Patient Self Determination Act ( Psda ) - 2257 Words

1. What is your role as a nurse in patient self-determination? When caring for a terminally ill patient, each member of the health care team contributes in providing end-of-life (EOL) care. In order to know our role in the care, it is important to understand the legal rights of the patient. In 1991, the United States legislated the Patient Self-Determination Act (PSDA) in regards to EOL decision-making. According to our textbook, the PDSA â€Å"relies on state laws related to EOL care and was designed to encourage communication about end of life issues† (Grace, 2013, p. 123). This act helps ensure that patients receive adequate information regarding advanced directives and offers protection of their right to self-determination in health care decisions (K, 1992). After confirming that the patient is deemed competent of making self decisions, the nurse should ensure that the patient is well educated and understands the terms of the care they have chosen. The role of the nurse in patient self-determination is to be an advocate for the patient throughout the remainder of their care. Nurses must also be the voice of reason for the health care team by being a constant reminder of the patient’s preferences and goals of care. Although this role may result in taking an assertive stand against physicians or even the patient’s family members, the nurse must remain firm in representing the patient. Therefore, the ultimate role of the nurse in this scenario is to ensure that Mr. T’s finalShow MoreRelatedPersonal Decisions About Health Care1260 Words   |  6 PagesAdvance Directives What if an individual could no longer make personal decisions about health care? In the event a patient is unable to personally advocate, having an advance directive ensures that end of life care will be carried out as desired and specified. As Galambos (1998) explains, advance directives are written documents acknowledged under State law that allow the expression of wishes regarding the extent of healthcare and intervention in the event of losing the capacity to express endRead MoreAdvance Directives: Patient End-of-Life Decisions1710 Words   |  7 PagesAdvance Directives: Patient End-of-Life Decisions Leah L. Markley DeVry University Health Rights and Responsibilities Beth VanOrsdale March 25, 2011 Advance Directives: Patient End-of-Life Decisions Medical technology today has come a long way. Numerous life prolonging procedures are available that can extend a person’s life where once they would have expired. Kidney dialysis, chemotherapy, cardiopulmonary resuscitation (CPR), feeding tubes, intravenous hydration, and ventilatorsRead MoreAhrq Health Law and Regulation1522 Words   |  7 Pagesimprovement and patient safety, prevention and care management and health care value. Current Laws and Regulations Faced by Health Care Industry As we all know, the government currently spends billions of dollars regulating health care services. These regulations speak to health insurance, health professionals, medical and drug devices, health facilities and the medical system as an entity. The Health Insurance Portability and Accountability Act, HIPAA is a lawRead MoreThe Theory Of Goal Attainment1481 Words   |  6 PagesConceptual System. The Theory of Goal Attainment focuses on the interactions between the personal, interpersonal, and social systems. Frey et al (2002) describes the central concepts of the theory as â€Å"perception, communication, interaction, transaction, self, role, growth and development, stressors/stress, time, and space.† Four specific concepts within the theory; perception, communication, interaction, and transaction, form what King calls the â€Å"transaction process†. 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Florence Nightingale, the well-educated daughter of wealthy British parents, defied social conventions, and the wishes of her parents, and decided to become a nurse. During Britain’s Crimean War, Nightingale sought to improve theRead MoreAdvanced Directives : An Underutilized Means Of Communicating Ones End Of Life Wishes1597 Words   |  7 Pagesconvincing evidence of a patient s wishes for removal of life sustaining treatments (McGowen, 2011). This decision was based on the right to liberty, as stated in the Fourteenth Amendment. Once her family presented add itional evidence as to Nancy’s wishes, her G-tube was removed and she died soon after. This case was the catalyst for the Patient Self-Determination Act of 1991 (PSDA) which requires hospitals, skilled nursing facilities and home health services to inquire if a patient has advance directivesRead MorePharmacological And Medical Technology Advances1510 Words   |  7 Pagesconvincing evidence of a patient s wishes for removal of life sustaining treatments (McGowen, 2011). This decision was based on the right to liberty (as stated in the Fourteenth Amendment). Once her family presented additional evidence as to Nancy’s wishes, her G-tube was removed and she died soon after. This case was the catalyst for the Patient Self-Determination Act of 1991 (PSDA) which requires hospitals, skilled nursing facilities and home health services to inquire if a patient has advance directivesRead MoreAdvanced Care Planning And Advance Directive Completion1252 Words   |  6 PagesPr imary Care Setting Student Name: Christina M. Young 1. Introduction: (25 to 50 words) Advanced care planning is critical element in the therapeutic alliance between healthcare team and patient in providing adequate patient-centered care, with the patient a more willing collaborator. This process provides patient, family, and caregiver with realistic expectations about result of treatment and prudent preparation for possible outcomes. Effective advance care planning has been shown to increase satisfactionRead MoreAdvance Directives2469 Words   |  10 Pagesvalue of these advance directives to the patients, their families; and the authorities that these advance directives give the above mentioned interested parties. | Contents Application Paper on Advance Directives 3 Abstract of Application Paper 3 Advance Health Care Directives 3 The Natural Death Acts 3 Legal Precedents for Advance Directives 3 Advance Health Care Directives: 4 California’s Advance Directive Law 4 The Natural Death Acts 5 Inception and Legal Basis 5 Current