Legal and ethical Issues
Legal and ethical Issues https://urgentcarenearmetx.com/wp-content/themes/corpus/images/empty/thumbnail.jpg 150 150 Tony Guo https://secure.gravatar.com/avatar/aa9bbdf8f1e6bbf534778ecea7c0c925?s=96&d=mm&r=gLegal and ethical Issues
- Patients and families struggle with many decisions during the terminal illness and dying experience
- Organ and tissue donations
- Any body part or the entire body may be donated
- Decided by a person before death
- With family permission after death
- Any body part or the entire body may be donated
- Advance Care Planning and Advance Directives
- Advance care planning is a process that involves having patients think through, talk about, and document their values and goals for treatment
- Advance directives are the written documents of those wishes and the designated spokesperson
- Resuscitation
- A common health care practice
- Patients and families have the right to decide whether CPR will be used
- Physician’s orders should specify
- Full Code
- Chemical Code
- No Code – DNR or AND
- A common health care practice
- Mechanical ventilation
- Tube feeding placement
- Be informed
- Know patient’s wishes
- Be aware of legal issues
- Understand documentation requirements
- Put directives in the medical record
- Place notices in the nursing care plan and on the patient’s record
- Euthanasia
- Deliberate act of hastening death
- The ANA statement on active euthanasia states that the nurse should not participate in active euthanasia
- Not the same as palliative sedation
- Use of medications to intentionally produce sedation
- Relief of intractable symptoms and distress with imminent death
- Intent is to relieve pain and suffering
- Use of medications to intentionally produce sedation
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