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Essay / Research Paper Abstract
A 6 page research paper that explores the issues surrounding the use of NFR orders in Australia. A case scenario is presented and then the writer discusses the legal and professional issues that this case raises. Bibliography lists 4 sources.
Page Count:
6 pages (~225 words per page)
File: D0_khnfraus.rtf
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Unformatted sample text from the term paper:
an antibiotic regime. During that day, the nursing staff receives a phone call from a physician indicating that Mr. H is "Not for Resuscitation" (NFR). This directive was confirmed by
another doctor. No attempt was made to document the NFR directive, so, later, the initials NFR were written in pencil in the corner of Mr. Hs care plan. Through conversation
with a nurse, it comes to light that Mr. H desires coronary bypass surgery, even though there is only a 50/50 chance of success and that he wants desperately to
live in order to be there for his terminal-ill wife. Realizing that the NFR directive does not represent Mr. Hs wishes, the nurse inquires about how this decision is made
and is informed that it is "silly" to include patients or their families in these decisions. Inquiring further, another nurse indicates that the doctors are fully aware of Mr. Hs
feelings, discount them and that the decision is theirs alone. The nurse receives the message that a nurses duty is to follow the doctors orders. Despite the fact that Mr.
Hs condition radically improves, the NFR order is not rescinded. Six days after admission, Mr. H is deemed well enough to go home. The question arises: what if this
scenario had turned out differently? Is the NFR policy of this hospital legally and professionally sound? In many countries, such as the United States and Great Britain, the answer to
this question would be an emphatic "no," however, in Australia, the use of advanced directives is a grayer area, both legally and professionally. Since the 1970s, the designation of "not
for resuscitation" (NFR) has become the standard practice in many Australian health care facilities (Schultz, 1997). This has generated considerable disquiet among nurses, who often find themselves either initiating or
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