Experience assisting an AIDS-infected homosexual patient and his same-sex partner make a do-not-resuscitate decision

Shu Jang Wang, Pei Yu Lai, Siao Ying Liou, Wen-Chien Ko, Nai-Ying Ko

Research output: Contribution to journalArticle

Abstract

Family members play an important role in the process of writing advance directives. Homosexual men infected with HIV often wish to authorize their intimate same-sex partner or friends rather than immediate family members to make medical decisions on their behalf. Although same-sex marriage is currently illegal in Taiwan, HIV infected homosexual patients are able to write advance directives appointing their same-sex partner to be their surrogate decision maker for end-of-life medical decisions. This case report describes an experience assisting a homosexual patient with HIV to write his advance directives. The nurse assisted the patient and his partner to make a self-determined decision not to resuscitate. Family conferences held to discuss the patient's decisions regarding resuscitation helped legitimize his partner's primary role in making end-of-life healthcare decisions on his behalf. As an advocate for patient rights, nurses should understand the law as it relates to homosexuality and end-of-life decision making, inform patients on the durable power of autonomy, and help execute their advance directives.

Original languageEnglish
Pages (from-to)97-102
Number of pages6
JournalJournal of Nursing
Volume59
Issue number5
DOIs
Publication statusPublished - 2012 Oct 1

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Advance Directives
Acquired Immunodeficiency Syndrome
HIV
Nurses
Resuscitation Orders
Homosexuality
Patient Rights
Marriage
Taiwan
Decision Making
Sexual Minorities
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

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Experience assisting an AIDS-infected homosexual patient and his same-sex partner make a do-not-resuscitate decision. / Wang, Shu Jang; Lai, Pei Yu; Liou, Siao Ying; Ko, Wen-Chien; Ko, Nai-Ying.

In: Journal of Nursing, Vol. 59, No. 5, 01.10.2012, p. 97-102.

Research output: Contribution to journalArticle

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