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).
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