The Patient I Failed - page 12

She knew what she wanted. She'd watched her husband of 52 years die on a vent, and followed his wishes to remain a full code. But she knew that was not what she wanted for herself. So, she wrote a Living Will, had it... Read More

  1. 1
    i just had to read this one more time....
    nerdtonurse? likes this.

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  2. 1
    Ethical Dilemas - where do we stand in the gap?
    nerdtonurse? likes this.
  3. 1
    One has to wonder, Where is Utilization Review when really needed?
    nerdtonurse? likes this.
  4. 1
    Between the dollar and common sense.
    nerdtonurse? likes this.
  5. 3
    I don't know the answer. Maybe all I can do is just get people talking about a subject most don't want to even acknowledge. It won't bring my patient back, and it won't give her the death she wanted, but maybe it'll make her rest a little easier...
    pyriticsilence, june42, and RyanSofie like this.
  6. 1
    oh my goodness......... that was heart wrenching.
    nerdtonurse? likes this.
  7. 3
    This is wonderfully written and such a sad story especially when the situation is that there is no Living Will or POA and siblings disagree on the course of treatment. My question, however, is why wasn't she "eligible for a DNR"? Where I work, as long as you are deemed competent to make decisions about your care, which apparently she was when she sought out the living will, your doctor can write a DNR order at your request, or one can be placed based on the existance of a LW or POA. It matters not if you are 21 or 101, if you don't want anything done, have expressed those wishes either verbally or in the form of a legal document, then the hospital had no right to continue with the "heroic measures" to bring her back. Yes, the EMS workers were correct because obviously they cannot have records on every case/patient they respond to, but the hospital had a copy and should not have continued those measures.
  8. 3
    It is so heartbreaking to live in a culture that so adamantly denies death that advanced directives can be overlooked, or, more often, never written leaving patients to suffer. This is the part of my job that I really, really hate.
  9. 0
    It may vary from state to state, but in our state, you have to have a "terminal within 6 months" diagnosis (just like hospice) before the doc will write a standing DNR.
  10. 2
    Well remind me not to become unresponsive in your state. That is very barbaric if you ask me, espeacially if they do not honor advanced directives.You obviously did not fail the patient, the state laws are probably from the first century.With the next generation of elders being such a large part of the population in the U.S. and the lack of healthcare for so many it is time these laws are revisited and updated to reflect reality.
    pyriticsilence and june42 like this.

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