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Ethical Considerations in Advanced Care Nursing

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Submitted By jessiemac123
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As more and more patients are living longer, and medical technology is advancing each day, it becomes crucial to educate and inform patientsof their rights regarding their own medical treatments. The Advance Directive is not for everyone, but the PSDA and the New Jersey HealthCare Statutes mandate that we give each patient, upon admission, the opportunity to explore their options with their medical care or withholding of medical treatment.

Although we have not witnessed this in our background experiences, a nurse orother health care professional may decline to participate in the withholding or withdrawing of medical treatment if it contradicts the nurse's personal and/or professional convictions. 4 Just as the concept of the Advance Directive is not for every patient, it is also not for every critical care nurse. There will be no legal ramifications if a nurse finds it impossibleto care for a patient who has an Advance Directive. This is a very personal, moral, and ethical decision for the critical care nurse. The responsibility isthe timely and appropriate transfer of care to another nurse who can treat and respect the personal directives of this patient. CONCLUSION

The critical care nurse is bound by duty to protect the patient's rights, including the patient's decision concerning treatment or withdrawal of medical care. The Advance Directive is a legally binding document writtenby a competent adult and should be carried out as such in the health care facility. Although the directive may not be consistent with the nurse's beliefs, it is the patient's legal right to make an informed decision about his or her medical care, and the hospital facility is legally bound to carry out the wishes of such a directive.

Conflicts will arise regarding the Advance Directive because of the moral and ethical beliefs of family members who might not be in agreement

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