autonomous decision of the patient when they are in a position to not be able to express their wishes (Roux Halstead, 2009). Nurses could assist in ensuring the patient needs are met along with protecting their rights. The registered nurse act as client advocates in health maintenance and clinical care (Standards of Nursing conduct or practice, 2003). Advocating for patients could bring implications such as conflicts with physician and†¦show more content†¦Physicians could refuse to follow an advance directive on the basis of conscience objections to such care or treatment. Federal law requires that the patient or patient’s power of attorney be provided with wri tten policies at the time of admission to the hospital of any limitations on carrying out decisions, including the range of medical conditions or procedures affected by the conscience objection. However, state laws differ in that it needs to identify legal authority permitting a conscience objection. Ethical considerations that Mr. Y should weigh before agreeing to authorize the use of the ventilator for his brother should be that wishes be respected and followed, consider all the options given to him by the healthcare team, receive guidance to assist in addressing decision with the end goal being honoring his brothers choice when he was still capable of making them. Was Mr. E’s advance directive witnessed by two adults and notarized? Was he capable of signing his own legal document of advance directive and medical power of attorney when it was filled out? Was he able to understand the information on the legal document that was being filled out by the patient advocate with his history of being developmentally delayed? These are a few factors that complicate Mr. E’s advance directive. HIPAA (Health Insurance Portability andShow MoreRelatedEssay about Mgt/230 - Decision Making Progress653 Words   |  3 PagesDecision-Making Process People should make decisions nearly every day, some of those decisions are easy to make, while others are quite difficult to implement. Appropriately combined and organized decision-making process will help to control this issue and bring positive outcomes for people enrolled in it. In this paper I will provide decision-making process when I had to make a personal decision, such as enrolling in college. 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