Aggressive medical treatment at the end of life is already well documented as a major cause of moral distress among critical care nurses. Bolstering this research, Annette Browning just published the results of a new survey in the March 2013 issue of the American Journal of Critical Care.
On a 7-point Likert scale, the following all had intensity scores between 5 and 6:
- Follow family’s wishes to continue life support when not in patient’s best interest
- Follow physician’s orders for unnecessary tests
- Initiate life-saving actions when I think it prolongs death
- Prepare a terminally ill elderly patient receiving mechanical ventilation for surgery to have a mass removed
- Prepare an elderly severely demented patient who is a no code for placement of a gastrostomy tube
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