OHIO Ethical Issues and Dilemmas in Critical Care NursingFamily Centered Critical Care Nursing

Question OHIO Ethical Issues and Dilemmas in Critical Care NursingFamily Centered Critical Care NursingCase StudyA 91-year-old OHIO woman is admitted to the SICU  from home with delirium and multi-lobar pneumonia and an abdominal mass likely the return of end stage ovarian cancer . Patient is unstable and admitted to SICU with poor prognosis. There is not  “do not resuscitate” (DNR) order in place yet. Doctors do not think she is a candidate for surgery and would like to place her on palliative care, the patient also does not want to seek futher treatment and is A&Ox4  The daughter and primary care provider wants her to have treatment and surgery and does not want to make a DNR or place on palliative care against her mothers wishes. The other family members are all fighting over what the plan should be.   In looking at the above case study answer the questions below: Topic 1 Ethical Issues and Dilemmas in Critical Care Nursing  Ethical dilemmas are often encountered by nurses practicing in the critical care areas and nurses often find themselves “caught in the middle”. Some of the situations encountered are refusal of treatment by the patient, withdrawing treatment, informed consent, medical futility, do not resuscitate (DNR) orders, living wills, power of attorney, access to care, end of life decision making, etc. The nurse often becomes involved in the situation by providing support, education, and guidance to family members when ethical decisions need to be made. It is important that nurses have a firm foundation in the ethical principles that are utilized to provide the basis for reasoning, decision-making and action. It is essential that nurses not only apply these principles, but also demonstrate empathy and caring for the patient and family.The following areas are to be included :a case study from a patient whos family was conflicted about DNR orders with a poor prognosis – explain the specific ethical situation and all persons involved (i.e. family members, decision-maker, health care team)discussion of the moral and ethical principle(s) involved in this situationdiscussion of all possible options for this situationthe final decision arrived at in this case and effectivenessinclude thoughts and feelings and any participation in the situation Topic 2 Family Centered Critical Care Nursing Family members of critically ill patients have a need for information, a need for reassurance and support, and a need to be near the patient. Family centered care is a philosophical approach to care that recognizes the needs of patients’ family members as well as the important role that family members play during a patient’s illness (Hennemann & Cardin, 2002). Nursing care of families effects the coping skills and outcomes for families.  discuss an actual patient situation and include the following:  Using the same DNR issue listed abovea case study explaining the specific patient situation (history of disease or injury, prognosis for recovery and/or survival)description of family members and discussion of assessment of specific family needs in this situation – provide rationale for your assessmentdiscussion of nursing interventions provided for the family and discussion of nursing interventions that would have been beneficial to provide to this familyinclude your  thoughts and feelings and any participation in the situationevaluation of current critical care environment and nursing approach to family-centered care utilizing current information and information from the article by Henneman and Cardin (do not address the lack of implementation of family-centered care that is outdated information in this article) Reference: Hennemann, E. A. & Cardin, S. (2002). Family-centered critical care: A practical approach  to Making it happen. Critical Care Nurse, 22(6), 12-19. Health Science Science Nursing NURS 6640 Share QuestionEmailCopy link Comments (0)