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Ethical dilemmas end of life care nurses
Why is it important to consider ethical and legal aspects of death and dying in the healthcare profession
Nursing ethics case study end of life
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Ethics are always going to be an issue because of the different race, belief, etc. But should pulling the plug on life-support be a part of that issue? Absolutely not.
In every death there is some kind of issue, but recently, ‘pulling the plug’ has become an even worse one. When a loved one dies we all deal with in it different ways, anything to cope with it, but when can we consider it as too far? In my personal opinion, the case of Jahi McMath has gone extremely too far. ‘She was pronounced brain dead on December 9th, 2013 by the coroners office after suffering from rare complications.’ (McCullough, Laurence. Ethicists criticize treatment of teen, Texas patient) Jahi has been placed on a ventilator, but she is a vegetable. Her heart is artificially beating and has also ‘had one tube inserted in her throat and another into her stomach to pump nutrition’ (McCullough, Laurence. Ethicists criticize treatment of teen, Texas patient). I understand that losing your child would be hard and some people just really can’t cope with it, but how can they just stand there and watch their ...
As a result, life-sustaining procedures such as ventilators, feeding tubes, and treatments for infectious and terminal diseases are developing. While these life-sustaining methods have positively influenced modern medicine, they also inadvertently cause terminal patients extensive pain and suffering. Previous to the development of life-sustaining procedures, many people died in the care of their own home, however, today the majority of Americans take their last breath lying in a hospital bed. As the advancement of modern medicine continues, physicians and patients are going to encounter life-altering trials and tribulations. Arguably, the most controversial debate in modern medicine is the discussion of the ethical choice for physician-assisted suicide.
...t’s family should be able decide for the patient whether or not prolonging their life is moral.
But the decision isn’t necessarily based on if the doctors want to do so, it’s the law the doctors have to follow if it was up to Keller he wouldn’t put elderly patients on life support. The health care providers fear legal ramifications if they don’t do everything in their power to prolong life. Bill Keller says “I have been criticized by the Catholic Church in the name of life” (Moran n.p) for centuries now the Catholic Church has been on the side that is against prolonging the process of dying. In 1957, Pope Pius XII wrote: “it is unnatural to prevent death in instances where there is no hope of recovery when nature is calling for death, there is no question that one can remove the life support system.” Even with this being said Moran can’t necessarily do anything about it because it’s his job and he has to do what he is told or legal action will be taken. Even though Moran is against prolonging life even when he had to encounter as a child losing his father at a young age he still knew that prolonging life is
There are several important ethical issues related to euthanasia. One is allowing people who are terminally ill and suffering the right to choose death. Should these people continue to suffer even though they really are ba...
In A Tender Hand in the Presence of Death, Heather, the nurse, would put in IVs and feeding tubes in hopes of prolonging hospice care even when they were ineffective in order to give more time to the families who were having trouble letting go (MacFarquhar, 2016). In my personal situation, I can relate, as two of my grandparents have passed away from cancer and suffered for a long time before passing. Although it was incredibly sad and our families bargained for more time, there was some peace in knowing that the suffering had come to an end once they passed. For our own selfish reasons, we want as much time as possible with our loved ones who are suffering and close to death, but in reality, the decision for assisted suicide should only concern the individual whose life it
Death is a frequent visitor of the intensive care unit; patients in this area are at the very peak of their illnesses, many of them being nonverbal. As well as figuring out how to communicate with your patients, one might also have to accept the fact that the case could be medically futile and nothing can be done other than make the patient as comfortable as you can for the remainder of their stay. Recent news headlines have brought this topic closer to home, often if you are not in the health care field or studying to enter the health care field you may hear about these topics on television or the radio but they do not take up place in your conscious thoughts. Hearing about Brittany Maynard made me stop and ask myself what would I do, if I were in her shoes, or if I was a nurse in the hospital that was treating her, and the answer is I do not know. Ethical dilemmas such as this are complicated and there is often not a black and white answer, we live in the gray areas, it is about finding what is right for that patient and being able to accept the fact that their beliefs may not be the same as your
Starting with the argument of it not being ethical, Martin Levin a practicing attorney states; that when he first began his paper and research he believed people should have the right to an assisted suicide. After doing extensive research he changed his mind. Just some of these reasons include sanctity of human life. It is stated that God created the human life and therefore our lives and bodies are the property of God. It is also stated that no one has the right to destroy Gods’ property (Levin M. 2002). In many churches ho...
Are there no laws to control or stop it ? In regards to these questions,
I personally feel that the life of a person is well above all policies and regulations and if an attempt to rescue him or her from death at the right time remains unfulfilled, it is not the failure of a doctor or nurse, it is the failure of the entire medical and health community.
It is the case against “Dr. Wolodzko” (defendant) by “Mrs. Stowers” (the plaintiff) in Wayne County court for the actions taken by the defendant and confinement of the plaintiff in the private mental hospital based on valid court order.
Do people have the right to die? Is there, in fact, a right to die? Assisted suicide is a controversial topic in the public eye today. Individuals choose their side of the controversy based on a number of variables ranging from their religious views and moral standings to political factors. Several aspects of this issue have been examined in books, TV shows, movies, magazine articles, and other means of bringing the subject to the attention of the public. However, perhaps the best way to look at this issue in the hopes of understanding the motives behind those involved is from the perspective of those concerned: the terminally ill and the disabled.
Consequently, she was left in what most assumed to be a vegetative state for years eventually because her husband continued to advocate for her right to die she was unplugged and died soon after. This case served as a warning for most people who didn’t really consider Advanced Directives before. Are family members sure of what lengths should or shouldn’t be taken worst case scenario. Repeatedly this has proven not to be the case. Death or dying is always a taboo subject however, when high profile cases like this arise people are forced to evaluate their own lives? A study regarding knowledge about advance directives conducted in 2004 suggested that there was a direct correlation between attitudes, financial stability and the number of people who had advanced directives. Surprisingly this same study discovered that doctors or healthcare professions assumed it was the patient’s duty to seek out
Euthanasia is a serious political, moral and ethics issues in society. People either strictly forbid or firmly favor euthanasia. Terminally ill patients have a fatal disease from which they will never recover, many will never sleep in their own bed again. Many beg health professionals to “pull the plug” or smother them with a pillow so that they do not have to bear the pain of their disease so that they will die faster. Thomas D. Sullivan and James Rachels have very different views on the permissibility of active and passive euthanasia. Sullivan believes that it is impermissible for the doctor, or anyone else to terminate the life of a patient but, that it is permissible in some cases to cease the employment of “extraordinary means” of preserving
A divergent set of issues and opinions involving medical care for the very seriously ill patient have dogged the bioethics community for decades. While sophisticated medical technology has allowed people to live longer, it has also caused protracted death, most often to the severe detriment of individuals and their families. Ira Byock, director of palliative medicine at Dartmouth-Hitchcock Medical Center, believes too many Americans are “dying badly.” In discussing this issue, he stated, “Families cannot imagine there could be anything worse than their loved one dying, but in fact, there are things worse.” “It’s having someone you love…suffering, dying connected to machines” (CBS News, 2014). In the not distant past, the knowledge, skills, and technology were simply not available to cure, much less prolong the deaths of gravely ill people. In addition to the ethical and moral dilemmas this presents, the costs of intensive treatment often do not realize appreciable benefits. However, cost alone should not determine when care becomes “futile” as this veers medicine into an even more dangerous ethical quagmire. While preserving life with the best possible care is always good medicine, the suffering and protracted deaths caused from the continued use of futile measures benefits no one. For this reason, the determination of futility should be a joint decision between the physician, the patient, and his or her surrogate.
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.