In an operation room, it is a common habit that has grown into a culture to have the ‘Do-Not-Resuscitate’ orders written in the patients chart. Both the patients and the physicians suffer a lot from the numerous…
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Due to the patient’s sickness, confusion or dilemma, the person may not be in a position to make the decision as per their stand. However, the situation forces them to make the decision. In a case whereby an individual is totally unable to make a decision by themselves, there is involvement of a Surrogate decision maker ( Vetsch, 2002).
In the absence of a written document, people close to the patient and familiar with his wishes may be used. The law recognizes a hierarchy of family relationships in determining which family member should be the official "spokesperson," though generally all close family members and significant others should be involved in the discussion and reach some consensus. The hierarchy includes a legal guardian, individuals given power of attorney for health decision making, spouse, handout children, guardians or adult siblings in agreement.
The facts about the CNR order is that, it is necessarily important to be filled at this stage. It will show the will of the patient you take risk of the situation, and in case the whole operation process leaves the patient dead, there is no blame as to the cause of their death. The DNR also addresses family issues related to the patient, such as inheritance and next of kin.
However, the whole process is approached with mixed emotions. The DNR in an operation room makes the whole operation scaring. Thoughts emerge concerning the limited chances of survival in the operation process. These decisions are mandatory and most of the patients fill these information, as a matter of fact just because that is required of them, but not as per their will. There is a gap in the information provided with the actual and normal situation. This is because the patient’s state of sickness may not allow them to make sound decisions. In the case of a surrogate decision maker, the involved may rarely make
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In fact, the "Lavatory Operating Room" routine, like the other 'routines' in the work, jerks us out of our routine ways of living and our habitual mundane modes of thinking and feeling.
Dr Benway, after being locked "for three hours solid"(51) in the lavatory, and having his patient, not surprisingly, die on him, feels that the procedures he has followed and their outcome have all been quite routine-"all in a day's work" (51).
However, the medical staff often does not withhold their services aimed at providing comfort and analgesia to the patient. DNR orders are normally requested by patients or by their health care providers
The DNR order at this point is already revoked because the patient asked the nurse to do everything she could to save her life and to not let her die (Blankenship, 2008). Clearly, the patient has expressed her will and her desire to live, and she should, therefore, be given a chance to live.
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