Reflection on End of Life Care (Belkin 253-272)
(As I wrote already wrote a reflection on abortion, and the two assigned reading this week were also about abortion, I decided to reread the Belkin assignment due last week and write about that instead…)
With the 2016 election, healthcare issues are on the national stage, but the candidate’s talking points are mostly healthcare accessibility. With the success of medical innovations, increased longevity, and the aging baby boomer population, we are faced with the reality that changes in geriatric care will impact the health care industry for decades; this coupled with nursing shortages will pose challenges to the industry.
As stated in Belkin, nearly two thirds of lifetime healthcare costs is
I spoke with the patient 's wife via phone, The wife states that she needs additional assistance for the patient. She states that she is aware that the patient 's health is declining and that she wants him to be comfortable at home. I discussed hospice services with the patient and the wife. The wife states that she would like hospice to evaluate the patient, the patient also agree for hospice to evaluate. Case reviewed with the patient 's nurse, the charge nurse, case management and hospice.
John Hardwig is a professor at East Tennessee State University teaching philosophy and medical ethics. The thesis of his article is “I feel strongly that I may very well someday have a duty to die.” He makes the case that many older people and young people say that they do not want to be a burden to their family once their illness comes to full-time care. Then they decide to euthanize themselves. He gives many examples of how full- time care can be a positive thing.
Discussion 5- Advocacy According to recent data, the baby boom generation will have all retired by 2030, (AARP), which is only 15 years from now. The population in this generation will include 77 million more 65 and older individuals, not including the 54 million already in retirement and receiving Social Security and Medicare benefits. Please note that many seniors also receive some form of federal benefits such as military pensions, survivor’s benefits, annuities, investments income or an awarded settlement (Quad Agno, 14). Unfortunately, in our society driven many times by greed, this has placed our seniors in vulnerable positions, particularly when health and cognitive functions have declined; a slight disadvantage of becoming older (Quadagno,
Once an individual reaches late adulthood, many physical, cognitive, and health changes occur. There is an increased vulnerability to disease and illness. This is something any person must be aware of when entering late adulthood. You are reaching the end of your life and you have to accept the possibility of developing health problems or illnesses that may be incurable. One of the most controversial issues in society today is the topic of physician-assisted suicide.
In Not Just a Death, a System Failure, author Barbara Morgan criticized the US health care system’s lack of palliative care, painful treatments, and unwillingness to face the end-of-life decision, which leads to many patients suffering the last part of their lives in discomfort. The author centers her argument on the anecdote about the dying of her late mother, who spent several months in the discomfort of intensive care until the time of her death. Moran’s point is one part valid since the treatments for serious diseases are dangerous, painful, and many times only focus on prolonging life rather than improving life. However, she neglected the fact that these treatments are optional, and patients are always open to spending the last part of their life away from the hospital. Treatments for serious diseases are known to have many side effects that deteriorate patents’ health.
End of life care is not only about finances and advanced care directives, but also where one wants to live and important decisions about their care. As social workers
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
Do you feel that taking care of terminally ill or elderly patients has become a major ethical dilemma? Yes, totally it has become an ethical dilemma for both physicians and patient’s families. To begin, end-of-life care can be incredibly expensive and emotionally draining to both the patient and his/her family. Many families take on the “do everything mentality” says, Anthony to prolong the patient’s suffering instead of his or her meaningful life span.
Learning about culturally and religiously sensitive communication and education is a necessary tool to deliver effective cancer care in today 's increasingly multiethnic and multicultural societies. My research is related to Jewish culture and beliefs. It is interesting to learn how different end of life care decision is in other parts of world as compared to North America. Autonomy and informed consent is of paramount importance in patient management in North America. Not even paternalistic approach but decision making mainly lie in the hands of patientâs family in Jewish culture.
The Medicare Hospice Benefit policy is a federal policy that provides coverage for hospice care services for individuals with a life expectancy of six months or less if the illness runs its normal course (Park, 2019). In the situation involving Barbara Smith, a 69-year-old woman with coronary artery disease (CAD), the policy was initially applicable as her prognosis met the eligibility criteria. However, her condition improved beyond the six-month life expectancy, leading to a desire to revoke hospice care and pursue curative treatment. This essay aims to provide an overview of the Medicare Hospice Benefit policy, analyze it using the Multiple Streams Framework (MSF), offer recommendations for policy review and revision, discuss social justice
The last three clinical weeks at the Long Term Care Facility have provided me with real life situations to enforce the SILC clinical skills and improve my therapeutic communication. This experience has helped shaped me as a professional by allowing me to develop essential skills that contribute to the holistic care of nursing. A significant improvement that I developed following this experience included my assessment skills during every resident interaction. During these resident encounters, I began to address the resident’s overall well-being and comfort rather than just the current problem. I started incorporating questions about pain, how the resident slept at night, their current mood, and many other questions addressing the resident’s status as a whole.
(1993) Terminally ill patients that want help with passing on are aware of the financial bills that have piled up and want that to stop. If they the option of being assisted, they can ease their families’ financial loads as well as their endless
Nobody needs to envision, substantially less talk about, a period when nursing homes or, God deny, end-of-life choices are essential. It can be cumbersome and hard to raise and furthermore feel dreary or discouraging, or as though you 're surging your parent to a
Abortion is a contraversal subject that is brought up in many conversations today, frorn lay person to presidental canadites. This topic has many view points considering whether or not the fetus is human, and if so whether or not it has a right to life. Though a heavily debated issue. many would rather sweep this subject under the rug. Abortion itself is nothing to be ignored though.
Erica Routt Professor Shay English 101500 2/15/2017 Palliative Care: To Die Or Not To Die (With Dignity) "Kill me! Kill me! Please!" are the words my friend would hear his father scream several times a day. He was in his mid eighties and had advanced stage leukemia and was suffering from unbelievable pain.