Nevertheless, only certain medical specialties including oncology, geriatrics, and intensive care tend to provide these stronger preparation programs regarding the end of life care. Adequate preparation for the care for a dying patient is necessary and also, recognition of death as part of the lifecycle. Although the clinicians maintain the positive attitude about caring for the ill and the dying patients, they lack the adequate education and knowledge to effectively deliver the care Thomas, Lobo, & Detering, (2017). Communications and intervention skills at the end of life care can be emphasized through improved training, discussing emotions, showing empathy in the simulated interactions with the patient and using the feedback of recorded patient interaction. Anstey et al.
Depending on the ANA Code of Ethics, nurses are often a lot of ethical dilemmas these days, informed consent of the patient for the right to refuse treatment, length of life versus quality of life, euthanasia passive versus active euthanasia, for use of adult stem cells compared to the use of embryonic stem cells and maintaining the treatment process versus withdrawing treatment. Patients, family members, and the successful resolution of internal multi-disciplinary skills of nurses and health care professionals to collaborate in this dilemma can affect the quality of care. Medical ethics, for example, the idea for the (moral) was the main characteristic of the good treatment results. More specifically, the moral principle of respect for autonomy
Others find their physical and mental powers failing and hate the thought of being dependent on others for basic activities” (Kleiman). To elaborate, Kleiman believes that terminally ill patients should be allowed the choice to die with dignity. Many terminally ill patients find it embarrassing to imagine that in a few months they will not be cable to bathe themselves, use the washroom alone, or even feed themselves. If a patient knows in advance that their physical and mental abilities
Sometimes, using restrains has so many advantages and disadvantages that put the health care providers to decide what is right and what is wrong. In respect to the restrains dilemma, using restrains can be effective in controlling the patient’s behavior and violent. According to the ethical theories, using restrains is acceptable
Gemma did not respect Jason’s privacy; ethically she made the wrong judgement in writing the public post about the patient. This is not adhering to privacy guidelines as no permission was given to Gemma to share his information publicly. The ‘ways of knowing’; empirics, aesthetics, personal knowing and ethics, allows one to thoroughly understand the way an individual may think and feel, incorporating it into nursing care. Within the case study, Gemma should have used her ‘knowings’ to display a clearer understanding of the science and art of nursing, demonstrate empathy and compassion towards the patient and to identify the right from wrong.
Opponents also claim "Alternative treatments are available, such as palliative care and hospices. We do not have to kill the patient to kill the symptoms, nearly all pain can be relieved". They can take palliative but until when? All those patients are just experiencing pain and stress, once cancer gets in a person. Opponents finally claim, "We could never truly control euthanasia.
With the legalization of euthanasia, people with disabilities and other vulnerable people such as the elderly would feel encouraged to seek euthanasia as a means to end their medical problems. Although many people are against the legalization of euthanasia, other people believe that the decision to end one’s life is a personal decision and it follows the principle of autonomy. In the medical world, many people believe that it is unethical to violate a patient’s autonomy even if it means that they want to commit suicide. People feel that if a patient is suffering, especially due to a terminal illness, the patient should be able to avoid further suffering by committing suicide earlier on. Many people also believe that physicians assisting someone to commit suicide is the most humane way to pass away compared to other methods in which one commits suicide.
Doctors need to listen to patient when they are telling what they feel are wrong with their health and bodies because the patient knows their body best. Many doctors think that patients do not have any knowledge about medicine and just ignore the important information from the patient and this is a really wrong thing to do because this can cause false diagnosis and medical errors. Simple thing such as when a patient enter the room, doctor should greet the patient with a welcoming tone then introduce himself/herself also make sure that him/her is pronouncing the patient’s name correctly should be done to show a basic respect. A doctor should treat every patient individually and also give every patient an undivided attention while listening to his or her problems to make the patients feel that the doctor really cares. A good doctor should be able to make the patient feel relaxed by treating them with patient and pay attention on small details such as avoid sitting too close or too far away from the patient.
Identify any relevant professional law or guidelines When there are ethical dilemmas can be resorted to: The GMC , The BMA 5. The subject of the dilemma of critical analysis.
Even in the case of a colleague, it is said that staying silent ‘’protects” our colleagues should not be encouraged, as silence only maintains the disease. 7.4 Current research: Recently, it is said that ethics are a personal matter as everyone has an individual concept of what is good and what is evil. The nurses, in performing their various roles irrespective of their area of practice, encounter ethical dilemmas, and make some ethical decisions that has impacts on both nurses and their patients. 8. Personal Moral Beliefs and Values: This is taken from module 8.2 of BMN03 of the Ethical Issues in Nursing Practice.
According to the National Cancer Institute, about 40% of people will be diagnosed with cancer at some point in their life, and there were approximately 13,776,251 people living with cancer in 2012. Cancer is a common disease with many types and forms. The book The Immortal Life of Henrietta Lacks by Rebecca Skloot shows the story of a woman with cervical cancer, and how her illness affected herself and her family. Although cancer affects a patient physically, it also has effects on the patient mentally and financially, as well as it challenges patients to change their lifestyles for the better.
Atul Gawande in his article “Whose body is it, anyway?” introduced couple of cases, which discussed a controversial topic, doctors dealing with patients and making important medical decisions. These are difficult decisions in which people might have life or death choices. Who should make the important decisions, patients or doctors? Patients don’t usually know what is better for their health and while making their decisions, they might ignore or don’t know the possible side effects and consequences of these decisions.
Concerning the cases with Wagner and Bauer, insurance companies will stray away from doing any acts that seem unethical when pertaining to “life or death” medication due to the backlash that Bauer’s and Wagner’s insurance company after their case went public. Additionally, no insurance company wants to be painted badly in the news; they are selling you protection from whatever may occur in the future. They cannot sell themselves as a credible company if they subtly urge you to choose the cheapest route, which can also mean the deadly route. Besides insurance companies being one of the main issues concerning physician-assisted suicide, the hospital itself can prove to be an issue. Since so many deaths occur due to medical errors, one has to wonder how many terminally-ill patients were misdiagnosed.
Assisted suicide is an ethical issue which is reliant on a person’s values, morals, religion, and experiences. Debated this topic can bring out strong emotions and opinions pulling away from the focus of this paper which was simply to describe view points from both sides of the spectrum. There are many nursing implications that are associated with assisted suicide. Among these is the importance for nurses to be aware of their own beliefs about end-of-life care. Self- awareness will prepare nurses for challenges they will face when dealing with death.
Patients in ICU usually suffer from serious diseases and has difficult of communication, so their families take the decision behalf them about end of life. The communication between professional health care giver and family is the main key for discuss end of life decision in ICU. The purpose of this integrative review is to identify best communication strategies that professional health care giver can use for discuss end of life decision with families in ICU. This review analyzed 18 primary research studies, which obtained from electronic databases and included adult patients in an ICU setting. The findings there are many strategies with deal with families of this review support the communication strategies; different strategies were effective