Please give well written and well thought answers, Thanks!

CASE STUDY- Using critical thought, research and respond
to the question below with a minimum of 3-5 sentences.

Tina loves her mother Beverly dearly, however, Beverly’s case of
Alzheimers is getting worse day by day and she is no longer able to
provide Beverly with the treatment she needs. After considering all
options available she has made the difficult decision to move her
mother to a highly recommended nursing home that specializes in
providing patients suffering from Alzheimer with the best care
possible. This facility provides both short and long term care.

When the day arrives for Beverly to be moved to the nursing
home, she is not in great condition. They proceed forward with the
move and upon arrival they ensure that Beverly is made comfortable
while Alice completes the necessary paperwork. The preparation
leading to Beverly’s move has fatigued Tina and she does not
complete all the forms but promised to complete them within the
next 2 days. Understanding the importance, Tina does ensure to give
them Beverly’s advance directive. She explain’s that if Beverly’s
heart stops beating, she did not want to have CPR, surgery,
antibiotics, etc. Alice made sure to sign the color-coded DNR order
and left the rest of the paperwork for another day when her mind
was fresh.

Early the next morning Tina is awaken in a fog by the telephone.
It is the nursing home. They explain to Tina that Beverly suffered
a “cardiac episode” and that 911 was called. Beverly was
transported to the local hospital. Tina rushes out of the house to
the hospital. When she arrives, she find that Beverly is in ICU
connected to a ventilator, a heart monitor, and has an intravenous
line. Tina is furious and searches for the hospitals’ patient
representative. Tina doesn’t understand how her mother’s wishes
were disregarded and ended up exactly in the opposite position she
wanted. “Why wasn’t the advance directive and DNR not followed?
Doesn’t my mother’s wishes mean anything,” she fumed?

1) What are your thoughts on why the advanced directive and DNR
were not respected? Who is at fault for this? Is disciplinary
action necessary?

2) How important is it to discuss and clarify with
administration and staff what DNR is to reduce conflict between
policy and practice?

3) The only true way to know what DNR means to a patient and/or
patient rep is through discussion on a case by case basis with each
patient and/or patient rep. How often do you think this occurs and
should this become common policy? What role should the ethics
committee play in such a discussion with the patient and/or patient
rep?