Analysis of Future Effects and How These Will Be Addressed
Providing healthcare providers with the ethical training they need to make informed decisions during ethical dilemmas represents a useful starting point, but the exigencies of the human condition mean that people's desires change over time, but they will always need timely and accurate information about the alternatives that are available to them. People experiencing the rigors and stresses that are involved in end-of-life decisions are naturally anxious about the appropriateness of their choices, as are their loved ones and friends. Therefore, by authorizing nurses to initiate discussions concerning DNR orders, patients could receive the information they need to formulate informed decisions where they may not know alternatives exist.
Conclusion
Across the board, clinicians have a fundamental responsibility to provide patients with the truth, maintain their confidentiality, and ensure their autonomy. Beyond these fundamental responsibilities, the research showed that there are some differences concerning how do not resuscitate orders are initiated and administered, as well as how healthcare providers respond when these orders are present. Despite the absence of a legal patient bill of rights, patients were shown to have certain legal rights in all jurisdictions including the right to autonomy and self-determination, the right to privacy concerning medical information, and the right to receive treatment or refuse treatment. Although a multidisciplinary approach is frequently the most effective in delivering healthcare services, patients should be able to discuss their concerns...
Therefore, it is incumbent on healthcare providers of all types to read as many signs as possible when confronted with DNR discussions, and nurses should be authorized to initiate these discussions when they feel it is in the patients' best interests.
References
American Medical Association's opinion 2.22 (do not resuscitate orders). (2005). American
Medical Association. Retrieved from http://www.ama-assn.org/resources/doc/code-medical-
ethics/222b.pdf.
Berger, J.T. (2010). Rethinking: Guidelines for the use of palliative sedation. The Hastings
Center Report, 40(3), 32-33.
DeCola, A. (2011). Making language access to
health care meaningful: The need for a Federal
Health Care Interpreters' Statute. Journal of Law and Health, 24(1), 151-153.
Elwood, T.W. (2011). At the crossroad of
higher education and
health care. Journal of Allied
Health, 40(2), 57-59.
Fenigsen, R. (2011). Other people's lives: Reflections on
medicine, ethics, and
euthanasia.
Issues in Law & Medicine, 26(3), 239-240.
Lazovsky, R. (2008). Maintaining confidentiality with minors: Dilemmas of school counselors.
Professional School Counseling, 11(5), 335-337.
Nordquist, G.. (2007). Patient insurance status and do-not-resuscitate orders: Survival of the richest? Journal of Sociology &
Social Welfare, 33(1), 75-77.
Ulrich, C.M., Hamric, A.B. & Grady, C. (2010). Moral distress: A growing problem in the health professions? The Hastings Center…
