What Is Artificial Hydration?

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Artificial nutrition and hydration is a medium that allows a person to receive nutrition (food) and hydration (fluids) when they are no longer able to take them by mouth. This type of nutritional support reduces physical deterioration, and improves quality of life. Artificial nutrition and hydration can be administered via intravenous (IV) administration or by putting a tube in the stomach. Ms. Long is severely malnourished and weak as evidenced by her appearance and her right arm lying limping on the bed. She also has limited swallowing ability and large necrotic pressure sore on her sacrum. Based on her condition, a percutaneous endoscopic gastrostomy (PEG) tube was administered to provide her the necessary food, fluid and medication in other …show more content…

Do not attempt resuscitate (DNAR) or Allow Natural Death (AND) is a legal document issued and signed by the doctor with the approval of the patient or the surrogate to the medical team (Public Guardian) to not attempt CPR if the patient’s heart stops beating. According to American Nurses Association, “Clinical nurses ensure that DNR orders are clearly documented, reviewed, and updated periodically to reflect changes in the patient's condition” (Joint Commission, 2012). Since Ms. Long is unable to make decisions, and the public guardian has not made any decision on her behalf, the nurse will initiates cardiopulmonary resuscitation (CPR) when the client has no pulse or respirations. In the situation where the patient’s wishes and that of the public guardian is unknown, the patient’s interest is utmost important to keep her alive The DNAR is only feasible when the health care provider has discussed with the public guardian and the provider writes a “do not attempt resuscitate” (DNAR) prescription in the client’s medical record. In addition, Nursing Scope and Standards of Practice (2010) supports nursing care that protects patient autonomy, dignity, and rights, as well as nursing care that contributes to the resolution of ethical issues. Nurses have an ethical obligation to support patients in their choices, and, when

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