Regardless of one’s healthcare condition, contemplating end-of-life care is never an easy thought process for the patient or loved ones.
For nurses who are tasked with helping to guide decisions related to the initiation of palliative care and advanced directives, no two scenarios are the same and ethical dilemmas can often arise. ADVANCE recently spoke with three nurses who shared their most frequent types of ethical decisions that they’re confronted with and how they have attempted to navigate specific encounters.
Though they spend their time in two distinctly different settings, Michelle Moccia, DNP, ANP-BC, CCRN, GS-C, a senior program director in the emergency department (ED) at St. Mary Mercy Livonia (MI) Hospital, and Deborah Dunn, EdD, MSN, GNP-BC, ACNS-BC, GS-BC, a part-time private practice gerontological nurse practitioner who works in the Greater Detroit region (and is a dean/professor/and former nurse practitioner program director at Madonna University College of Nursing and Health in Livonia), say the lack of advanced directives is the most common risk to facing an ethical crossroads during the delivery of care...
From the Gerontological Advanced Practice Nurses Association (GAPNA) 2018-2019 Board of Directors:
- Deborah Dunn, EdD, MSN, GNP-BC, ACNS-BC, GS-BC, president elect
- Michelle Moccia, DNP, ANP-BC, CCRN, GS-C, past president