Navigating Ethical Dilemmas in Patient Autonomy

Very Hard Management Of Care Ethical Practice

A 68-year-old female patient with a history of chronic obstructive pulmonary disease (COPD) arrives in the emergency department with acute respiratory distress. After stabilization, the healthcare team learns that the patient wishes to discontinue all life-sustaining treatments, believing that her quality of life has significantly decreased. However, her family members are divided on the decision, with some urging for continued aggressive treatment. In this scenario, the nurse must navigate complex ethical dilemmas that involve patient autonomy, family dynamics, and professional responsibilities. Based on the ethical principles of care, which actions should the nurse take to ensure ethical practice?

Select all that apply:

Facilitate a family meeting to discuss the patient's wishes and the implications of her choices.

Document the patient's advanced directives and ensure they are honored during subsequent care.

Provide the family with information on palliative care options to support the patient's quality of life.

Support the patient in her decision-making process by acknowledging her autonomy and values.

Collaborate with the healthcare team to advocate for the patient's right to refuse treatment.

Educate the family about the potential outcomes and consequences of continuing aggressive treatment.

Hint

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