Respecting autonomy means respecting the individuals capacity to make decisions consistent with the patient’s own personal desires or life plans. The British Medical Association (2007) states that these are decisions with which others may not agree with. If a patient is requesting or seeking support in carrying out assisted suicide it poses a challenge for the nurse to seek the underlying reasons for the request. Likewise, Carr and Mohr (2008) concurs with the British Medical Association (2007) and also expresses concern with regard to patients having powerful feelings of depression or isolation, pain or suffering or feel a sense of burden on their families. Better symptom management and palliative care, appropriate referrals to counsellors and hospices and increased knowledge about the right of a competent adult to refuse treatment even if the refusal will hasten death may provide satisfactory alternative to assisted suicide.
Both patients are choosing to die and taking deliberate measures to do so by changing the routine(s) of their treatment. If the means to die by stopping medication are permissible, the means to die by taking medication ought to be permissible. The advent of technology has made many contributions to sustain life. However, before this technology, many people would die without years of suffering. Today, people with critical illnesses are given the option to stop treatment in order to hasten death.
Dyck’s book, “Life’s Worth: The Case against Assisted Suicide,” details why PAS is unethical. One of Dyck’s first arguments comes from a story in which a patient, who initially requested PAS but later found enjoyment in other things and turned away from PAS. His argument stands in which he says that patient’s wishes can change and that when they find happiness and solace in other things they will understand that PAS is not the way to go (Dyck, 14-15). Dyck also explores the concept of how PAS is not as effective as comfort-only care. The physician has to remain willing to care for and the patient has to remain willing to be cared for and that is a respect for life.
Dying patients have the right to decide if they want to receive medical care such as whether or not to pursue treatment for a serious disease or whether they want to undergo lifesaving procedures; therefore they should be able to decide about medical assisted suicide. Another circumstance when a patient makes a decision regarding life or death for themselves is a Do Not Resuscitate order. The order is filed in order determine a care plan in case of emergency. This is a decision made by the patient for the patient, very similar to how assisted suicide works. A patient also sets up a living wills and advance directives before dying about other circumstances and how to handle them when death approaches.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it. As a group we all decided that it is best for the patient’s notes to be filed in the nurse’s station due to issues surrounding confidentiality and privacy.
Social workers take on key responsibilities that should ultimately serve their clients' best interests, however, as in any human services profession, social workers may face a number of ethical dilemmas relating to religious, personal or even cultural views. For example, there are certain religious or moral values that a social worker may hold regarding abortion. They may then be faced with ethical conflict when trying to assist a client who gets pregnant and wishes to have an abortion when they don't believe in abortion. Another example could be a service user who tells the social worker in confidence that they have stopped taking their medication in order to pursue a herbal remedy path as its more in line with their beliefs. Conflict
A nurse’s job is to make the patient feel comfortable and provide a friendly feel, which is difficult to do if hospitals and other medical facilities rely heavily on assisted suicide. According to the ANA, the procedure opposes “the ethical traditions of the profession”(Clair). The doctors are in a quite different situation. When you look in depth at the operation itself, many professionals imply that the doctor “are accessories of fact to homicide”(Clair). That means the doctor is assisting with the homicide because the patient’s death was only possible if the doctor contributed the needed drugs.
An ethicist, a person who specializes in or writes on ethics, can provide valuable discernment with respect to right and wrong motives or actions. Involving a medically trained ethicist to provide family members with some guidance on this very difficult decision can be helpful. In the article, “When living is a Fate Worse than Death”, Christine Mitchell describes a sympathetic, emotional look into the life and death of a family’s little girl.
While they are dying, they are going to go through a lot of pain and suffering. While they are suffering, doctor’s are going to give them pain medication to keep them comfortable. Death with Dignity, which is often referred to as euthanasia, has been a subject that has been talked about in many parts of the United States. Euthanasia gives a peace of mind to the patients and families that terminal illness has affected. Five states have made Death with Dignity legal: Oregon, Washington, Montana, California, and Vermont (Is the Oregon).
Communicating with nurses seems to be an effective ways to preventing food-drug interaction interactions. To improve the performance of medication administration, training courses related to food-drug interactions by pharmacists to physicians, nutritionists and nurses is suggested. Conclusions Potential food –drug interactions are very common among patients hospitalized in internal medicine ward. To lower the frequency of potential interactions it could be necessary to decrease the number of medicines prescribed or make a careful selection of therapeutic alternatives. To avoid impairment in the treatment, prior patient knowledge of food – drug interaction has to be