In a patient with severe sepsis and septic shock, the healthcare team has determined that the most appropriate course of treatment is to administer high-dose vasopressors and initiate extracorporeal membrane oxygenation (ECMO). However, the patient's family is strongly opposed to the use of ECMO and has requested that all life-sustaining treatments be stopped. As the nurse on the team, how would you approach this situation and navigate the ethical dilemma of respecting the patient's autonomy and the healthcare team's obligation to provide the best possible care?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter4: Therapeutic Communication Skills
Section: Chapter Questions
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In a patient with severe sepsis and septic shock, the healthcare team has determined that
the most appropriate course of treatment is to administer high-dose vasopressors and
initiate extracorporeal membrane oxygenation (ECMO). However, the patient's family is
strongly opposed to the use of ECMO and has requested that all life-sustaining treatments
be stopped. As the nurse on the team, how would you approach this situation and navigate
the ethical dilemma of respecting the patient's autonomy and the healthcare team's
obligation to provide the best possible care?
Transcribed Image Text:In a patient with severe sepsis and septic shock, the healthcare team has determined that the most appropriate course of treatment is to administer high-dose vasopressors and initiate extracorporeal membrane oxygenation (ECMO). However, the patient's family is strongly opposed to the use of ECMO and has requested that all life-sustaining treatments be stopped. As the nurse on the team, how would you approach this situation and navigate the ethical dilemma of respecting the patient's autonomy and the healthcare team's obligation to provide the best possible care?
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