A 79-year-old patient has been admitted to the medical/surgical unit with a diagnosis of dysphagia and malnutrition. The patient is A&O x4, though has some difficulty speaking. The provider has recommended the patient to go on PPN, have a central line placed, and then have TPN started. Previously the patient refused a PEG tube placement. The patient did not say anything while the physician was proposing the PPN/TPN option. However, once the physician had left, she became upset and was saying, â€œNo, no, no, no! I would rather die.â€ when asked if she would sign the consent for the central line placement. The patientâ€™s son talks to the nurse privately and states, â€œIâ€™m her power of attorney for things like this, I demand she have this done as soon as possible.â€
Discuss how you would handle this situation. Consider how you might utilize the interdisciplinary team to aid in helping this patient and family. Support/explain your answers.
In addition, briefly (1-2 sentences) share one important aspect concerning the power of attorney the nurse needs to be aware of.