Do Not Resuscitate
HCA 322 Health Care Ethics & Medical Law
Do Not Resuscitate
The case study I choose is Scenario No. 2: DNR. DNR stands for Do Not Resuscitate. A DNR is a legal document in which health care teams will follow once you are faced with serious health problems or when you are at the end of life. This document lets you choose if you would like CPR or electric shock if your heart stops. Also, this document lets you decline any support if your heart stop or it will let you decide different medical measures that you would like. This document is very important to be looked over carefully by the patient as this piece of paper will try to save your life or it will let you go as you wish. It’s very important that the health care team gets your DNR form or that you have some type of medical jewelry on you so the medical team will be able to give you the best quality care possible.
. “Previously physicians were only able to allow patients to die, now they could resuscitate them with relatively simple protocols and procedures” (Bishop, J., Brothers, K., Perry, J., & Ahmad, A. 2010). The history of the DNR started with CPR. CPR was first introduced in the 1960’s to save many people lives. CPR stands for Cardiopulmonary resuscitation; it is a lifesaving technique that is used when someone stops breathing. This technique involves chest compressions, mouth to mouth blow or electric shock. Every time someone would stop breathing the medical team would be call to perform CPR. That’s when the DNR came into play. In the 1980’s the DNR was introduced. This gave people the choice to not have CPR if they wished to not be saved. “The do-not-resuscitate order was beginning to be perceived as part of the patient’s right to claim back self-determination in the face of paternalistic doctors on an implicit quest for technologically mediated immortality” (Bishop, J., Brothers, K., Perry, J., & Ahmad, A. 2010). The DNR came very popular for those who were elderly, in hospice care or who were terminally ill.
Not everyone can get this order; you have to be 18 years of age or older. This order should not be forced upon by anyone as it is a life or death situation. “Do-not-resuscitate orders can be touchy for everyone” (Brooke, P. (2005). The physician and two witnesses need to sign this piece of documentation in order for it to be valid. After getting this form valid you need to make sure that this documentation is accessible at their home and in other areas for other to access it quick. There is also a bracelet that you can purchase that you can wear at all times so if anything does happen that any EMS will know that you do not want to be resuscitated. Just because you have the bracelet on, depending on the laws of the state the EMS may not be able to grant your wishes. This bracelet or any identification jewelry will have your name, “Do Not Resuscitate”, and your physician’s numbers. This bracelet is another very important piece to have when wanting your wishes granted.
When making the choice about living or dying there are a few steps that need to be taken. “The Department of Public Health is required to make available a uniform advance directive for a do-not-resuscitate order that may be used in all settings” (Illinois Department of Public Health, 2013). In Illinois there is a consent form that needs to be filled out in order to have your wishes granted. Looking over the DNR form very carefully is very important because this form will decide if you medical team will try to save you or let you go. First, you have to mark if you would like to be resuscitated or not if you stop breathing. Secondly, when you are not in cardiopulmonary arrest there are other medical interventions that need to be taken. You have to mark which medical interventions you would like to be taken if you are breathing. These medical interventions include: comfort...
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