Acute Cardiac Care: A Practical Guide for Nurses by Angela M. Kucia & Tom Quinn

Author:Angela M. Kucia & Tom Quinn
Language: eng
Format: epub
Publisher: John Wiley & Sons
Published: 2013-03-04T16:00:00+00:00

Introducing the DNR conversation

Patients and their families often rely upon the expertise of health professionals to recommend appropriate therapy (Jecker & Pearlman 1992), particularly in emergencies requiring rapid assessment and initiation of treatment (Marco et al. 2000). Yet, many health care professionals are uncomfortable about proactively initiating discussion about resuscitation with patients, particularly when it comes to describing what resuscitation actually involves, potential consequences and likelihood of success. The personal values of health care workers have the potential to influence their decision-making regarding resuscitation, and it must be remembered that patients and their families, particularly those from a different cultural background, may not share the same opinions as to what odds of a successful outcome make a treatment worth trying (Marco et al. 2000). Health care workers must ensure that their personal opinions do not bias information presented to the patient and/or their family in order to manipulate them into choosing a particular course of action (Tulsky et al. 1996). Decisions regarding the potential benefit of an intervention should take into account scientific evidence, societal consensus and professional standards rather than individual bias involving subjective measures such as quality of life (Marco et al. 2000).

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