Ethical Dilemmas In Comfort Care

1573 Words7 Pages
Potential Ethical Dilemma:
Health-care practice often encountered by an ethical dilemma of who is responsible for making the end-of-life decisions for the patient. Jamilah's case study presented many ethical conflicts; however, three major ethical dilemmas to consider: The lack of an advance directives, communication barriers, and the decision to provide comfort care based on the request of one son. Advance directives are critical documents to secure while a person is healthy so that their wishes are known to everyone. Bashir has no legal grounds to make medical decisions for his mother. He is a contact person listed by the Extended Care Facility. Bashir has appointed himself as the decisions maker for the entire family. Bashir refused all
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The hospital has a moral duty to give care to each patient unless the patient has an advance directive stating otherwise. The care team decisions to place Jamilah on palliative care and not performed invasive sugary is unethical. Jamilah openly said that she wants to live which is an indication that she needs care. When addressing the concerns regarding patients cognition, the physician should request a psychological evaluation to determine the level of perception for the patient; therefore, determining her ability to express her desires. If the care team has decided that Jamilah is mentally stable, her decision should overrule that of her sons. The social worker, ER physician and medical interpreter should form a patient-centered team to educate the patient and…show more content…
A medical interpreter would expedite critical decision making by gathering and exchanging information which could save lives. Procedure to determine competencies of patients. The health care facility implements an education program to inform the patient about advance directives, and possibly have then created one. Granting family members authority to make a medical decision for incapacitated family members. The health care facility will develop a standard operating procedure giving family members power as a lost resort. The patient is entirely incapacitated; the Hospital has exhausted all options, and death is imminent. All immediate living family such as children and spouse agree to sign a weaver. Justification of Policy
The hospital and care team need to be ready to handle any situation; as such, the above policies must establish in the hospital emergency manuals and each personnel must be trained. The plan to use a medical interpreter serves the purposes of efficiency and comfort. The hospital stands to save time and valuable resources while the patient feels a sense of satisfaction as the medical interpreter share information using language and terms the patient can understand. The policy to provide patient education also helps relieve patient anxiety while helping the patient to make an informed decision. The plan to grant family authority as the decision maker is
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