As nurses we have the responsibility to give unbiased education on all of the options available for end of life care (Meier, et al., 1998). Before attending nursing school, I had never thought much about the idea of physician assisted suicide. It was brought up once in one of our Topics of Nursing classes. Our teacher asked us to raise our hands if we agreed with physician assisted suicide in a terminally ill patient.
From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming. Watson’s theory of human caring outlines the science behind caring as a driving force and framework for practice in nursing. It explores the concept that “humanities address themselves to deeper values of the quality of living and dying, which involve philosophical, ethical, psychosocial and moral issues” (Watson, 2005, p. 2). Within her original text, Watson outlined 10 “carative factors” which help integrate the science of healthcare field with the more holistic nuances of nursing and the phenomena that is the human
When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives.The end of life care is to relieve the weight of the patient 's shoulders physically and mentally.I approve of end of life caring.Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person.The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.Health Care givers should be aware of the issues on what to say and how to act,give emotional support,and when to use hospice care.
An example in own job role is; having a good working relationship with a secure unit community mental health team which send in referrals for those needing support in the community, who have been sectioned under the mental health act; understanding their efforts to ensure these individuals receive the support they need and having the resources to accommodate these individuals, attending the necessary reviews and discharge meetings means that the individual can integrate into the community with the support of those who previously provided the support and those who are taking over the support package, everyone remains on the same page in relation to the goals and objectives of the individual, involving them in each step of the transfer to promote a person centred approach; taking on board their thoughts, opinions and feelings. Supporting effective communication also means highlighting areas within the organisation whereby admin and support staff have to write reports, send emails and record information whereby training is provided to support colleagues to understand the database and converse in a professional manner; for example when I am supporting a colleague to write an incident report I explain how and why it should be written in a factual way and not include personal opinion, as it can be a form of evidence if
An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.
Now I am old enough to know that death is not the end, but it is the beginning of a new life. We have to submit our lives to God and ask him for the strength to move forward. Worldview about life after death will largely determine how the patient and families welcome death. Now, as a Christian nurse, I can see death in the light of the resurrection of Jesus Christ (GCU, 2015). If I can help the family members to go through this traumatic experience and the grieving process, my Christian calling as nurse will be
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.
SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.
The quality of death is an issue that is increasingly being discussed in both academia and public debates (Hendry et al, 2012, p23). In the notion of quality of death, autonomy is seen as very important, as part of a good quality of death is ensuring individual wishes are honoured at the end of their life (Hendry et al, 2012, p23). Quality of death is “the right to choose and desire for autonomy with regard to the manner of death” (Hendry et al, 2012, p19-20). In the systematic review of international literature which looks at people’s attitudes towards assisted dying, a number of surveys were examined and compared (Hendry et al, 2012), and within these surveys four common themes were identified. These included concerns about poor quality of life and desire for a good quality of death (Hendry et al, 2012, p17).
A previous study was conducted by William (2000) concerning patients’ attitudes and views regarding the legality of assisted dying. The results indicated that 73% of the participants sought to legalise assisted dying citing that as adults of a stable mental capacity, they had the right to make that choice if the symptoms and pain became intolerable (Wilson, 2000). It is also argued that
Death is unnerving. However, to those fighting unwinnable battles death may seem to be the only way to escape the pain. For the patients in agonizing situations, nurses are there to provide comfort and care. The patient and nurse form a unique relationship and, therefore, the nurse is typically the first person a patient deliberates the topic of assisted suicide with (Maher, 2007). This issue has been strongly deliberated since 1997 when Oregon passed a law termed the Death With Dignity Act.
Death, facing it can paralyze people with so much fear, anxiety, and/or regret that they lose sight of the life still left ahead of them. Death is something that everyone has to face, and sometimes we forget to look at the needs of others, or even our own needs, when death is near. Introduction to Health Communication showed me the amazing work that San Diego Hospice does for people, and has given me a new path to follow in life so I can one day work in a hospice to bring peace to those that may feel that they are at their lowest. Working at a hospice will have its own challenges that I am willing to face because compassion and caring is what we need more of in the world today. I will first explain how uncertainty affects patients at a hospice, then I will examine the problems the caregivers and the patients
My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.