Prayer For Wisdom
I am in a desert
I need wisdom
It is the water
That can quench
That can quell
The uprising
Of flighted insects
Within me
Make this meaningful
I do not wish
To play the jester
The fool
Take me forward
To the oasis
I need wisdom
It is the water
That can quench
That can quell
The uprising
Of flighted insects
Within me
Make this meaningful
I do not wish
To play the jester
The fool
Take me forward
To the oasis
posted by earthkissed | 1:28 pm
3 Comments:
If the weather stays this nice, I might get some done this weekend. Of couse it would be easier if these people would stick to the outline and quit making me change things as it goes. But that's what makes them live I guess, the freedom to be who they are regardless of the extra work it makes.
hqypitry
Haiku-y poetry
(Too bad I couldn't put that into a Haiku.) :-)
*Hug* all the wisdom is inside you sweet Bec, I just know it...
My questioning their decision doesn't effect my actions. Regardless, of if we had an NFR or not, my actions in that situation would have been the same - I provided appropriate medical management of the illness. In this case it was more about what to do if the patient's heart had actually stopped. In which case if they are NFR, you do nothing, and if they aren't (which is the default unless you have a direct order by the patient or their representative) you call a code blue and commence CPR - which would be initiated by the first person who found them, which is likely to be a nurse. So there's not room within that system for it to subconsciously affect my decision.
And probably most doctors would question a family's decision in a situation like this. I'm sorry but it's true. This pt had not provided her relatives with instructions, had merely appointed one of them as her EPoA for medical issues. I know this because the family was not in agreement about what to do and never once did they talk about "what the pt wanted" they talked about "what they wanted". It is entirely different situation then if the pt has actually left an advanced medical directive which leaves no doubt about their wishes. I support people having the right to choose, and the law supports people's family having that right when the pt can't make the decision.
There is medical treatment that would not be provided to that pt as it would be inappropriate, but that's not my decision, it is a senior doctors. She would not get an angiogram (it would probably kill her), she would not be admitted to CCU or ICU. However, as per the family's decision, she would be actively rescuscitated.
Yes, that is why the comments are there, I like to hear other people's thoughts on these things. And if a post causes someone to disagree with me - all the better because it helps to get me thinking!
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