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ER Nurse

Real-Life Activities

Real-Life Decision Making

A 100-year-old patient named Ira comes into the hospital. It appears from his frail condition that he isn't going to live much longer. The doctor checks over Ira's vital signs and assigns him a bed in the emergency ward.

The doctor writes some instructions and medication orders on the chart and leaves to assess the next patient in the ward. The doctor hasn't discussed the possibility of not resuscitating Ira with you or his family. So if Ira's heart or breathing were to stop, you'd be obliged to start live-saving measures.

You look at Ira's gaunt and drawn face. You try to imagine him when he was young. Would you feel right resuscitating someone who is 100 years old? Would it be better to just let him die with dignity?

But you also realize that the doctor mentioned nothing about letting Ira pass away, so she must have made the decision that Ira be resuscitated if his heart were to stop.

But as a member of the health-care team, you have a decision to make. You could go behind the doctor's back and discuss the issue with the family and see how they feel about resuscitating Ira. Or you could follow the doctor's orders and be prepared to resuscitate Ira if his heart stops or he stops breathing. What do you do?