Ethical Issues

Paper Summary:

In this article, the writer discusses difficulties with do not resuscitate orders (DNRs), advanced directives and medical power of attorney. The writer notes that decisions regarding these issues are often left to the nurse to make, as a great deal of discretion is afforded the nurse, especially in the triage aspect of emergency room care. The writer points out that emergency room care requires quick thinking and logical judgment utilized to make the best possible decisions for a critically ill patient, that has not yet been medically stabilized. The writer claims that it is the job of the emergency room nurse and other staff to err on the side of caution and withhold any treatment that might further compromise the patient.

Outline:
Introduction
Legal Issues
Ethical Issues
Discussion

From the Paper:

"The work expresses the problem, as it is associated with the view of palliative care as doing nothing. It is clear that palliative care is a viable medical response to end of life scenarios and should be utilized in cases where it is indicated, by the wishes of the individual and his or her legal voice. Palliative care being a set of treatments that focus not on life saving techniques but on those that impart comfort and treat uncomfortable symptoms, such as acute pain. The author indicates that the problem lies in the fact that this society, and especially the medical industry (here sighting new doctors) are consummate death deniers, seeking life saving options above all others. In the case specific to this write up the treatment change has certainly not gone to the point of a complete denial of patient wishes, as the denial of one form of palliative care, erring on the side of caution does not constitute full application of life support, though without patient advocates, as are seen by the present family, there is a danger of just such an occurrence."

Sample of Sources Used:

• Andre, J. (2002). Bioethics as Practice. Chapel Hill, NC: University of North Carolina Press.
• Forsythe, C. D. (2005). Protecting Unconscious, Medically-Dependent Persons after Wendland & Schiavo. Constitutional Commentary, 22(3), 475.
• Mantz, A. (2002). Do Not Resuscitate Decision-Making: Ohio's Do Not Resuscitate Law Should Be Amended to Include a Mature Minor's Right to Initiate a DNR Order. Journal of Law and Health, 17(2), 359.
• Saunders, D. E. (2003). Removing the Mask. The Hastings Center Report, 33(2), 12.

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