PALLIATIVE CANCER ETHICS AND CHALLENGES Provided this backdrop of palliative care in India, it is important to address the difficulty of imitating Western models of palliative care. In general, palliative cancer care has become a requisite for physicians while formulating a tailored plan of patient care. These developments prompt a review of some of the central ethical issues particular to palliative care. These issues such as relief of pain and suffering, autonomy and consent, and multi-specialist care, are important points of consideration for all physicians caring for patients regardless of the cause of their suffering and whether or not these physicians are specialists in palliative medicine or not. At the same time, the Indian palliative care environment presents numerous challenges to these Western ethical principles of palliative care.
An option for healthcare in today’s era of medical knowledge and highly increase use of technology has provided some possibilities concerning the medication of patients. Providing care especially palliative care is very challenging in a demanding complex environment of medical and thus requires specialised training and knowledge (Malloy et al 2007). In a study conducted by Duldt-Battey (2003), humanising the communication theory for nursing, the study provides a strategic foundation to assure the fact that communication occurs between nurses and other physicians connected with the healthcare. These typical goals are also outlined in a conductive study of Solomon (2002) that relates to palliative care. The objective of end-of-life (EOL) communication
Situational AnalysisThe context of the steroid pulse therapy document is mainly focused on medical research. Primarily, it is written in relation to this type of therapy for patients who receive this treatment and the ones who administer the therapy. The request for the research proposal is addressed several times throughout the document. For example, in the background of this document, the author acknowledges that “Nursing instructions are important for improving patient knowledge related to their diseases and treatments.” The document was clearly written while the therapy treatment was being conducted on separate occasions. This is evident by a few
Background The ability to recognize, understand and treat symptoms related to illnesses, along with crafting the right questions in order to promote optimal care is considered a fine art in the field of healthcare. However, sensitive and time-critical conditions can pose questions that could challenge the status quo in relation to healthcare policy and decision making. Challenging circumstances often call for drastic measures that make difficult to decide right vs wrong. An ethical dilemma defines this decision-making process. Healthcare providers, such as nurses, confront this type of situations often in an array of clinical settings.
According to Lampe (2013) a clinical nurse specialist (CNS) is a graduate prepared advanced practice nurse that provides expert clinical care in a specialty population and practice in a variety of settings. Generally speaking their practice is specialized in a clinical area that can be identified in terms of: population, setting, disease or medical subspecialty, type of care, or type of problem. The main difference between a CNS and NP is that the CNS practices in a specialty population, and the NP can treat a larger population. Rules and regulations vary for CNS depending on the state in which they choose to practice. Rights for prescribing medications to patient range from independent prescribing authority to no prescribing authority.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient. In health care settings, truth telling about terminal care is a common ethical dilemma: either by telling truth or withholding the truth is the main concern. More often, doctors and nurses work closely
So, what is the definition of health care associated infections? They are infections that patients acquire while being hospitalized to receive treatment for their conditions either medical or surgical. Many of the HCAIs are preventable. In the modern healthcare, there are many types of invasive procedures that is used to treat patients to help them recover, also some devices are used, and all can be a potential risk for transmitting an infection to the patient while receiving the treatment. Instruments used during surgery can be a source of Infection, catheters are a source of urinary tract infections, and ventilators are a source of respiratory tract infections.
Advance directives help inform health care providers with the patient’s wishes on how they would like to be treated medically. Advance directives allow a patient to be in control of their treatment plan as well as end of life choices. Therefore, when the time comes, and the patient is no longer able to make these decisions, there is a legal document that has been put in place to carry out the patient’s wishes. Advance directives are critical documents that are often ignored because of the uncomfortableness the subject of end of life care brings up. Advance directives are most common in the geriatric population since people often associate advance directives primarily with end of life decisions.
Greater understanding of health care practices and health care practitioners can bridge communication between the two worlds. Being respectful and education centered around the cultural needs is essential to patient's wellness and nursing care. Identification of patients perception of pain and illness is crucial in developing an understanding of cultural relationship between spiritual and medicinal care (Purnell, 2002). High-Risk Behaviors Although we may see some activities as high risk behaviors in the yup’ik culture maybe a daily occurence. Therefore addressing high-risk behavior in a nonjudgmental way and express the importance of abstaining from these activities during treatment if related to the possible interactions with medications for example drinking or hunting (Napoleon, 1996, pp
Week 3: Objective 3-Analyze the literature search of a selected topic (Continued). This week I focused my research on obstacles present, in our current healthcare system, which may inhibit the implementation of holistic care practices. Unfortunately, I believe in order to effectively incorporate holistic practices understanding of their importance, in caring for the whole individual, will require a new mind-set from the “top down” within medical facilities. If these practices are to flourish, and be utilized alongside traditional medical practices, education regarding their importance in gaining patient compliance and in their uses in augmenting treatment protocols must be stressed among practitioners and administrators. For this reason,
The topic I would like is advanced directives. I have worked in surgical centers and the first question asked before surgery is “do you have and advanced directive?”. I feel that every individual should have an advanced directive because it is vital to providing good healthcare. An advanced directive is a written document which state’s an individual’s wishes so that they can be carried out if they are unable to communicate with their doctor. It is very important to have one because in an emergency situation (ex.
This is a situation where an immediate care is obligatory. Doctors and nurses will work together visioning the patient wellbeing and fully recovery. Long- Term acute care- It is an illness that has been controlled and an apt nurse is needed to take care of patient’s symptoms and needs. This type of care not only requires a skilled professional, but a life support that the individual might need because of his/ her mental and/or physical impairment. For example, someone has been accepted at the hospital for being