This week we are to post a description of a situation experience

This week we are to post a description of a situation experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Patient D.P. is a 62-year-old, morbidly obese adult woman that resides in a nursing home. D.P is diabetic, unable to walk, and is dependent on insulin as well as many oral medications to control diabetes. “Diabetes-related long-term complications are one of the most important diabetes-related worries in people with diabetes type 1 and type 2” (Kuniss,  Freyer, Müller, Kielstein,  & Müller, 2019, p. 33). D.P has no desire to make changes to reverse the effects of diabetes. D.P and her husband were in a care plan meeting discussing her “code status.” Due to her young age, D.P decided she wants to be resuscitated in the event that she stops breathing. After explaining all the details of what can happen if being resuscitated at her size, D.P still decided that she would want CPR. An IPOST was created, signed by the doctor following her, and placed in her chart. “The medical profession has become much more technologically advanced and aware of the importance of prevention and detection of disease before symptoms appear and before treatment becomes imperative” (Telfer, 2018, p. 10).  That following Fall, D.P was found unresponsive in her room. CPR was initiated and she was brought back to a responsive state. Testing showed her blood sugar was 1200 and was unresponsive at least two hours from the last time anyone laid eyes on her would have been during last rounds. D.P suffered broken ribs from resuscitation efforts and never fully was in a clear mental state thereafter.   Then, we are to explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. The lack of oxygen played a role in her permanent altered mental status. D.P then began dialysis and that is when the doctor following her had a “come to Jesus” talk with her regarding hospice care. “Hospice care aims to improve the quality of life for terminally ill patients and their families by relieving suffering and providing supportive care” (Park, Yeom, & Yong, 2019, para 2). D.P’s husband became irate when he found out this conversation was had and yelled at the doctor. Both D.P and husband were in denial about her health and she still was a full code in the event that she was to stop breathing. I spoke with the husband privately sometime after the explosion between him and the doctor. I calmly explained that what happened to D.P from resuscitation efforts last time with the broken ribs and her confusion that stuck around after the fact could happen again if CPR is performed yet again. This did not sit well with her husband and that is when it finally clicked that it will happen again and it is time to switch her IPOST to a DNR status.  I do not feel like I coaxed him but informed/educated him on what to expect as it had already happened once. For a woman that refuses dialysis two times per week and sleeps the rest of the week away it did not make much sense to keep her as a full code and put her through all of that again. I was glad her husband agreed as it was not a great moment in time for staff performing CPR on a 400 plus pound unresponsive woman either. I am glad we were all on the same page as the social worker, doctor, and administrator had spoken to the husband about her code status and had had no luck.   Next, we are to explain the value of the patient decision aid selected and how it might contribute to effective decision making. I think part of it was that her husband knew me from being employed there for four years and that I am knowledgeable. The others may not have approached him the right way about this topic. Had I known that this decision-making tree website existed then I would not have sent him that way. Some people are internet savvy while others are not. This particular gentleman had old-school ways about himself and a good old-fashioned conversation and a handshake is how he did his business.   Lastly, we are to describe how we might use this decision aid inventory in our professional practice or personal life. If a patient was undecided or even on the fence about a life changing procedure, I would refer them to this website to help decide. As mentioned above, not all patients or family members are going to be on board with finding out information on delicate subjects online. That is going to have to be a case by case judgement call.                                                         References  Kuniss, N., Freyer, M., Müller, N., Kielstein, V., & Müller, U. A. (2019).       Expectations and fear of diabetes-related long-term complications in people       with type 2 diabetes at primary care level. Acta Diabetologica, 56(1), 33–38.  Park, M., Yeom, H.-A., & Yong, S. J. (2019). Hospice care education needs of       nursing home staff in South Korea: a cross-sectional study. BMC Palliative       Care. 18(1), 20.      0405-x  Telfer, C. (2018). Patient perspectives: Exploring patient values and preferences.   Canadian Family Physician Medecin de Famille Canadien, 64(1), 10–11.

Adme Essays

Calculate The Price Of Your Paper

{{total || ""}}

Why Choose Us

Top Quality and Well-Researched Papers

An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.

