The Invisible Patients documentary

Ethical Dilemna

Please reply to the following discussion with one reference.  

Professor and fellow classmates,

I viewed the documentary titled “The Invisible Patients documentary”
and an ethical dilemma that was experienced by the nurse practitioner is
the decision about hospice care. The patient has a right to decide how
they want their life to end in regard to resuscitation, and it is one of
the nurse practitioner duties to educate the patient on what a do not
resuscitate (DNR) means and the  accept their terminal prognosis or to
have do-not-resuscitate (DNR) order (Bhatnaga & Lagnese, 2019).
Patients should be allowed to receive all the care needed until the end
of their life. The nurse practitioner in the video appears to be giving
her personal views and wanting to listen to the patient and his wishes.
Roger verbalizes his desire to live even on a respirator and it is not
the duty of the nurse practitioner to discourage the patient from the
right to desire life.

The nurse practitioner in the documentary as a disruptive innovator
was her desire of delivering and have more nurses in primary care
because they reach patients that are in unfortunate situations and needs
the help of the nurse practitioner to provide care and advocate on
their behalf whether by calling doctors or coordinating care on their
behalf. An awareness of personal values generates more consistent
choices and behaviors; it can also assist APNs to be aware of the
boundaries of their personal and professional values so that they can
recognize when their own positions may be unduly influencing patient and
family decision making (Hamric, 2014). The nurse practitioner should
separate their personal beliefs from situations that where an ethical
dilemma is involved and follow the nurses code of conduct to make
appropriate decisions.

Overcoming barriers when faced with ethical dilemma is being an
active listener with good communication skills. We must listen to the
patients concern and wishes and communicate with them at a level that is
understandable and open to answer questions with clarity.

References

Bhatnagar, M., & Lagnese, K. R. (2019). Hospice Care. In StatPearls [Internet]. StatPearls Publishing.

Hamric, A.B., Hanson, C.M., Tracy, M. F. & O’Grady, E. T. (2014). Advanced Practice Nursing:  An Integrative Approach, (5th ed.). Saunders. ISBN: 9781455739806

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