Advanced Professional Roles and Values

Order Description

Scenario:
Mr. Miles, a 70-year-old patient, was admitted to the hospital for bowel obstruction. Mr. Miles is active and adventurous, and tells his nurse that he does not want to
compromise his quality of life.
The patient becomes septic and goes into acute renal failure and must decide about dialysis and other lifesaving measures.
The patient refuses dialysis and expresses a wish to have an advance directive do not resuscitate (DNR). Healthcare professionals and the patient’s family members
express concern regarding this decision. Mr. Miles loses consciousness before he signs a DNR. Review the scenario and write a scholarly paper in which you do the
following:
A. Discuss the evidenced-based practice regarding advance directive DNR.

B. Discuss the nurse’s moral responsibility by doing the following:
1. Describe the nurse’s responsibility to the patient in the scenario.
a. Discuss a potential moral dilemma that the nurse in the scenario may encounter. Include resolution strategies in your response.
2. Describe the impact of the advance directive DNR on the stakeholders in the scenario.

C. Discuss how a provision from the American Nurses Association (ANA) code of ethics should relate to the nurse’s professional practice.
1. Analyze how this provision applies to the scenario.
2. Describe the importance of patient autonomy.
D. Discuss the legal implications associated with this case by doing the following:
1. Identify potential legal conflicts among patient, family, nurse, and organization.
2. Discuss how the potential legal conflicts identified in part D1 will affect the nursing role.
3. Discuss potential nursing actions to prevent conflicts identified in part D1 among the organization, the patient, and primary care physician.