One page with intext citation reference from the resources provided    Step

One page with intext citation reference from the resources provided 


Step 1: Read attached article entitled, Advance Directives and Health Care Planning-Are all the pieces in place.pdfPreview the document 

Step 2: Read the following article: Effect of Living wills on End of Life Care.pdfPreview the document

Step 3: Watch the video, “Advanced Directives: Important Healthcare Tools for Supporting You and Your Family” (Links to an external site.)

Step 4: Watch the video, “How to Have an End of Life Discussion” (Links to an external site.)

An Advanced Directive is a document in which a client who is competent is able to express wishes regarding future acceptable health care. The document may include decisions including the desire for extraordinary lifesaving measures, such as resuscitation, intubation, and artificial hydration, and nutrition. The advanced directive may also be used to designate another person to make decisions when the client becomes physically or mentally unable to do so. The Patient-Determination Act requires all clients admitted to a health care facility be asked if they have advanced directives.

Planning guides for seriously ill clients includes:

  1. Living will: Legal document that instructs health care providers and family members about what, if any, life-sustaining treatment an individual wants if at some time the individual is unable to make decisions.
  2. Durable power of attorney for health care: Legal document that designates another person to make health care decisions for the client when the client becomes unable to make decisions independently.

Nursing intervention in these types of situations is to ensure to communicate to the interdisciplinary health care team that the client has provided and advanced directive and that it has been placed in the client’s medical record. Clients who do not have advanced directives must be given written information outlining rights related to health care decisions.

Initial Discussion scenario:

Mr. Gomez is a 73-year-old man who is estranged from his wife. Since he prefers that she doesn’t make any medical decisions for him should the need arise, he has filled out an advance directive naming his daughter Elena as his health care proxy. He has suffered from diabetes for many years and is adamant that he does not want dialysis, even if it would sustain his life. He does, however, wish to have tube feeding for however long it will sustain him.

One evening while at home with his daughter, Mr. Suarez has a seizure. He is taken to the hospital immediately, but never regains consciousness and doctors do not expect him to do so. Elena contacts her mother Mr. Gomez’s estranged wife and she quickly joins her daughter at the hospital. They want to put him on dialysis (as his diabetes is worsening) and a feeding tube (as there is no other way for him to receive nutrients). His daughter informs the doctors of her father’s end-of-life wishes. The doctors warn her that without dialysis her father will pass away more quickly, even with the feeding tube. Mr. Gomez’s estranged wife informs Elena that she needs to follow the advice received from the doctors in order to save her father’s life. Elena says that although she is aware of the consequences, she wants them to carry out her father’s wishes.

The clients estranged wife immediately has her attorney file an order to stop Elena from following her father’s wishes that are in his advanced directive. She feels that even though they are estranged, she still should have the right to make decisions regarding Mr. Gomez’s care. This action delays Elena’s ability to honor her father’s wishes and the doctors feel that it is necessary to inform the hospital’s ethics committee about the ongoing issue.

Assignment: Discuss the following questions

  1. What is the role of the doctors in deciding whether or not to respect Mr. Gomez’s advanced directive?
  2. Does Mr. Gomez’s estranged wife have the authority to step in and ignore Mr. Gomez’s advanced directive. Explain your reasoning while providing evidence-based solutions in your conclusion.
  3. Gomez’s estranged wife has filed temporary order to ignore the advanced directive. If you were Elena, how would you handle this dilemma? What rights does Elena have that allow her to honor her father’s wishes?
  4. What is the role of the ethics committee and how can they best support the client and his family?

