NUR 391 Questions for Critical Thinking Caps Worksheet NUR 391 Questions for Critical Thinking Caps Worksheet NUR 391 Questions for Critical

NUR 391 Questions for Critical Thinking Caps Worksheet NUR 391 Questions for Critical Thinking Caps Worksheet NUR 391 Questions for Critical

Questions for Critical Thinking Caps Worksheet

Read the description of the six caps & the “Case Study for Six Caps” on p. 175 of Professional Nursing. Answer the following questions individually. Then, discuss your answers in your Learning Team forum online.

After you have discussed each question & achieved a consensus, compile a group response, which will be submitted as a Learning Team assignment.

White cap: What pieces of information are needed to assist the family in making a decision regarding Marianne’s care?

For the family to make a decision regarding Marianne’s care, they need “knowledge about the probability & nature of consequences attending various courses of action,” & expertise & special knowledge from the nurse (Blais& Hayes, 2011, p. 62). Components in the decision-making process are facts about the situation, ethical theories & principles, nursing code of ethics, client’s rights, patient & family personal values. Aspects that may compromise one’s ability to make an informed decision about their loved one’s care such as “cultural values, societal expectations, degree of commitment, lack of time or experience, ignorance or fear of the law, & conflicting loyalties” are needed in the decision process as well (Blais& Hayes, 2011, p. 61). It is important for the medical providers to make the family completely aware of their options, benefits, & possible difficulties Marianne may face before & after surgery. It is also important for the family to know what can be expected if they decide not to do surgery. The family if they will they continue ventilation, or discontinue it & provide comfort measures only. Marianne’s family needs to decide whether to order a DNR or keep her as a full code. It is important for the physician to clearly explain in detail the option of making Marianne a DNR. The family needs to know the laws that govern their decision & their rights. It would be helpful for them to have an idea of the cost involved with the options, & the kinds of support that will be available to them regarding each decision (Blais& Hayes, 2011). However, “In the absence of an advanced directive or documentation of goals of care, the surrogate, in collaboration with the medical team determines a plan of care, including decisions about end of life care” (McGowan, 2011, p. 64). The conversation of Marianne’s wishes must be discussed, what would Marianne want? What were the conversations the family had with Marianne about health prior to falling ill? Red cap: How might family members’ values & morals affect their decision-making process when faced

with potential end-of-life decisions for a loved one?