Thursday, December 19, 2013

Critical Reflective Analysis

L .E .A .R .N - Critical AnalysisLook BackIn one significant scenario that happened in the operating(a) way , a 78-year-old forbearing diagnosed with aspiration pneumonia with presence of immaterial objects was locomote inside the O .R for removal of aspirated objects and fluids . Upon entry , the forbearing was already experiencing severe difficulty of breathing with rate of 36 breaths / minute of arc (hyperventilation tachypnea , chest pains and tachycardic heartbeat of 120 trounce per min . However , an ethical-clinical slue arises with long-suffering s noted DNR attitude , which greatly compromises the health sustainment supplier s ability to fabricate the patient without conforming to different functionings and forms of life-supportElaborateThe issue on conducting life-saving clinical affairs on patients with DNR s has always been an ethical and clinical issue in the field of health upkeep . Rudolfo - a 78-year-old male- has an aspirated fluids and solid substances from his repast after he accidentally lost control of his swallowing . At that time , the patient was already on his 2nd calendar workweek of admission and recovering from knee fracture . DNR betoken was put after his hip fracture surgical procedure . The tasked health care provider , family members and the patient had reviewed the request , gear up basis for eulogy and eventually maintaind of granting his request . after approval Rudolfo was expecting to restrain with his theater treatment at home after the tertiary week of his recovery however , in his 2nd week of admission , the accidental aspiration occurred departure him in-need of a manual of arms removal of aspirated substances . Prior to the process , the health care provider emphasized the need to utilize everyday anesthesia on the patient for them to oper ate manually on the patient s thoracic area ! .
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However , general anesthesia whitethorn submit to series of hemodynamic instability that may require periods of resuscitation as the procedure s follow-up maneuver In this case , the surgery had to set aside the DNR stead of the patient in to alleviate the patient `s discomfort although , suspending DNR could retrieve bypassing the patient s rights of shore leave and possibly gap the symmetricalness between the patient and health care provider in relation to the approved DNR precondition . In this word , I will explore the existing and possible ethical-clinical conflicts in variation surgical intervention s for a patient with DNR statusAnalysisEthical-clinical conflicts of duty , autonomy and procedure fidelity confronted the case of Mr . Rudolfo . In for the health care provider to alleviate the patient s discomfort and life-threatening status , the health care provider must suspend the DNR and render a manual surgical removal of the aspirated substances . However , by doing so , the agreed DNR status of the patient will be bypassed defeating the factual agreement and legally acknowledged rights of the patient agree to Rothstein , Brody and McCullough et al (2001 , in for patients to gain the benefit of surgery , DNR patients must agree in the temporary suspension of their DNR status (p .245 . DNR status prevents the requisite follow-up maneuver for possible arrests or hemodynamic changes during surgery , which can...If you motive to get a full essay, order it on our website: OrderCustomPaper.com

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