The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes. What should the nurse do to ensure the patient receives care that is desired at the end of life?
1. Ask social services to provide an advance directive for the patient to complete.
2. Talk with the patient regarding what the patient wants after the hospitalization ends.
3. Call a meeting with the patient, family, and primary care physician to discuss care goals.
4. Discuss the patient's dire situation with the family and find out what their wishes might be.
3. Call a meeting with the patient, family, and primary care physician to discuss care goals.
Explanation: 1. If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. The nurse should not ask for an advance directive unless the patient desires to complete one.
2. If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. Talking with the patient about what the patient wants after the hospitalization ends may or may not address the issue that the patient is dying.
3. If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. This ongoing open discussion about goals of care will help the patient and the family receive the best possible care at the end of life.
4. If unsure of a patient's wishes for care at the end of life, a team meeting with the key decision makers such as the patient, family, and primary care physician should be held. Discussing the patient's dire situation with the family should be conducted by the physician. Care needs should be focused on the patient and not want the family desires.
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