Professional and Experienced Academic Writers

We firmly believe that all of our clients deserve to excel in both their academic careers and, in the future, their professional life, and we are glad to assist them in achieving that goal. We have curated a team of subject-oriented academic writers who have been carefully selected to ensure that we deliver the best quality papers you can expect from a professional writer. Writing essays, completing extensive research, and performing complex calculations are all areas of expertise for every one of our specialists. They have a lot of experience in their industries. They are capable of completing any writing assignment within the allotted time limit. They enjoy what they do and are always striving to better their knowledge and abilities in research and writing. Contact us to hire our academic help services at the drop of a hat.

Free Unlimited Revisions

Our primary goal is to ensure our customers are delighted; therefore, we endeavor to offer an excellent service. Essaywriter4me's revision policy allows customers to receive free changes within ten days of the due date. You can request a free revision of your order if you believe we made a mistake. Log in to your personal account.

Prompt Delivery and 100% Money-Back-Guarantee

Are you having trouble completing your MBA project case studies and assignments? Due to a lack of time, are you unable to research? In need of a company that provides high-quality custom writing services at reasonable prices? Contact Essaywriter4me and get Take the help of a professional assignment help writer. The length, difficulty, and deadline all factor into how much time it takes to prepare and polish an essay. Completing technical assignments sometimes takes longer than expected. On the other hand, our writers and supervisors will do everything in their power to meet your deadlines. We can produce a finished article within four hours without sacrificing quality.

Original & Confidential

We check online first. Second, we examine our database of completed orders to ensure that you always receive original content. Every assignment is written from scratch by Essaywriter4me writers and double-checked with our plagiarism detection software. We never send pre-written essays or papers that include copied content. This originality report is available upon request, providing you full trust in the quality of our writing. We guarantee that all information provided or shared with us will remain confidential since we never share it with a third party. You are not concerned about what will happen to the data. PayPal and the bank protect your funds, so there is no risk of fraud or deception. Students love us due to our stringent confidentiality policies. Whatever occurs here is strictly confidential between you and us.

Customer Support 24/7

We have a team of dedicated customer care representatives eager to help you with the best-suited assignment help services, each of which is tailored to each client's unique needs. You can contact them via email, phone, or live chat if you need help with a particular subject. At Essaywriter4me, you'll have access to an expert 24 hours a day, seven days a week! Our expert writers are also available around the clock, no matter the time of the day or night. Choose between scheduling a tutoring session or getting immediate help when you need it most. We always have experts available to work around your schedule, no matter what time of day!

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.


Essay Writing Services

Hire an assignment writing expert to get a well-written project before the deadline. Request "write my essay" today. Our academic writers have worked in this field for years; they are familiar with the most common formatting standards. These include but are not limited to MLA, APA, Harvard, and Chicago/Turabian formats.

Our writers are chosen from a pool of qualified candidates, with just the top two percent gaining employment with our paper writing service. This implies that every writer you hire will be eager to discuss your needs and construct a flawless paper that leaves you entirely satisfied. Start by placing an order, or contact customer service for additional information about our experts.


Admission and Business Papers

Applying to college or university requires much effort and accountability. Every applicant should persuade the admissions committee with their reasons for pursuing a degree in a particular program. Please familiarize yourself with why an application essay writing service is an excellent choice for you.

Our admission essay writing service will help you effectively present yourself. It is hard to find legit online expert college application essay writers. At our service, we offer high-quality cooperation based on extensive experience and a strict confidentiality policy. The price per page varies depending on the writer's experience and the urgency of the job. Therefore, you can request, "Please write my application essay," and find the best available writer.


Editing and Proofreading

We are an award-winning group of talented editors and reviewers serving over 10 thousand clients in 100 countries. Exclusively for professors, lecturers, post-doctoral researchers, research students, and commercial clients, Essaywriter4me offers professional academic proofreading and English language editing services. Our objective is to address the increasing demand for English-language services among academics and business people worldwide.

We specialize in academic proofreading and English language editing for authors of dissertations, Doctoral dissertations, journal articles, books, journal articles, essays, and other professional documents, such as research projects, in the Social Sciences, the Sciences, and the Humanities.


Revision Support

If you believe your paper needs some modification, you can request a review. Our specialist writers are familiar with all academic formats, including MLA, APA, CSE, and Chicago. We collaborate to improve your writing. If you didn't start your paper the night before, you've come to the proper place. Our academic revision service is available 24/7. Simply place your order now.