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Joseph is a African American 80 year old single man who has been diagnosed with terminal lung cancer. Joseph resided with his nephew Christopher, and Christopher is the family liaison for his uncle. Joseph is currently in the hospital fighting to live and currently using medical oxygen to breathe. Joseph recently stated to Christopher that if he stop breathing, then do not resituate him, and he is tired of suffering and ready to be with the Lord. Joseph also stated to the nurses and physician that he is refusing life sustaining treatment and already sign the document stating that he refuse. Definition of The Problem Identification of the Problem Christopher has not accept his uncle’s medical condition and does not want his uncle to die. Christopher …show more content…
Based on this case, this elements of this goal was used in this case. In this case, Joseph decide to make a decision to provide relief by not no longer accepting medical treatment anymore. He was tired of suffering, and wanted to be relieve from suffering. Based on his decision –making, he rather end his life than to suffer. After a review of this case, this hospital staff comply with Joseph decision and will no longer give medical treatment if he stops …show more content…
Autonomy will help Joseph to determine his own decision making and actions toward his healthcare plan. Joseph understand the decisions and consequences of his own action. Joseph understands that it is time to enter into eternity life and meet God. Joseph understands that if he refuse life sustaining treatment, that he will died instantly. Joseph also believes that when he dies, that it will be no longer suffering and he can enter into eternity life. Moral Principles According to the article, Congress on Life-Sustaining Treatment, “the moral principle is well known, according to which even the simple doubt of being in the presence of a living person already imposes the obligation of full respect and of abstaining from any act that aims at anticipating the person 's death” (Paul, J. 2015). In this case, his nephew Christopher does not imposes the obligation and fully respecting Joseph’s decision in ending his life. Christopher wants his uncle to live as long as possible. Decisions Regarding Ethnical
Timothy E. Quill in “Case of Individualized Decision Making”, described his patient Diane who was a vaginal cancer survivor, overcome alcoholism and depression. Dr. Quill diagnose her with Leukemia. He explained to Diane that the chemotherapy has only a 25% chance of survival and there were some complications involves in this process. Diane refused to take the treatment and decided to live the remaining of her life in a most enjoyable way possible, by avoiding all the pain of the treatment. Furthermore, when Diane heath condition deteriorate, Dr. Quill gave her some prescription that was primarily used to sleep assistance. He gave her information of the dose necessary to commit suicide. Diane decided to commit suicide and Dr. Quill diagnosis of death was Leukemia. Therefore, Diane did not do what she should be consider moral actions under the Kantian perspective because her maxim cannot become a universal law. Likewise, Dr. Quill did and did not did his best decision by
Both Brittany Maynard and Craig Ewert ultimately did not want to die, but they were aware they were dying. They both suffered from a terminal illness that would eventually take their life. Their worst fear was to spend their last days, in a state of stress and pain. At the same time, they would inflict suffering on their loved ones as their family witnessed their painful death. Brittany and Craig believed in the notion of dying with dignity. The states where they both resided did not allow “active voluntary euthanasia or mercy killing at the patient’s request” (Vaughn 269). As a result, they both had to leave their homes to a place that allowed them to get aid in dying. Brittany and Craig were able to die with dignity and peace. Both avoiding
The ethical principle of nonmaleficence demands to first do no harm and in this case protect the patient from harm since she cannot protect. Nurses must be aware in situations such as this, that they are expected to advocate for patients in a right and reasonable way. The dilemma with nonmaleficence is that Mrs. Boswell has no chance of recovery because of her increasing debilitating mental incapability and the obvious harm that outweighs the intended benefits. If the decision were to continue treatment, suffering of the patient and family would be evident. Autonomy is the right to making own decisions and freedom to choose a plan of action. When making decisions regarding treatment of another person, it is important to respect the expressed wishes of the individual. John says that his mother would want to live as long as she could, but questions arise related to her quality of life and perception of prolonged suffering by prolonging the dying process. In BOOK states that quality of life changes throughout one’s life ...
Autonomy is an important ethical principal that should be considered with great attention, especially with the limitation of personal autonomy one finds in hospitals. Burkhardt (2008) and Nathaniel define autonomy as self-governing and describe it as including four elements, the ability to determine personal goals, decide on a plan of action, to be respected, and to have freedom to act on choices. In John’s situation, his vulnerability in contrast to the power that the health care professionals hold over him put all four of these elements into jeopardy. Since his advance directive and his current choices differ, the matter of respec...
