The purpose of this case study and elevator pitch presentation for parents and young adults to discuss advance care directives and proxy or power of attorney selection is to provide students an opportunity to meet specific competencies and sub-competencies aligned with the AACN’s Essentials: Core Competencies for Professional Nursing Education (2021). Students will apply specifically Domain 1, knowledge for nursing practice and Domain 2, person-centered care and the concepts of clinical judgment, communication, compassionate care, ethics, EBP, health policy and Social Determinants of Health using The Essentials (2021)Links to an external site. to this case study and how best to teach parents and young adults how to have difficult conversations.
- Domain 1: Knowledge for Nursing Practice Descriptor: Integration, translation, and application of established and evolving disciplinary nursing knowledge and ways of knowing, as well as knowledge from other disciplines, including a foundation in liberal arts and natural and social sciences. This distinguishes the practice of professional nursing and forms the basis for clinical judgment and innovation in nursing practice.
- Domain 2: Person-Centered Care Descriptor: Person-centered care focuses on the individual within multiple complicated contexts, including family and/or important others. Person-centered care is holistic, individualized, just, respectful, compassionate, coordinated, evidence-based, and developmentally appropriate. Person-centered care builds on a scientific body of knowledge that guides nursing practice regardless of specialty or functional area.
Overview
Healthcare Proxy (Advance Directive) Case Study
A 22-year old college student Tom is involved in a tragic car accident, and he is now in a coma with a large brain herniation. Tom’s roommate calls Tom’s parents to let them know what happened. Tom’s accident happened on the East coast and his parents flew from the Midwest to be with him. When they arrived, they were asked if Tom had documentation of a healthcare proxy. Tom’s parents have not discussed this with Tom formally. Tom and his parents have had informal conversations about what they would do for each in this circumstance but never created legal healthcare proxy (advance directive) documentation. Tom’s parents are informed that they cannot make any decisions for Tom at this point because he is a legal adult. Tom’s current physician talked to the organization’s ethical committee and said that he believes Tom has a chance of recovery. However, Tom’s parents are extremely concerned and want a second opinion. They do not want their son to live in a braindead state knowing Tom’s wishes. Tom’s parents believe that Tom would want to be freed from a life of unconsciousness or awakening with very serious deficits.
After several months, Tom’s parents were eventually able to get a court order to move Tom back to the Midwest to seek the opinion of a specialist in the area of brain recovery. The specialist was able to document that Tom did not have a chance of recovering. The court ruled in favor of Tom’s parents to remove Tom from life support.
Tom’s parents wanted to find ways to ensure that people know about the importance of a healthcare proxy as a legacy for Tom’s life.
Action Items
- Please review the case study in the Overview and the Five Wishes Advance PlanningLinks to an external site. site prior to designing an elevator pitch presentation in the form of a PowerPoint slide(s) with voiceover (using PP audio) that discusses the need for parents and adult children to have relevant conversations about completing advance care directives and assigning a healthcare proxy that would have protected a patient like Tom and his parents.
- Think about your target audience and who you want to reach with this information.
- Include an engaging art design or graphic art that pulls your audience in.
- You could simply provide bullet points on the necessity of having advance care directives and proxy (POA) selection with links to helpful resources such as Five Wishes.
- Please cite any references used with 7th edition APA formatting.
- Write one paragraph on an additional PowerPoint slide that includes the domain, concept, advanced competencies, and two sub-competencies that were met through writing an elevator pitch on the need for advance care directives and healthcare proxy (POA) even as a young adult. Sphere of care would be considered palliative/hospice care (AACN, 2021).
- By the due date indicated, upload your work.