Dilemma Description A pediatric case study published in Doctors Digest, a monthly newsletter for St. Louis Children’s Hospital, detailed a sixteen-year-old female presenting to the emergency department with fatigue and weakness, and was later admitted to the intensive care unit for low hemoglobin and high creatinine levels” (Davis, Mattler, and Michelson, 2013). According to Davis et al. (2013), the patient experienced sudden cardiac arrest and became comatose during a blood transfusion. “After several weeks with no improvement, the patient was diagnosed with permanent vegetative state secondary to hypoxic brain injury and chronic renal failure” (Davis et al., 2013, p. 5). The patient’s family requested dialysis for treatment of renal failure.
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1). Provision 1.1 explained that every patient wants to be treated with respect and kindness, especially when the patient becomes ill or disabled (ANA, 2015, p. 1). The nurse has an important role in maintaining the patient’s sense of dignity when providing atraumatic care.
The Nature of Health According to provision 1.3, “supportive care is important at the end of life to prevent and alleviate the symptoms and suffering that are associated with dying” (ANA, 2015, p. 2). The nurse is responsible for implementing interventions that cause the least amount of harm to the patient. The nurse is also responsible for “providing emotional support for the patient’s family”, who are coping with the patient’s terminal illness (ANA. 2015, p. …show more content…
They believed that the family clearly understood the situation regarding the patient’s slim chances of recovery (Davis et al., 2013, p. 5). Although the family understood the medical diagnosis, they chose to continue the dialysis treatment in hope that the patient will recover miraculously (Davis et al., 2013, p. 5). Davis et al. (2013) suggested the possible reason for the family’s decision, emphasizing that “withdrawing dialysis was sinful because it supports death and murder” (Davis et al., 2013, p. 5). The healthcare team respected the family’s autonomy to continue dialysis for the patient. As a result, “the healthcare continued to promote the goal of prolonging the patient’s life, while still addressing the ineffectiveness of the dialysis treatment to the family” (Davis et al., 2013, p.
1). Provision 1.1 explained that every patient wants to be treated with respect and kindness, especially when the patient becomes ill or disabled (ANA, 2015, p. 1). The nurse has an important role in maintaining the patient’s sense of dignity when providing atraumatic care.
The Nature of Health According to provision 1.3, “supportive care is important at the end of life to prevent and alleviate the symptoms and suffering that are associated with dying” (ANA, 2015, p. 2). The nurse is responsible for implementing interventions that cause the least amount of harm to the patient. The nurse is also responsible for “providing emotional support for the patient’s family”, who are coping with the patient’s terminal illness (ANA. 2015, p. …show more content…
They believed that the family clearly understood the situation regarding the patient’s slim chances of recovery (Davis et al., 2013, p. 5). Although the family understood the medical diagnosis, they chose to continue the dialysis treatment in hope that the patient will recover miraculously (Davis et al., 2013, p. 5). Davis et al. (2013) suggested the possible reason for the family’s decision, emphasizing that “withdrawing dialysis was sinful because it supports death and murder” (Davis et al., 2013, p. 5). The healthcare team respected the family’s autonomy to continue dialysis for the patient. As a result, “the healthcare continued to promote the goal of prolonging the patient’s life, while still addressing the ineffectiveness of the dialysis treatment to the family” (Davis et al., 2013, p.