Respuesta :
Answer:
Option 1, administer oxygen and continue transportation
Explanation:
Do-Not-Resuscitate (DNR) orders are instructions that should the patient experience a cardiac or respiratory arrest, healthcare personnel are not to perform emergency life-saving procedures such as cardiopulmonary resuscitation, or CPR, which includes chest compressions that can be very taxing on the patient's physical wellbeing. These orders come from the patient themselves, when they use their autonomy to express that they would like to die rather than receive such interventions.
This does not, however, mean the healthcare personnel take a hands-off approach to this patient's care. These workers are still providing high-quality care that can prevent such complications from happening in the first place. In other words, they remain treating the patient until or unless something occurs that would require CPR (and in some cases intubation), in which case they would allow this patient to pass, per their wishes.
This patient is reporting a simple trouble breathing, which does not necessarily require emergent life-saving procedures. Therefore, the healthcare personnel transporting the 68-year-old should briefly assess the patient; have them sit up straight or leaning forward to allow for gravity to aid in facilitating maximal chest expansion; and administer oxygen while continuing the transportation, option 1, so that further evaluation can occur upon arrival.
Administer oxygen and continue the transportation, abiding by the 68-year-old female's valid DNR order and ensuring her comfort. Do not perform CPR and call for medical assistance if necessary. Correct option is 1 Administer oxygen and continue transportation
If you are transporting a 68-year-old female from a nursing home to the hospital and she has a valid DNR (Do Not Resuscitate) and begins to have trouble breathing, you should administer oxygen and continue transportation. While DNR orders indicate that no resuscitative measures should be taken in the event of cardiac arrest, providing comfort measures such as oxygen can be appropriate and is generally in accordance with palliative care practices unless specified otherwise by the patient's advance directives. You should not perform CPR as it goes against the DNR protocol. Giving her water is not advisable as it does not address her breathing difficulties and could potentially cause harm if she is having significant trouble breathing. If the situation escalates beyond your scope of practice or if the patient's condition drastically deteriorates, call for medical assistance.
It is critical to follow the DNR protocol while ensuring that the patient is as comfortable as possible during transport. In cases where the patient's wishes are unclear or if clarification is needed regarding their advance directives, seeking guidance from medical control is advisable. It's also important to be aware of the law and professional guidelines that regulate the enforcement of DNR orders in the context of each specific healthcare setting.
