Re: Ruptured AVM
Wow sounds like the little gals brain herniated. I am sorry to hear that this situation is happening to you and even worse having her family not accept her death. I say we have many specialities in the health care field and we should use them...
-Ethics committee. This will meet and clear up familys expectations.
- Nurse manager- Mine is really invovlved and will talk to upset families. She is so great.
- Pastoral care
I am sorry you are dealing with this and as I say try to use second opinions. Also sometimes how physician talks to the family can ease the decison on whether the family withdrawls.
I remember a family once told a physician that I know nothing my mom wouldn't want to live like that but I can't make the decision. The physician said to the family knowing you want these wishes I will make the decision to discontinue support. It was great hearing the physician talk to the family like this because he is usually really mean.
I wish you good luck. I would talk to your preceptor about this situation because she may be able to guide you in ways to make you feel better and he or she may have a similar experence
Good luck
Kent
PS. We had a patient on our floor with a huge SAH and herniated. We waited 4 days for the family to come to peace and make their decision.
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