Monday, March 11, 2019

Do Not Resuscitate Legal and Ethical Issues Essay

IntroductionDNR, Do Not Resuscitate, is an order that alerts medical professionals non to coiffe cardiopulmonary resuscitation, CPR, on an individual. CPR consists of life saving methods such as procedures that can involve m exposeh to mouth resuscitation to employ a defibrillator, intubation, and using cardio tonic drugs to pull in the patient back to life. DNR orders is a legal memorandum that has been sustained by the individual or proxy, typically is for patients that ar gravely ill or may be terminally ill, preventing aggressive efforts to bring them back to life. DNR enables a person to exercise their right to autonomy, to make decisions roughly their wellnessc be in case they ar unable to do so in the future. In this paper I will be analyzing the requirements of new-fangled island of island of Jerseys DNR. Secondly I will be bring uping the requirements of trey hospitals DNRs in New Jersey. The three hospitals will be Jersey City Medical center, St. Josephs Hospi tal, and Hackensack Medical Center I will examine the differences and similarities between the three hospital DNR requirements and address 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 under hospice business concern and the EMTs are called.Requirements for New Jersey Do Not Resuscitate Orders State of N.J. www.state.nj.us/health/ems/dnr_introduction.shtml This is the State of New Jersey Department of Health website. This website contains the requirements for the state of N.J. This in any case contains study of the guidelines forphysicians, policies for EMS personal, and Do Not Resuscitate brochure. This web site is of import for the research paper in the understanding of the states requirments and policies. New Jersey Do Not Resuscitate (DNR) http//www.njha.com/media/33214/DNRGuidelines.pdf. This website go aways the states education for guidelines for health worry professional, patients and t heir families. This also contains big teaching about the DNR background and history to notwithstanding understand the requirements.The website also includes physician guidelines, EMS policy, how to get a valid out of hospital DNR, bracelet guidelines, and an educational brochure for family members. The website will allow me to identify the requirements of New Jerseys DNR policy and also provides 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 Palliative Care Organization this will meliorate my knowledge about hospice reverence, DNR orders, Advanced Directives, and living wills. Duke, G., Thompson, S., & Hastie, M. (2007). Factors influencing completion of surfaced directives in hospitalized patients. International Journal Of Palliative Nursing, 13(1), 39-43 This was retrieved form the Ashford library this is a diary article that discusses the completion of DNR forms and t he importance in protecting the patients right in making decisions for end of life care. The article gives important information about DNR and also describes assessment tools that are used to check educate the patient.Advanced Directives- Jersey City Medical Center 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 questionswhat are they 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 shake 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 services 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 help me explain and understand the issues involving DNR memorial 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. inside10.1111/j.1365-2702.2012.04190.x This was retrieved form Ashford Universit y Library this journal article provides information of advanced directives and DNR orders.This is slender 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). obligation for the health care provider non-implementation of patients advanced directives. Journal Of Legal comfort 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 expectations concerning advance directive s 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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