US Facility defends nurse who refused to perform CPR

I wonder if this is going to be standard for all elder facilities for the future. There are going to be more of such facilities in the coming decades and they are going to be filled t0 capacity because the baby boom generation is going to be filling them up, and it's a very large generation. If so, remind me to die at home, please. :(

I am fantasizing, though, that BECAUSE this is the baby boom generation, we will make sure that our waiting--for-God facilities will be more like home than the types of facilities we see now where we put our grandparents and our parents.
 
Amy SF said:
I wonder if this is going to be standard for all elder facilities for the future. There are going to be more of such facilities in the coming decades and they are going to be filled t0 capacity because the baby boom generation is going to be filling them up, and it's a very large generation. If so, remind me to die at home, please. :(

I am fantasizing, though, that BECAUSE this is the baby boom generation, we will make sure that our waiting--for-God facilities will be more like home than the types of facilities we see now where we put our grandparents and our parents.
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I would recommend dying at home for the most part.
 
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I'd rather die at home as well. I've worked in a few facilities over the years and the level of apathy in those places is almost tangible.
 
beancounter said:
Another thought. Why bother having nurses on staff if you're not going to provide vital medical services...like CPR.
Any technican can give a shot, hand out pills, or attach an IV.
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No. As an RN I can't even tell you the stupid things I've noted even LVN's to do related to IV therapy. I never trust an LVN at work when it comes to anything to do with an IV. As far as shots and medications go. My job, done right, is not as easy as it looks.

What I have heard about this in the news. It appears this was a residential senior living place. Each person has their own small apartment of studio. They get housekeeping once a week and most meals in the dining room. Probably a van that takes them shopping.

I work in a nursing home. EVERY patient or resident has POLST signed by themselves or their decision maker if they are not capable. It's in their chart and MUST be there. They are either DNR or full code. Other treatments are listed too: Full treatment. Limited. Comfort measures only. Also wishes such as feeding tubes, IV, lab work are listed. Should they be sent to an acute care hospital for further tx. (anything like a broken bone or some other issues, someone is always sent)

So this was not a nursing home and they are under a whole different set of rules. I agree with you on one thing, no one should every want to go to a nursing home.

Need to also add that rarely someone has not been able to make a decision or they can't make it right away because they need to "discuss" it with other family members. In this case if nothing is yet signed, they are considered full code and treatment until something is signed otherwise.

I work in this environment and I've dealt with it in my own life and if you have aging family NOW is the time to find out what they want and what you as a family would do when the time comes. It's going to get there for everyone. Don't fool yourselves believing you will never be faced with this. I've been asked too many times "what would you do if it was your mother" REALLY!!!??? Well it's not, it's your mother and you need to figure it out. I can help but I'm not making your decision. I always hate that question. Every family is different and I've worked with people who lost their mothers at a young age. I always think it's an insensitive comment.
 
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Kitties said:
No. As an RN I can't even tell you the stupid things I've noted even LVN's to do related to IV therapy. I never trust an LVN at work when it comes to anything to do with an IV. As far as shots and medications go. My job, done right, is not as easy as it looks.

What I have heard about this in the news. It appears this was a residential senior living place. Each person has their own small apartment of studio. They get housekeeping once a week and most meals in the dining room. Probably a van that takes them shopping.

I work in a nursing home. EVERY patient or resident has POLST signed by themselves or their decision maker if they are not capable. It's in their chart and MUST be there. They are either DNR or full code. Other treatments are listed too: Full treatment. Limited. Comfort measures only. Also wishes such as feeding tubes, IV, lab work are listed. Should they be sent to an acute care hospital for further tx. (anything like a broken bone or some other issues, someone is always sent)

So this was not a nursing home and they are under a whole different set of rules. I agree with you on one thing, no one should every want to go to a nursing home.

Need to also add that rarely someone has not been able to make a decision or they can't make it right away because they need to "discuss" it with other family members. In this case if nothing is yet signed, they are considered full code and treatment until something is signed otherwise.

I work in this environment and I've dealt with it in my own life and if you have aging family NOW is the time to find out what they want and what you as a family would do when the time comes. It's going to get there for everyone. Don't fool yourselves believing you will never be faced with this. I've been asked too many times "what would you do if it was your mother" REALLY!!!??? Well it's not, it's your mother and you need to figure it out. I can help but I'm not making your decision. I always hate that question. Every family is different and I've worked with people who lost their mothers at a young age. I always think it's an insensitive comment.
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This made me think. My mother is 87 y/o but I have no idea what her wishes are and if she has anything signed and filed with her lawyer. :fp: She lives at home and fully expects to die there, but if I have to call the paramedics to come in and I'm the only one there, I have no idea what to tell them other than "save her life!"
 
beancounter said:
I'll state it here and now, so it will be a permanent part of Internet content.

I don't care if I'm 112 when I have a heart attack, please resuscitate/full code me.
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As a musician struggling to make it in the music business - I must die in a plane crash so that I can finally sell some records.

*Note to the powers that oversee the universe: I'm only joking. Sort of.
 
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ledboots said:
Even if you are in a permanent vegetative state?
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:yes: Even a permanent vegetative state can be a blessing, in comparison to the extended, miserable dying that is in store for so many of us. I've seen too much of it to wish it on anyone I care about, or myself, or even anyone I dislike.
 
Yeah, I've been with too many people suffering through an extended dying process (including both parents) to find the prospect palatable, much less amusing.
 
beancounter said:
If I'm functioning normally b/f I flatline, then yes, if I'm permanently brain dead, before I flatline, no, there is no point.

But how can medical science determine if the state is permanent? (if there are no physical signs of damage?)
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Eeg, mri, ct scan, deep pain reflexes, body posture, etc.

It is hard on the family to see their loved one like that. People can live for decades with tube feeds, breathing through tracheostomies, adult diapers and catheters...That is my absolute horrific, last way I would ever want to go scenario.
 

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