The Role of a Critical Care Nurse

In the article, Legal Aspects of End of Life Care. author, prevail Claire M. McGowan, explains that when performing the role of a lively care nurse playing as the advocate for the tolerant, his/her family, and significant others, it Is essential that the nurse has an understanding of juristic implications associated with end of life care. McGowan goes on to provide information on the heavy principles involved In end-of-life care, specifically addressing limitations in treatment, assessing capacity and using permutation decision reconstructrs and medical futility.In order to explain limitations in reatment, McGowan begins by inclination what the approachs have established as Ilfe sustaining treatments which include mechanical ventilation, blood transfusions, dialysis, chemotherapy, cardboard nutrition, and hydration. Although a competent or incompetent terminally ill longanimous with advances directives has the right has to refuse these treatments, there are rare cases whe n the state court whitethorn override that right preservation of life, prevention of suicide, protection of tercet parties such as children, and preserving the Integrity of the medical profession (McGowan, 2011).Next, ccording to McGowan, if a forbearing is deemed incompetent the patient may be assigned a replacement to make decisions on their behalf with respect to their advance directives. If a there is no advanced directive or surrogate appointed to the patient therefore the medical team may determine the plan of care for the patient (McGowan, 2011 Lastly, McGowan addresses medical futility, defined, as such, when treatment is no longer deemed a advantage to the patient. According to McGowan, arriving at this determination and accepting futility Is often stressful, inciting disagreements between the patients/surrogates and medical professionals involved.In order to resolve conflicting Interests, McGowan suggests a variety of methods that can be utilized to improve communica tion between the two parties including making attempts to perform understanding between parties as to what constitutes futile care before conflict arises, using joint decision making, and using consultants to reach satisfactory termination of disagreements. If these methods fail to help unite the parties decision an ethics committee may be utilized to reach a determination, the patient may be transferred to some other medical provider within the institution or to another Institution altogether (McGowan, 2011).In my opinion, Nurse McGowan clearly presented how important it is for a critical care nurse to have a working knowledge of the levelheaded aspects of end of life care and how he/she can help to make sure that the patients rights are respectfully carried out either directly or indirectly during end of life. After reading this article, It was impressed upon me that since the nurse is the briny point of contact with the patient, family, and significant others during treatment , It becomes the responsibility of the nurse to help midway conflicts that may arise during care, in order to protect the patients best interests.