A few minutes meant difference between life-or-death...or something - page 2

Well... i dont usually share patient stories but...you guys can relate... Anyway, took care of a patient who had CABG about 3 weeks ago, did well, went to step-down for a few days...then came back... Read More

  1. by   steelydanfan
    Quote from cathlab1
    Everyone should settle down. While clearly a profound moment, and clearly a profound result. Everyone did respect the patient's wishes, but... I am only playing devil's advocate here, but... I am wondering how much the patient and his family really understood about being a DNR. While he was obviously very ill, sometimes the patient and family really do not understand all the options. ... Thank God for that cardiologist, he had the guts to offer another treatment modality for the patient and saved his life(with the nurse of course)
    A clearly profound result, and hence my reply. Profound is not normal, and everyone is rejoicing at this particularly ABNORMAL outcome.
    This pt's wishes were NOT respected, hence my first post.
    The pt. stated he did NOT want artificial means of support, but the cardiologist obtained consent from a pt. who was not capable, according to the poster's writings.
    I don't understand the kudo's for the cardiologist, he went into a near comatose pt;s room, obtained a challengable consent, and '"saved" a life that will be played out with a long stay in a nursing home with tid rt, and
    not much else to support him.
    Yes, he lived. But is he living? And would YOU want to?
  2. by   Mymimi
    I would like to pose a question in the midst of this discussion. As nurses we are liasons for our patients, their advocates. In my almost 20 years of practice have encountered many situations in which I spent a great deal of time educating the patient, family on the DNR status, quality of life, and the options available. There have been times that the patient and family wishes were not carried out, and it was directly related to one or more interventions of physicians that were not willing to carry out family and patient wishes.
    Do any of you believe that maybe some health care providers are not secure in their own afterlife, along with their training, cultural issues, whatever it may be driving them perform interventions that may keep the patient alive, but not give them quality of life? Could the root of this be they don't know where they will go if they die? I will continue to be an advocate for what the patient wants.