The family of an incapacitated patient desires one course of treatment that contradicts the decisions of the person with durable power of attorney. The disagreement is affecting the patient's nursing care. What should the nurse do?
1. Tell the person with durable power of attorney that he has to get the family's consent.
2. Follow the family's desires.
3. Provide care according to the decisions of the person with durable power of attorney.
4. Ask the physician to talk with the family and the person with durable power of attorney.
3
Rationale 1: The person appointed to make medical decisions does not need consent from other family members or friends.
Rationale 2: Following the family's desires is not advocating for the patient's directions.
Rationale 3: A durable power of attorney for health care allows the patient to appoint a decision maker in case of future incapacity. The durable power of attorney specifically states which powers the patient gives to the surrogate decision maker, and those decisions are to be followed even when they conflict with family members' desires.
Rationale 4: The nurse should make decisions about the nursing care of the patient. The physician makes decisions related to medical care and discusses them with the family.
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