Question

An Asian,75-year-old female with end-stage COPD, admitted last month with pneumonia. Her situation is complicated by respiratory failure needing mechanical ventilation and multiple efforts to wean her have been unsuccessful. Awake and alert, she explains through a written note that she desires the ventilator to be removed. What do you think her prognosis is? What do you need to know before making any decisions? If she is competent, will you honor her request? Open a word or rich text document and using APA format, discuss the above situation. Include a cover page and a minimum 500 word document discussion in APA format.

Answer 1

Cover Letter

Factors Affecting Decision Making in Withholding or Withdrawal of the Supporting Devices

Name of the Author

Degree of Affliction

Full Address

COPD

Chronic Obstructive Pulmonary Disease is a Preventable and Treatable Disease Characterized by Airflow Limitation that is Fully Reversible.

Pneumonia

It is an Acute Information of the Lung ParenchymaC aused by Microbial Organism.

In this Scenario, the Patient is Under End Stage of the COPD.

Stage of COPD are;

Stage 0 . : At Risk

Stage 1. : Mild COPD

Stage II. : Moderate COPD

Stage III. : Severe COPD

In Patient with Severe COPD, 40% Demonstrate Cor Pulmonale ( Hypertrophy of the Right Side of the Heart)

Here the Parent Want to Withdraw the Life Saving Device & Escalated to the Nurse through a Written Statement.

Here the Prognosis of the Patient is Very Poor & the Patient Passed the Decision About Life through Writing.

Here Comes the Importance of Advance Directives.

It is Pertaining to Treatment Preference and the Designation of a Surrogate Decision Maker in the Event Person Should Not Make Decision on Their Own Behalf.

Living Will

It is Coming Under Advance Directives. It is a Written Document that Specifies What Tyy of Treatment are Desired.

In this Scenario the Patient Gave a Written Consent in Her Non competent Stage For the Withdrawal of the Ventilator. But She is Not Fully Competent to Make a Decision About Life.

Living Will is AlpliAppli if the Patient Suffers an Incurable or Irreversible Disease or the Attending Physician Determine that the Condition is Incurable & Terminal & He Directs that Life Prolonging Devices Can Only Prolong the Death of the Patient.

More Specific Living Will May Include Information Regarding an Individual Desire for Such Services Such as Analgesia, Antibiotics, Ventilators, Feeding, CPR etc

The First Advance Directive Was the Living Will , Which Was Provided for Under the Patient Self Determination Act of 1991.

A Determination Need to be Made Wether It is a Respiratory Crisis that Reversible or the Patient is Terminally I'll. But The Patient is Not in a State of Making a Decision About Life.

Directives to Physician and Medical Power of Attorney are Additional Types of Advance Directive that Protect & Respect the Patient Autonomy.

That is the Right to Self Determination Regain Health Care at the End of the Life.

It is Legally Binding to Most States

Health Care Providers are Obligated to Follow This When the Patient is No Longer Able to Speak for Himself.

If she Was Competent After Confirming With The Treating Physio About the Condition it is Possible to Withdraw the Life Saving Devices as Per the Will of the Patient

A Patient With Already Completed Advance Directive Can Be Considered In This Situation.