This scenario raises several issues for the administrator of the nursing home. The conflict among the different families regarding DNR orders for the resident with memory impairment is one issue. A second issue concerns the possibility of a Department of Health and Human Services survey (HHS), for noncompliance. This is threatened by the family member visiting HHS.
Healthcare administrators must assess and gather as much information as possible to manage this situation ethically. They should consult with the resident’s legal representative, including the Power of Attorney and legal guardian, to determine the validity of the DNR orders. They should also consult with the nursing home’s legal team to ensure that the facility is following all state and federal laws regarding DNR orders.
It is important that the healthcare administrator establishes clear communication lines with visiting family members. They should listen to their concerns and provide clear explanations of the resident’s DNR orders. They should also provide information on the facility’s policies and procedures for handling DNR orders, as well as the legal framework that governs them.
Healthcare administrators should ensure that the residents’ best interests are always considered when handling the situation. The facility should strive to respect the autonomy of the resident, while also ensuring that the resident’s safety and comfort are always maintained.
Concerning the possible survey by the Department of Health and Human Services the healthcare administrator must take these threats very seriously, but also make sure that all regulations are adhered to in order minimize potential negative impacts.
- American Health Care Association. (2021). Do Not Resuscitate (DNR) Orders. Retrieved from https://www.ahcancal.org/resources/downloads/polic