Health care proxy

were not reported. It is plausible that more demented persons with more memory dysfunction are less likely to remember and hence to report falls” (Buchner & Larson, 1988, p. 258). Finally, it could be considered that “Cognitive impairment can be a proxy for many possible factors associated with falls such as behavioral issues, lack of insight with resultant engagement in…

sponsibilities: Refusing Treatment According to a health care proxy or durable power of attorney for health care (DPAHC), a person or persons selected can make their own health care decisions involving refusal of medical treatment. In the 1986 Bouvia v Superior Court case the courts supported the right to decline medical treatment. In addition, they have also defended the right of legally competent patient to reject medical treatment based on religious beliefs. For instance, Jehovah’s…

responsibility of the nursing staff; however, this caused the issue of “patients spontaneously [signing] forms, all too often without asking vital questions” (Rock & Hoebeke, 2014, p. 189). With that said, “the practitioner who undertakes the patient’s medical care is [now] responsible for providing the requirements throughout the [discussion] process” (Ozhan et. al., 2014, p. 132). However, before the physician gets the patients signature they need to make sure that the patient understands…

PICOT: For psychiatric mental health staff nurses providing direct care to patients with mental health conditions and or dementia-related syndromes, would atypical second generation antipsychotics pharmacology program and screening tool for complications, during routine second generation antipsychotics medication management, increase nurse efficacy in SGA patient management? 1. Setting: The setting in which my project will take place is a Skilled Nursing Facility. SNFs are…

decisions. In health care there are two types of advanced directives: living wills and durable powers of attorney (Lachman, 2009, p. 89). “A living will expresses, in advance, a person’s instructions or preferences about future medical treatments, particularly end-of-life care, in the event the person loses ability to make health care decisions.” ( Sabatino, 2015, p.1). “A durable power of attorney for health care appoints a person (called a health care agent or proxy, health care…

State Advance Health Care Directive Registry. These are where legal documents where you give instructions about your health care if you are not able to speak for yourself (Marshall, 2007). The different types of Advance Health Care Directives are a power of attorney, “declaration of a desire for natural death”, instructions for treatment, and “declaration of anatomical gift” (Marshall, 2007). With the power of attorney, a person names someone they trust with their life to make health care…

Munchausen Syndrome was first described by Asher in 1951, with Munchausen Syndrome by Proxy first being in diagnosed in 1977 (Feldman 1). More recently, in the last 10-15 years, the increasing popularity of the internet and the ease of access to information online has introduced the idea of health-related online deception, Munchausen by Internet (MbI) in 2000 (Feldman 1). For decades, Munchausen’s Syndrome by Proxy (MSbP) had been rarely diagnosed or discussed; when asked what MSbP, most people…

the level of burden on the partner’s perception of the patient. Partners are often requested to make proxy decisions on behalf of patients, such as those patients who are incompetent by reason of mental illness, brain damage, and/or dementia (Wakefield, et.al, 2011). These judgments can be, and typically are, influenced by the partner’s own interests; that is, a partner may covertly request care and treatment options he or she wants for the patient, rather than those the patient would select if…

all we are given to see. With this limitation, Bauby gives the world a reminder that not only is the body not representative of what human is, but that what is human is separate from the body and that very essence of human is what client centered care and the treatment of the ill, is meant to…

The three research issues raised by the research now known as the Tuskegee experiment included informed consent, justice, and do not harm. In 1932, the Public Health Service (PHS) doctors working with the Tuskegee Institute did a study to collect data on syphilis for justifying treatments for blacks. The un-ethically justified study went on for forty years before the advisory panel stopped it. In other words, the knowledge gained did not outweigh the risk posed to the subjects (Center for…