If a patient is deteriorating but can communicate and their advance directive was not completed, what should the nurse do?

In situations where a patient is deteriorating but can still communicate, and there is no advance directive in place, the best course of action involves offering assistance to the patient in completing an advance directive. This is a crucial step because advance directives serve as a means for patients to express their preferences regarding medical treatment and interventions in advance, especially when they may become unable to do so in the future.

By offering to assist the patient, the nurse empowers them to articulate their wishes regarding their care. This is particularly important in acute situations, as it ensures that medical decisions reflect the patient's values and desires. Providing this opportunity also respects the patient's autonomy and right to make informed choices about their own health care.

In contrast, simply giving the patient's husband time to think does not actively address the immediate need for directives regarding the patient's care. Offering a written copy of a standard directive could be beneficial, but it may not ensure that it is tailored to the specific wishes of the patient, who is still able to communicate their preferences. Consulting with the healthcare team about the patient's wishes might be necessary but does not directly involve the patient in the decision-making process, which is essential when they are capable of expressing their desires.