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I think it is not reasonable approaches to improving end-of-life care if a doctor said that a patient can live only a few months. If a family of patient is a rich, they can spend money for a hospital treatment,but people who don't have money cannot pay for a patient who is going to die in a few months because after the family spend all the money for hospital treatment, and the patient is die, family should worry about a money. after all, they may blame the patient. It was what my brain said, but my heart says differently. If it happens to my family, I would let the patient get hospital treatment until the doctors says that they have nothing to do with the patient. Even though I spend most of my money, I will do anything I can do until the patient
Jerry Fensterman, in his essay "I See Why Others Choose to Die", talks about how he can understand why terminal ill people after so long in pain with no hope to cure choose to end their life sooner than expected. Fensterman, who was a dignose with cancer, says "I know now how a feeling, loving, rational person could choose death over life, could choose to relieve his suffering as well as that of his loved ones a few months earlier that would happen naturally." I agreed with the writers point of view, and I can also understand why someone would make this type of decisions. It is not only physically devastating for the whole family to go through this type of situations, but it could also be economically damaging, and not to mention the stress that is slowly draining everyone around.
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
There is great debate in this country and worldwide over whether or not terminally ill patients who are experiencing great suffering should have the right to choose death. A deep divide amongst the American public exists on the issue. It is extremely important to reach an ethical decision on whether or not terminally ill patients have this right to choose death, since many may be needlessly suffering, if an ethical solution exists.
Critics to the idea of providing dying patients with lethal doses, fear that people will use this type those and kill others, “lack of supervision over the use of lethal drugs…risk that the drugs might be used for some other purpose”(Young 45). Young explains that another debate that has been going on within this issue is the distinction between killings patients and allowing them die. What people don’t understand is that it is not considered killing a patient if it’s the option they wished for. “If a dying patient requests help with dying because… he is … in intolerable burden, he should be benefited by a physician assisting him to die”(Young 119). Patients who are suffering from diseases that have no cure should be given the option to decide the timing and manner of their own death. Young explains that patients who are unlikely to benefit from the discovery of a cure, or with incurable medical conditions are individuals who should have access to either euthanasia or assisted suicide. Advocates agreeing to this method do understand that choosing death is a very serious matter, which is why it should not be settled in a moment. Therefore, if a patient and physician agree that a life must end and it has been discussed, and agreed, young concludes, “ if a patient asks his physician to end his life, that constitutes a request for
Overall the need for a better based end of life care strategy is warranted globally. More of a focus should be given on care and high quality service for patients. As of now too much decision lies with the healthcare professionals and this can lead to faulty decision making because the health care providers are doing what they believe is in our best interest. In reality the patient or ourselves only have the true idea how we would like our final days to be carried out. By developing and carrying out an end of care plan we can take the decision making out of the family and doctors and place it on the patient. By all counts the need for change is apparent within the healthcare industry in regards to end of life care. By considering this unique change a great deal of improvement can be derived from this decision making process.
As patients come closer to the end of their lives, certain organs stop performing as well as they use to. People are unable to do simple tasks like putting on clothes, going to the restroom without assistance, eat on our own, and sometimes even breathe without the help of a machine. Needing to depend on someone for everything suddenly brings feelings of helplessness much like an infant feels. It is easy to see why some patients with terminal illnesses would seek any type of relief from this hardship, even if that relief is suicide. Euthanasia or assisted suicide is where a physician would give a patient an aid in dying. “Assisted suicide is a controversial medical and ethical issue based on the question of whether, in certain situations, Medical practioners should be allowed to help patients actively determine the time and circumstances of their death” (Lee). “Arguments for and against assisted suicide (sometimes called the “right to die” debate) are complicated by the fact that they come from very many different points of view: medical issues, ethical issues, legal issues, religious issues, and social issues all play a part in shaping people’s opinions on the subject” (Lee). Euthanasia should not be legalized because it is considered murder, it goes against physicians’ Hippocratic Oath, violates the Controlled
I’m pretty sure that majority of these terminally ill patients will request to receive any available medical treatment. I honestly think you will never know what could happen. The DR. is saying you have three months to live, but a miracle might occur. Those three months could turn into three years. These terminally ill
In my last task I discussed Medicial Issue (End of Life) in any case, I will discuss the part that utilitarianism plays in end of life issue. Utilitarianism is characterized as a hypothesis in regulating morals holding that the best good activity is the particular case that augments utility and the part that utilitarianism plays is the point at which a man settle on the choice to end their life or another person life because of torment and enduring . My contention will be the utilitarianism hypothesis end of life because of restorative issues that can never be determined.
“Machines can extend the length but not always the quality of life” (Cloud,2000,p.62). As doctors, they need to think about the well being of the patient and if any methods could really help the situation. It is hard to let someone that is close to us die, but we need to look beyond the fact that you will miss them. You need to think about what is best for the patient and if they are terminal; prolonging their life is not the best thing. It is important to prepare for our own death and make our wishes known.
The purpose of this essay is to analyse various theories on ageing, death, dying, and end of life issues from different perspectives such as: biophysiological theories, psychosocial theories; and taking in consideration the cultural, historical, and religious implications around the aforementioned life stages. One will also discuss important issues relevant to social work practice such as dignity, autonomy, and their relationship with the concept of a successful ageing and a good death. One considers these areas important since they upheld anti-discriminatory practice and may perhaps promote the development of personalised care pathways, as well as fair and justifiable social policies.
The first goal of treatment for delirium is to address any underlying causes or triggers — by stopping use of a particular medication, for example, or treating an infection. Treatment then focuses on creating the best environment for healing the body and calming the brain.
Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the
If a loved one, friend, or neighbor were to be diagnosed with cancer or any other disease and had a week or so to live, they should have the right to die on their own term. In most cases, people don’t have the right to control their death. In many states in the US, it is illegal to give terminally ill patients the right to die. Being terminally ill takes a toll on a person. It hurts them physically and mentally.
Palliative Care: What Is End of Life Care If the title of this article threw you for a loop – good. If it didn't, then you may be one of the millions of Americans who confuse palliative care and hospice care. While that is not always a terrible thing, there are times when the confusion could lead to problems for your senior loved one. Palliative care is defined by GetPalliativeCare.org as "specialized medical care for people with serious illnesses...focused on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis.
A child’s death is the ‘ultimate loss’ (CITE), a devastating event described by parent as unique, complicated, stressful, dramatic, profound and disruptive. Parental grief can be influenced by inherent attributes such as a parent’s personality and resilience, cognitive skills, social support systems, religious beliefs, and their own physical health. Some situational factors cannot be altered, such as the suddenness of a child’s death; however, extrinsic factors such as the accessibility, compassion and communication skills of health professionals working with the families of dying children can be optimized and it is important that all involved have an understanding of parental needs. End-of-life care on pediatric intensive care units (PICU)