Sunday, January 27, 2019

Do Not Resuscitate Legal and Ethical Issues Essay

IntroductionDNR, Do Not bear on, is an order that alerts medical examination professionals not to per blueprint cardiopulmonary resuscitation, CPR, on an individual. CPR consists of life saving methods such as procedures that can involve mouth to mouth resuscitation to apply a defibrillator, intubation, and using cardio tonic drugs to bring the enduring back to life. DNR orders is a legal document that has been sustained by the individual or proxy, typi songy is for tolerants that are seriously ill or may be terminally ill, preventing aggressive efforts to bring them back to life. DNR enables a person to exercise their function to autonomy, to make decisions about their health conduct in case they are otiose to do so in the future. In this paper I leave alone be analyzing the requirements of newborn jerseys DNR. Secondly I testament be identifying the requirements of trine hospitals DNRs in New Jersey. The three hospitals go out be Jersey metropolis Medical center, St. Josephs Hospital, and Hackensack Medical meat I volition examine the differences and similarities between the three hospital DNR requirements and cross the following what they are and which one should be followed. Lastly the paper will explain how a DNR is applied if a patient is chthonic hospice care and the EMTs are called.Requirements for New Jersey Do Not Resuscitate Orders order of N.J. www.state.nj.us/health/ems/dnr_introduction.shtml This is the State of New Jersey Department of wellness weavesite. This website contains the requirements for the state of N.J. This to a fault contains information of the guidelines for physicians, policies for EMS personal, and Do Not Resuscitate brochure. This web site is valuable for the research paper in the netherstanding of the states requirments and policies. New Jersey Do Not Resuscitate (DNR) http//www.njha.com/media/33214/DNRGuidelines.pdf. This website go forths the states program line for guidelines for health care profess ional, patients and their families. This as well contains weighty information about the DNR downplay and history to further pick up the requirements.The website also includes physician guidelines, EMS policy, how to get a valid out of hospital DNR, watchstrap guidelines, and an educational brochure for family members. The website will allow me to identify the requirements of New Jerseys DNR policy and also turn ins tools for the patient and their family. DNRs Advanced Directives-NJ http//www.njha.com/media/33214/DNRGuidelines.pdf. This website is the NJ Hospice and alleviative Care governing this will enrich my knowledge about hospice care, DNR orders, Advanced Directives, and living wills. Duke, G., Thompson, S., &type A Hastie, M. (2007). Factors influencing completion of advanced directives in hospitalized patients. International Journal Of Palliative Nursing, 13(1), 39-43 This was retrieved form the Ashford library this is a ledger member that discusses the completion of DNR forms and the importance in protecting the patients right in making decisions for check of life care. The article gives important information about DNR and also describes discernment tools that are used to better educate the patient.Advanced Directives- Jersey City Medical marrow squash https//www.libertyhealth.org/pdf/LibertyHealth_Advance_Directive.pdf St Josephs Health care- https//www.stjosephshealth.org/patients-and-families/your-hospital-stay-information/24-your-hospital-stay-information Advanced Directives-Hackensack Medical Center http//www.hackensackumc.org/assets/1/7/advdirectives.pdf. This is the Jersey City Medical Centers, St. Josephs Hospitals, and Hackensack Universities advance directive information and DNR forms. They provide education for the patient and or families. This will provide me the information to examine the differences and similarities between the states and the three hospitals DNR requirements to address the following questions what are th ey and which one should be followed.DNR is applied under hospice care and EMTs are called Do Not Resuscitate Orders State of N.J. www.state.nj.us/health/ems/dnr_introduction.shtml This website provides information on how a DNR is applied if patients are under hospice care and the EMTs have been called. This will be very important in the research paper. Providing information and ethic realization to issues when DNR guidelines and a call for emergent servings on a hospice patient. This is the State of New Jersey Department of Health website. This website contains the information how DNR is applied if a patient is under hospice care and EMTs are called. From researching the information provided this will greatly champion me explain and understand the issues involving DNR document and a call for to the EMTs to provide help. Van Leuven, K. (2012). Advanced care planning in health service users. Journal Of Clinical Nursing, 21(21/22), 3126-3133. doi10.1111/j.1365-2702.2012.04190.x This was retrieved form Ashford University Library this journal article provides information of advanced directives and DNR orders.This is critical to my research paper, it will help me to understand and analysis various situations such as EMTs being called with a patient that has a DNR. Croke, E., & Daguro, P. (2005). Liability for the health care supplier non-implementation of patients advanced directives. Journal Of Legal Nurse Consulting, 16(2), 19-24. This was also retrieved form Ashford Universities library, the journal artical explains how a DNR should be kept with a patient and should also be kept in the patients permanent medical record. DNR orders should be honored by health care professional including EMTs.The information also explains that a living will is not a DNR and that a bracelet is one of the best ways for EMTs to recognize a patients wishes. Taghavi, M., Simon, A., Kappus, S., Meyer, N., Lassen, C., Klier, T., & Wiese, C. (2012). Paramedics experiences and exp ectations concerning advance directives A prospective, questionnaire-based, bi-centre study. Palliative Medicine, 26(7), 908-916. doi10.1177/0269216311419885 This was also retrieved form the Ashford library it is a questionnaire based investigation from the EMTs perspective. It explains their concerns for improved guidelines on end of life decisions and to not provide cardiopulmonary resuscitation in palliative care patients.

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