Advanced Practice Nursing Essentials for Role Development

Case 1

You have arranged to meet with family members of your patient, an elderly woman in the medical ICU. The woman resides in a nursing home, and this is her third admission in recent months, all for the same indication: shortness of breath caused by chronic heart failure. She is now resting quietly without apparent distress. Advanced Practice Nursing Essentials for Role Development
The consensus among her professional caregivers is that the goal of care from this point forward should be comfort, including either return to the nursing home with a care plan, including a “Do Not Hospitalize” order and appropriate medications to treat dyspnea, or to the home of a family member on hospice.

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The nursing home staff members have documented that the patient has not completed an advance directive or otherwise expressed preferences about care at the end of life. Based on experience from this and previous admissions, you (and others on the team) expect the principal family members used to making decisions on behalf of the patient will resist the team’s recommendations.
Provide a culturally congruent resolution to the instances presented. Make sure your resolution is clear. Support your answer with resources.
Read the textbook and see what resolution is provided in the textbook. You can use your textbook as one resource.

Advanced Practice Nursing Essentials for Role Development