Quote from manifesto_032
This is a case study that was given to me by my professor...anybody here who can help me to decide to solve this case...
Title: Letting Be
Jason is 71 yrs. old and adamant about not being resuscitated. "When my time comes, let it come! His wife tells all of you that she wants everything done for my husband." There have been team conferences and sensitive counseling. Still each of them is firm and the nurses are concerned over.
Question: What is right to do if Jason has a cardiopulmonary arrest? His doctor refuses to write a " do not resuscitate" order.
THis is a no-brainer. If the guy is competent, you go by his wishes.
UNfortunately, this is a hypothetical question (right?). However, if the situation were REAL then forget the ethics committe...someone needs to confront the doctor...and paddle his arse a bit if he still refuses. I cant imagine any doctor that WOULDN't write a DNR for a 71yr old, competent, man. If, after paddling the doctors butt, he still refuses...i'd inform the patient, and tell him he'll need a new doctor if he wishes to be a DNR...until he finds a new one who will honor his wishes, we'll break his ribs, stick tubes in his face, and electricute him.
Of course, this does need to be reported to ethics...but that whole process can drag on for a bit, and we need a solution to this problem asap. And the doctor needs to clarify his (wrong) reasons why he wont write for DNR despite the wishes of the patient.
Perhaps the best answer to your question would be to document clearly (and often) the guy's wishes. If he arrests, you call a code and tell the responding physician the guy's wishes. Then you've washed your hands of it. The guilt/blame/stupidity/injustice will then be on someone else's hands rather than your own. Unfortunately Our(nurses) hands are legally tied if dr refuses DNR...regardless if the decision is immoral or retarded.