Question

If the nurse discovers that the patient is not competent to make healthcare decisions, and no durable power of attorney is on record, the nurse should contact the:

Answer 1

When a patient is not competent to make healthcare decisions and no durable power of attorney is available, the nurse should contact the ethics committee or a court-appointed guardian for guidance.

Step-by-step explanation:

If a nurse discovers that a patient is not competent to make healthcare decisions and there is no durable power of attorney on record, the nurse should contact the hospital's or facility's ethics committee or a court-appointed guardian. In situations where rapid decisions need to be made and there is no time to consult these authorities, the healthcare team, including the surgeon and anesthesia professional, may make decisions in the best interest of the patient based on medical judgment and applicable laws. As people's wishes for end-of-life care, such as living wills and Do Not Resuscitate (DNR) orders, can be influenced by their religion, culture, and upbringing, it is crucial that healthcare professionals seek guidance when a patient's prior directives or decision-making capacity is in question.

Answer 2

If the nurse discovers that the patient is not competent to make healthcare decisions, and no durable power of attorney is on record, the nurse should contact the patient's next of kin or closest living relative to discuss the situation and determine the appropriate course of action.

Step-by-step explanation:

When faced with a situation where a patient is deemed incompetent to make healthcare decisions, and there is no durable power of attorney (DPOA) on record, it becomes crucial for the healthcare team to involve the patient's next of kin or closest living relative.

The next of kin is typically a spouse, adult child, or another close family member. Contacting the next of kin allows for a collaborative discussion about the patient's medical condition, treatment options, and the best interests of the patient.

In the absence of a designated DPOA, decisions regarding the patient's healthcare may involve a collaborative effort among family members, healthcare providers, and, if necessary, legal authorities. The goal is to ensure that decisions align with the patient's wishes and best interests. This process underscores the importance of maintaining open communication with both the patient and their family to navigate complex healthcare decisions ethically and in compliance with legal and ethical standards.