Get Answer: Agreement Response Toethics Question Guide
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Original Question
An agreement response toEthics and law have formed a significant foundation of the nursing profession, and the research associated with advance care planning (ACP) in vulnerable populations. A study by Gabbard et al. (2021) highlights the need for a nurse-led multi-disciplinary intervention in an effort to promote better ACP conversations and documentation. It does so while being compliant with accounting requirements, as EHRs record the patient’s wishes. This method improves ethical practice by supporting patient autonomy. Legally, it serves to assuage disputes by clearly defining a patient’s wishes, thus assuaging the tension between ethical or moral intentions and legal obligations. The argument for ACP includes patient autonomy, relieving family members of the responsibility of making difficult decisions, and ensuring that end-of-life care is legally clear (Gabbard et al., 2021). If a frail elderly individual with dementia has an ACP in place, healthcare providers can adhere to the patient’s directives regarding life-sustaining treatment and avoid future ethical and legal conflict. Cons ACP documents that may not be kept current are unavailable during a medical emergency or lack the essential information required for those charged with decisions regarding care. Also, cultural and individual differences may create misconceptions regarding ACP that may become a distressing experience for patients and families. In situations where a patient’s Advanced Care Planning (ACP) expresses a desire for Do Not Resuscitate (DNR) but the family requests resuscitation in a moment of crisis, healthcare providers may find themselves in conflict between ethics and legality. HIPAA regulations in current times as they pertain to ACP help to ensure that patients’ health information is protected yet the necessary sharing of information takes place to support decision-making about care (U.S. Department of Health and Human Services, 2022). As it pertains to the treatment of patients, HIPAA allows healthcare providers to share ACP documents with other members of the care team in so much as it’s necessary during treatment serving as a bridge between ethical transparency and legal compliance. However, providers should only include essential information and make sure all documents are well-maintained within the structures of the EHR system to remain compliant.
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