to GTMAHAR: You are correct in your comment regarding the role of the RN as being a patient-advocate, however, you are incorrect in one regard. This article is written from the perspective of a nurse, a Caregiver, taking care of this patient NOW! Well after the advanced directive decision was poorly executed previously. I understand your perspective but to voice it so succinctly only ads to the Caregivers Dilemma NOW.
This nurse has not failed anyone! Not only is this nursing PERSONALIZING the situation you are perhaps LABELING it; COGNITIVE DISTORTION #9LABELING AND MISLABELING: An extreme form of overgeneralization. Instead of describing the situation, you attach a negative label to yourself (FAILURE): "I'm a loser." When someone else's behavior rubs you the wrong way, you attach a negative label to him: "He's a goddam louse." Mislabeling involves language that is highly colored and emotionally loaded.
This article should be entitled... "The Patient I Took Care of Competently and with Passion tho Personally Difficult After Something Bad Happened Before I Ever Came into the Situation!"-- not very sexy but much more accurate! As a "Defender of Caregivers!" I feel compelled to point out that; this Nurse is dealing with a very emotionally difficult scenario she did not create; to attach a LABEL of FAILURE or NOT AN ADVOCATE makes it worse and more emotionally laden and is unfair to the Caregiver.