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THE PATIENT SAFETY AND QUALITY IMPROVEMENT ACT 3
The ethical dilemma involves situations where patients are unable to express their wishes concerning resuscitation. Hence, the patient might not express his or her wishes or take part in decision-making concerning the most appropriate care.
Annotated Bibliography
Yuen, J. K., Reid, M. C., & Fetters, M. D. (2011). Hospital Do-Not-Resuscitate Orders: Why They Have Failed and How to Fix Them. Journal of General Internal Medicine, 26(7), 791–797. http://doi.org/10.1007/s11606-011-1632-x
The article is insightful in that it explores one of the core dilemmas in medicine. The article explains some of the reasons DNR fails and gives insightful recommendations on ways to make it effective. The article applies to the case since it examines an ethical dilemma surrounding the implementation of DNR.
Goldberg, D. S. (2007). The Ethics of DNR Orders as to Neonatal & Pediatric Patients: The Ethical Dimension of Communication. Houston Journal of Health Law & Policy, 57- 83
The article is insightful in that it examines cases involving children. Essentially, children cannot express their wishes concerning DNR. The article is similar to the case under review in that it underscores the need for best practices involving young people. The article gives suggestions that the responsibility of the treating physician is owed to the patient. The article is worth using because it adds to the current literature concerning DNR.
Löfmark, R. (2001).Do-not-resuscitate orders: Ethical aspects of decision-making and communication among physicians, nurses, patients, and relatives. Lund University: 1- 55
The article is intuitive because it gives directions concerning communication between doctors, nurses, patients, and the relatives. The author suggests that autonomy is given to the patient but concedes that relatives could have a say as well. The article applies to the case because it examines cases where the patients cannot communicate.
Williams, L. S., & Hopper, P. D. (2015). Understanding medical, surgical nursing. Philadelphia: F.A. Davis Company
The authors give valuable information to guide the decision-making process concerning DNR. The book is insightful and gives valuable and pragmatic advice concerning DNR, the role of relatives, and the steps to take should the patient fail to communicate.
Alspach, J. A., & American Association of Critical-Care Nurses. (2006). Core curriculum for critical care nursing. St. Louis, MO: Saunders Elsevier
The authors appreciate the dilemma that healthcare providers face when the patient cannot communicate. The recommendations they give are practical and applicable to a broad range of situations.
Doak, L. G., Doak, C. C., In Fischhoff, B., In Brewer, N. T., In Downs, J. S., & United States. (2011). Communicating risks and benefits: An evidence-based user's guide. Silver Spring, MD: U.S. Dept. of Health and Human Services, Food and Drug Administration
The authors acknowledge that DNR is a complicated practice that poses ethical issues when the patient cannot make independent decisions. The book recognizes the need to patient autonomy but advises physicians, nurses, and relatives to arrive at a collective decision. The book is well thought out, current, and a valuable resource for the case under review.
