Imagine caring for a person who do not wish to the ‘rescued’. Ethical dilemmas are encountered by nurses every day in practice.

Imagine caring for a person who do not wish to the ‘rescued’. Ethical dilemmas are encountered by nurses every day in practice.

Imagine caring for a person who do not wish to the ‘rescued’. Ethical dilemmas are encountered by nurses every day in practice. ‘Failure to rescue’ can happen when nurses miss vial cues and fail to detect patient deterioration. But sometimes the opposite occurs. That is, cues that patients are trying to refuse treatment might also be overlooked. Not all attempts at ‘rescue’ are appropriate, particularly if the treatment is futile and burdensome, is not in the person’s best interests, or is not in accordance with the person’s wishes (Levett-Jones 2013).

Whatever the reasons, decisions to withhold potentially life-saving treatments—not to rescue—are among the most frequent and difficult moral problems that nursed encounter in practice (Johnstone, DaCosta&Turale 2004). They require excellent clinical reasoning and decision-making skills and a sound understanding of the relevant legislation and case law. The clinical reasoning cycle can be used to assist in the moral reasoning process associated with a situation involving the withholding of CPR for example.

Suggested readings

Readings (ethics)
Forrester, K & Griffiths, D 2010, chapter 7 ‘Refusal of treatment’, in Essentials of law for health professionals, 3rd edn, Elsevier, Sydney, Australia.

Johnstone, M-J 2009, chapter 12 ‘End-of-life decision-making and the nursing profession’, in Bioethics: a nursing perspective, 5th edn, Elsevier, Sydney, Australia.

Kerridge, I, Lowe, M & Stewart, C 2009, chapter 18 ‘CPR and no-CPR orders’, in Ethics and law for the health professions, 4th edn, Federation Press, Sydney, Australia.

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