This freedom of choice, Gawande states, ultimately places a burden on either the doctor or the patient as the patient ultimately choose a course of treatment that is ultimately detrimental as in the case of Lazaroff, a patient with only a few weeks to live, but rather insist on “the day he would go back to work.” Despite the terrible risks and the limited potential benefits the neurosurgeon described, Lazaroff continued to opt to surgery and eventually died painfully as a result of surgery. Gawande suggests that Lazaroff “chose badly because his choice ran against his deepest interests,” which was to live despite his briefing remaining time, ultimately distorting his judgement into choosing a course of treatment that ultimately ended his life in a much more painful manner. Another case of patient decisions that Gawande discusses is Mr. Howe, who aggressively refused to be put on a breathing machine, neglecting the fact that “with antibiotics and some high-tech support...he would recover fully.” As Gawande and K awaited for Mrs. Howe’s decision to save her husband’s life, Mrs. Howe emotionally breaks down
Lavi (2005) explained how the mastering of medical techniques has caused the world of Law and Medicine to be intertwined:
In British Columbia, euthanasia is illegal as it is unconstitutional and violates Section 7 of the Canadian Charter of Rights and Freedoms (Duffy, 2015). Muckart, Gopalan, Hardcastle, and Hodgson (2014) define euthanasia as the conduct that brings about an easy and painless death for persons suffering from an incurable or painful disease. I maintain that the law should regulate euthanasia as it goes against the Charter and the judicial system should have the power to determine issues relating the euthanasia as legality is under question. I will rely heavily on the narratives from The Common Place of Law supported by secondary sources (Ewick & Silbey, 1998). I will consider each of the possible alternatives of legal consciousness to develop
...ns, but values, religious believes and even legislation, may seem irrelevant when a beloved person life’s is devastated by a terminal illness or permanent injuries that took away the joy of life and the only thing left is the suffering reflecting in his/her eyes.
It seems that we would do everything we could to keep them fighting, and not letting them give up. But sometimes allowing them to have a “good death” is the right thing to do. A “good death” does not involve an intensive medical care in hospitals; rather, the patient’s care is in hands of his or her family that ensures “maximum consciousness and minimum pain” (Bjorklund B. R., 2011, p. 341). When it comes to arranging a hospice care for a dying patient in Ukraine, it is much easier than it is in the United States. Perhaps, my parents being doctors played an important role in fulfilling my grandfathers’ dying wishes to spend the rest of their days at home with their families. My parents did the best they could to ease the pain my grandfathers were going through. Although one of my grandfathers had a lung cancer, he refused to be tortured by the harsh treatments, like chemo, that would make him suffer the rest of his days, rather than let him enjoy what life had left for him. The thought of not trying all the methods to cure the cancer left my mother blaming herself for not trying enough. But she understood that it was the best thing she could do for him not to suffer more than he already did. Seeing a person we love suffer may lead us to decisions that are controversial with our feelings, but appear to be the right thing to
I used to equate palliative care with these- defeat, failure and of course, death. Don’t all of the palliative care patients die? How else would a naive student define death? Had I not just spent years and years, learning how to save people’s life? ‘No, we are not going to offer curative treatment. No, we are not going to resuscitate. No, this patient will not live. It’s about time.’ Everything about it was negative.
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Health care ethics is at its most basic definition is a set of moral principles, beliefs and values that guide the Physician Assistant in making choices about medical care for their patients. The central belief of health care ethics is the sense of right and wrong and the principles about what rights we possess, along with the duties as Physician Assistants we owe our patients. (Opacic, D. A. 2003) One must consider carefully all aspects of health care decisions as it helps us make choices that are just.
A terminal illness can promote multiple cases of doubt, concern, and terror into any individual, regardless of race, religious conviction, or belief. Death is an inevitable fate. No man can escape death. A normal human being does not want to have his life ended by conditions he cannot control. Nevertheless, disease and illness prevent an individual of sanity and choice throughout the course of his life. Not only does this relate to an individual undergoing a disease, but also consist of the individual's family and acquaintances. The physician's main part is to reconcile and upkeep terminally ill patients, furthermore, the author of this paper does believe assisted suicide should be supplementary within the job description. Presented throughout this writing assignment are the main arguments in the debate over Physician Assisted Suicide.
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
In order to accurately meet our patient's needs, our hospital has adopted a few assumptions. While our hospital's views may conflict with our patients' views and values, we believe every human being has the right to life. However, a patient knows himself or herself best, and through this we respect our competent patients' wishes when concerning their end of life care. Our hospital will respect the decisions of competent patients to refuse treatment without which they will surely die. However, due to the finality of such a decision, we will require that a given patient undergo two psychological evaluations in order to confirm competence beyond any reasonable doubt. Furthermore, our policy aims to assure that decisions of this magnitude are not made in haste. To accomplish this goal, the hospital will require a minimum 48-hour waiting period for treatment to be withdrawn following competence verification. Thus, patients will have ample time to review and reflect over their decision in much the same manner that mandatory waiting period legislation for obtaining handguns seeks to limit ill-advised choices made in the heat of the moment.