Response to Renee Hamblin-TOPIC 3 DQ 1

Renee Hamblin
Posted Date

Jul 18, 2022, 4:08 PM

Hello Everyone,

The Patient Self-Determination Act (PSDA) is a federal law that enables people to exercise their right to decide about the type and extent of health care they accept or deny when under medical supervision. The law requires hospitals, nursing facilities, long-term health institutions, home health, and some prehospital settings that participate in Medicare and Medicaid, giving patients rights to self-determination and supporting patients’ participation in health care decision-making. Response to Renee Hamblin-TOPIC 3 DQ 1

In making decisions about health care for patients, families and health care providers do not agree with the decision. These decisions can be very emotional for the patient and the families, and often family members disagree with the patient’s decision (Duke, 2009). Many times, this type is a potentially life-changing situation. Response to Renee Hamblin-TOPIC 3 DQ 1

When these concerns arise, an ethics committee is asked to go and assist in patient care and facilitate sound decision-making that respects patient, family, and stakeholder’s values, concerns, and interests. Response to Renee Hamblin-TOPIC 3 DQ 1

In a prehospital environment, emergency medical responders should not attempt cardiopulmonary resuscitation on a person without proper documentation. There is a “Do Not Resuscitate” (DNR) written order in the prehospital setting. Often, there is no relationship between the patient and healthcare provider. In most cases, we have never met the patient and have no history with them.

In many cases, we do not have a lot of time to get history and wishes and take a poll of what everybody wants to be done on the scene, and when it comes to cardiac arrest, irreversible brain damage can happen in as little as four minutes. In Arizona, for a valid DNR, the paperwork must be original on a specific orange paper with a patient picture on it and notarized. If there are any questions about the paperwork, we will begin resuscitation.

Have a safe and great week,

Renee

Duke G, Yarbrough S, & Pang K. (2009). The Patient Self-Determination Act: 20 years revisited. Journal of Nursing Law, 13(4), 114–123. https://doi-org.lopes.idm.oclc.org/10.1891/1073-7472.13.4.114

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Also check: Response to my peer Leslie Felipe-TOPIC 3 DQ 1