How is the NP in the documentary a Disruptive Innovator?

Ernesto “The Invisible Patients” documentary - Ethical Dilemmas   For nursing professionals and medicine in general, the decision-making processes related to the end of life are challenging; trying these from the ethical perspective to make the best decision, considering the patient and his family's interests. After watching the documentary "The Invisible Patients," several ethical dilemmas and barriers can be identified, among which I can cite decision-making at the end of life, another may be the establishment of limits with patients, but due to the close relationship Being the NP who is devoted and dedicates his career to helping these people in need, which makes it challenging to maintain those limits, which in my opinion are exceeded in this case. Specifically in the case of the patient with Duchenne muscular dystrophy, from the age of four, the progressive deterioration of this disease is manifested in the patient, who still retains his intellectual capacity to think and reason and despite his condition Dying, he wants to continue fighting for his life, although he wishes to have a dignified death and as less painful as possible. When the episode of gastric feeding tube malfunction occurs, the dilemma arises of deciding between taking it to the hospital for it to be reviewed, despite the patient being in hospice care or leaving it at home, worsening their situation acutely impact your health. In this case, the PN consults with another colleague. Together with the patient and their family members, they decide to send him to the hospital so that he can be evaluated, a decision that is accepted by the patient and his relatives; later, when this review is concluded, they decide to return him home, where he will find a calmer environment, surrounded by his loved ones, where he will have a more dignified and deserving end of life. How is the NP in the documentary a Disruptive Innovator? With the advent of technological development and health research, the traditional health care system has changed towards a new model, where care is more accessible and individualized; according to Clay Christensen, who is a precursor of this concept, disruptive innovation, is one that creates a new model, through the application of a different value system, surpassing the previous design. The new courses delivered on an ongoing basis focused on each person's needs rather than treating other complex disorders (Sensmeier, 2012). In the nurse practitioner's case shown in the documentary, she is a disruptive innovator, developing a new model of primary care, where through visits to the homes of these people, she can provide these people with the care they need and do not need. They have another way of obtaining it because they are confined to their homes, with significant resource limitations to access the health system. On the other hand, the fact that the care is carried out at home reduces these people's costs, more than if they had to go to a hospital. Discuss if there is a relationship between your personal beliefs and values and this ethical dilemma/barrier. The decision-making process is very complex, posing significant challenges for clients and their relatives, who have the right to establish their predilections for end-of-life care (Karnik & Kanekar, 2016). In our consideration, if we were faced with a similar situation, we would choose to respect the feelings and values of the patient in the first place and those of the family in the background, before a patient capable of reasoning and to decide for himself what he wants, we would support His decision. However, we would advise we would educate him on the treatment alternatives and comfort measures to feel as comfortable and safe as possible to face this difficult situation. Describe at least one mechanism to overcome the barrier discussed. To solve this dilemma, the main thing is to establish good communication with the patient, speak to him precisely and concisely, be honest, and not give him false hope. This would facilitate the understanding of both the patient and his family of the disease process, his options, and how to face the end of life process in the most effective way, based on his own decisions. Examine the potential cost and benefits of this barrier. Carrying out these end-of-life care in the patient's home, in addition to improving the comfort of the patient, who will be surrounded by loved ones in a family environment, also enhances the monetary costs of their care, since they do not have to go to large hospitals or medical centers to receive the care they require, even more so considering the socio-economic situation suffered by this family that would make it impossible for them to pay for these expenses. Also, for the health system itself, it is advantageous to have this type of professionals who can provide care directly in the homes of these people, due to those as mentioned above and because in this way they can know the environment where these individuals develop, which can be a determining factor in the form of approaching the treatment and follow-up of these, having a greater scope and effectiveness than when treating patients in clinics or hospitals. References Karnik, S., & Kanekar, A. (2016). Ethical issues surrounding end-of-life care: a narrative review. In Healthcare, 4(2), 24. O'Connor, P. (Director). (2016). The Invisible Patient [Motion Picture]. Sensmeier, J. E. (2012). Disruptive innovation and the changing face of healthcare. Nursing management, 43(11), 13-14. less

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper TypeÂ	Discussion Post
Number of Pages	1 Page(s)/275 words
Sources	2
Format	APA
Spacing	Double Spacing

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