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The conversation about what do you want done in the event of is not a conversation many people want to have with their loved ones However it is a very important conversation and needs to take place No family member or friend desires to make such a decision nonetheless this becomes the unfortunate reality for so many Without this decision life-threatening injuries andor illnesses become more difficult complex and confusing The American Nurse Association ANA explains there position on Nursing Care and Do Not Resuscitate DNR decisions to help aid in these situations Upholding the patients right to make the decision about their health care should extend also to the fact that they no longer wish to have life saving measures taken on their behalfProvision 13 of the ANA Code of Ethics for Nurses 2001 states thatNursing care is directed toward meeting the comprehensive needs of patients and their families across the continuum of care This is particularly vital in the care of patients and families at the end of life to prevent and relieve the cascade of symptoms and suffering that are commonly associated with dying Nurses are leaders and vigilant advocates for the delivery of dignified and humane care Nurses actively participate in assessing and assuring the responsible and appropriate use of interventions in order to minimize unwarranted or unwanted treatment and patient suffering p7The decision to have heroic lifesaving measures withheld is a decision that patients and their families unfortunately have to make and the ANA upholds their decision The ANA position statement for Nursing Care and Do Not Resuscitate DNR clearly states that the nurse is supposed to advocate for their patient as long as doing so does not conflict with the ethical obligation of non-malfeasance The choices and values of the competent patient should always be given highest priority even when these wishes conflict with those of the health care team
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