Courses of Action Based on the University of Washington Paradigms
Bashir is the sole contact person, and he wants a Do Not Resuscitate (DNR) order effected. The question is if Jamilah is competent to make decisions pertaining to her own health. If the hospital follows Bashir’s wishes, his mother might die in days. It is possible that nobody will seek legal redress thereafter. Bashir may argue that the whole idea is to avert unnecessary suffering since the benefits of attempting such a procedure are far outweighed by the kind of burdens it might bring-about. It is imperative to appreciate that attempts to resuscitate such an elderly patient could cause broken ribs or other fractures. It can rupture the spleen, or end-up causing brain damage (Holt et al., 2018).
Refusing Bashir’s Requests
Bashir ought to make the most probable decision Jamilah would if she had her way. He may as well feel compelled to settle on an outcome which would protect his family, especially since they are from a culture where the patriarch makes the decisions. Since the patient is being attended to in an American hospital, of course, American standards have to come to play. Jamilah has disclosed to the social worker that she desires to live. It is now upon the medical professionals to weigh the probability of her surviving the resuscitation attempt and act in her best interests (Miceli, 2016).
Definitely, that could irritate Bashir who might even seek redress. Cases of reversing a Do Not Resuscitate (DNR) order against the wishes of the next of kin are rare. Nonetheless, this is a case of a contact person expressing preferences different from the patient herself. The ethics committee, or even a court of law, would be approached to facilitate the resolution of the conflict.
Delaying the Decision
Indeed, delaying the decision is the most appropriate route to take. The issue could have been straight forward if Jamilah had signed a DNR order while at the nursing home, and if her sons had consented to it. Most healthcare providers would shy away from making decisions which might ultimately be considered to flagrant ignorance of the preferences of the patient. The healthcare administrator should delay the decision to allow time for exhaustive consultations, although this may not take more than a day or two since Jamilah’s condition might deteriorate and reduce the probability of recuperation.
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