A three-year-old child has a brain tumor and is now dying. The child has an Allow Natural Death order (AND order). Which of the following care and interventions are allowed for a child with an AND order? Standard Text: Select all that apply
1. Oxygen
2. Suctioning
3. Use of a ventilator if respiratory failure occurs
4. Pain control
5. Cardiac compressions
1,2,4
Rationale 1: The child with an AND order may still receive oxygen to provide comfort.
Rationale 2: Suctioning of secretions would be appropriate for a child with an AND order.
Rationale 3: In most cases when a patient has an AND and respiratory arrest occurs, there will be no attempts to initiate resuscitation activities.
Rationale 4: The goal of AND orders is to maintain comfort of the patient while not continuing futile efforts to restore life. Pain control would be appropriate.
Rationale 5: Should the heart fail, external attempts to restart the heart would be inappropriate.
Global Rationale:
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