Share This Post


Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Budgeted (Annual) Income Statement

*It is Imperative that budgets 4 – 9 include a total column for the 12- months** 10. Budgeted (Annual) Income Statement 11. Budgeted (Annual) Balance Sheet 12. Calculations showing the Break-Even Point in units, £ of sales & percentage 13. Calculations showing the Margin of Safety in units, £ of

Describe the difference between the terms “ethical dilemma” and “ethical

 Describe the difference between the terms “ethical dilemma” and “ethical  lapse” using a minimum of one scholarly and/or credible source from the  library to defend your answer. Provide an example from your life, or of  someone you knew, who was faced with an ethical dilemma in the  workplace. Without mentioning

Pass Merit Distinction Grades Awarded LO1 Review and critique the

Pass Merit Distinction Grades Awarded  LO1 Review and critique the effectiveness of operations management principles. D1 Apply appropriate theories, concepts and/or models to justify strategies of a continuous improvement plan for achieving improved efficiency. P1 Choose an item. P2 Choose an item. M1 Choose an item. M2 Choose an item.

Write a fully developed paper in which you: Included grading

 Write a fully developed paper in which you:  Included grading Rubric for your review. Assess the probable difficulties of the St. Luke’s IT executives’  view of wireless networking as a key lever in their quest to increase clinician productivity and improve patient care.  Analyze how the Mobility XE enables the IT department

List the cardiac biomarkers commonly used in conjunction with 12-lead EKG to identify acute myocardial infarction, identify when these biomarkers peak and the length of time until they normalize

Develop a one-page clinical reference which reinforces educational content from NURS 640. ·  The structure of the reference is determined by the student based on the content presented. Formats that can be considered for representing a reference include diagrams or tables. ·  The reference is limited to the space of

Please provide references for your original postings in APA format.

 Please provide references for your original postings in APA format. Name an entrepreneur that you personally admire. Why do you consider this person to be an entrepreneur? What sets him or her apart from other business leaders? What path did this person take to entrepreneurship? What personal sacrifices or investments

Describe the causative microbial agent of botulism? First topic questions

Describe the causative microbial agent of botulism? First topic questions Why was the doctor interested in Grandma’s canned veggies? What is the mechanism of action of botulinum toxin? What is the treatment for botulism? Can botulinum toxin be a used as a drug? How and Why? second topic questions Describe

Discussion 2: Healthcare Reform

Discussion 2: Healthcare Reform Note: Before completing this Discussion, please familiarize yourself with the Week 7 Discussion 2 Rubric located in the Course Information area of the course navigation menu. Federal, state, and local health care policies are continually instituted or amended to address emerging issues and trends and to rectify problems in

How has media influence obesity in childhood?

1.)** Need 10 Sources. One has to be a book. ** 2.) **My topic is how has media influence obesity in childhood?** 3.) **With ten articles, this will be anywhere from 2-3 pages typed, double spaced. 4.) ** You will take your annotated articles and select the themes that run

Below Proposal Assignment Done

Please Refer to the Below Proposal Assignment Done: The Assignments are in Continuation to the above Proposal Assignment. The Topic Needs to be the same as Chosen in The Field Proposal. The Feedback of the Field Proposal Assignment Done by you is very important and should be fixed in

Module 04: Critical Thinking Collaborative Technologies and the Internet of

  Module 04: Critical Thinking Collaborative Technologies and the Internet of Things (IoT) The Internet of Things (IoT) is becoming increasingly popular in both business and everyday life. Explain what the Internet of Things (IoT) is and provide a brief history, in your own words, of the IoT. Discuss the potential

6-2 In-class Activity # Answer the following questions, based on

  6-2 In-class Activity # Answer the following questions, based on your moral intuitions. Q1. When a baker bakes a cake for an event, are they endorsing the event? Q2. Is a cake an expression of the baker who made it? What kind of expression is it? Q3. Generally, when

Overview: This course project introduces an opportunity to explore all

   Overview: This course project introduces an opportunity to explore all the project stages (from inception to closing) facilitated by the well-known Project Management Group Processes (initiation, planning, execution, monitoring and control, and closure) as outlined in the PMBOK® Guide.  Two Project Options:1. Data Center Transformation – to complete a

4-2 Discussion: Developing Visualizations for Your Story Available on Saturday,

  4-2 Discussion: Developing Visualizations for Your Story Available on Saturday, September 18, 2021 11:59 PM EDTSubscribe Key building blocks of good decision making include the ability to visualize, analyze, and verbally communicate ideas effectively. Large volumes of data can be particularly complex to understand and present. However, if data