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Essay on the relationship between spirituality and health care
The role of spirituality in healthcare
Essay on the relationship between spirituality and health care
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The practice of medicine is both beautiful and dangerous. It is known for its power of healing and innovation. However, it can also cause damage by medicalizing and simplifying very sensitive, complex topics. In Being Mortal, Atul Gawande explores the nature and process of death, including the precious, limited time leading to it. Gawande gives light to the fact that because of pharmaceuticals and modern technologies, people in their last stages of life often focus on hope, rather than recognizing the bitter reality. Also, Gawande describes the importance of different care facilities, such as hospice, and their role in helping the critically ill. Unfortunately, it often seems that the focus is not on the ill and their wishes, but rather the …show more content…
First, discussions about end-of-life circumstances are unpleasant, hard, and often awkward. Instead, people tend to focus on the less probable circumstance of a treatment or cure. When confronted with giving the prognosis of terminal illness to a patient, Gawande states, “discussing a fantasy was easier- less emotional, less explosive, less prone to misunderstanding- than discussing what was happening before my eyes” (Gawande 169). Even as a medical professional, Gawande struggles with conversations about death and would rather focus on hopeful, yet less probable outcomes. Because of societal constructions and natural human response, the topic of death is avoided when possible, even if the subject of digression (i.e. experimental treatment or cure) is very unlikely to …show more content…
Therefore, considerations of death do not fit well into the mindset of a medical professional. One could argue that in order for a physician to embrace death, they must admit defeat, but doctors and other medical personnel are not programed to accept defeat. They are driven to succeed. However, there is one universal truth for mankind: to be born is to be mortal. There is no way for medicine to avoid death and it seems logical that medical professionals should focus as much care on dying as they do on healthy living. Dying well means different things to different people, but it is important to recognize that the additional time is not necessarily a good thing. More often than not, buying time requires enduring costly, horrific procedures that extend suffering. By electing to pursue miraculous cures, most are not extending life as we know it, but merely delaying death. Medical professionals are trusted by patients. Therefore, they must understand these distinctions and be prepared to speak clearly and honestly about the subject of death and illness. I think that they should communicate without giving false hope. I feel that this could be better accomplished by better equipping doctors to deal with the realities of terminal illness. This would require more training in the field of palliative medicine and geriatrics. Physicians should be trained how and when
On the topic of Atul Gawande’s novel Being Mortal: Medicine and What Matters in the End, an ongoing issue has brought into question what we should do with the elderly and ill that are in need of care. On the one hand, some argue that they should be put in nursing homes and seek treatment for their problems because they can no longer take care of themselves. From this perspective, the elderly have a greater chance of getting injured if they are not taken care of properly, thus are seen as unfit to live on their own. On the other hand, however, others argue that the elderly should be allowed to live on their own as long as they maintain a healthy lifestyle. Atul Gawande, one of this view’s main proponents, urges us to realize that no one is immortal
The Dying of the Light is an article by Dr. Craig Bowron that captures the controversy surrounding the role of medication in prolonging life. The author describes that many medical advancements have become a burden to particularly elderly patients who in most instances are ready to embrace the reality of death. Dr. Bowron believes that dying in these modern times has become a tiring and unnatural process. “Everyone wants to grow old and die in his or her sleep, but the truth is most of us will die in pieces,” Bowron notes (Bowron). The article does not advocate for euthanasia or the management of health care costs due to terminal or chronic illness. Bowron faults humanity for not embracing life and death with dignity as it was in the past. He blames the emergence of modern medical advances and democracy as the sole reason why everyone is pursuing immortality or prolonging of life rather than embracing the natural course of things. The article is very articulate and comes out rather persuasive to its target audience that happens to be health-conscious. Craig Bowron uses effective rhetorical strategies such as logos, ethos, and pathos to pass on his message. The article’s credibility is impeccable due to the author’s authority in health matters as he is a hospital-based internist. A better placed individual to dissect this issue by analyzing his experiences in the healthcare profession. The article incorporates a passionate delivery that appeals to the readers’ hopes, opinions, and imagination.
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.
Treating the biological side of a terminal illness involves a spectrum of possible care that patient can pursue.
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
End-of-life care in the United States is often fraught with difficult decisions and borne with great expense. Americans are often uncomfortable discussing death and
In “How Doctors Die,” Dr. Ken Murray explains some different real stories about people having terminal diseases, and how their doctors and physicians treat them. Moreover, the author mentions about difficult decisions that not only the doctors but patients and the patients’ family also have to choose. When the patients’ diseases become critical, the doctors have to do whatever they can to help the patients, such as surgical treatment, chemotherapy, or radiation, but they cannot help the patients in some cases. In additions, doctors still die by critical diseases, too. Although they are doctors, they are just normal people and cannot resist all of the diseases. Like other patients, the doctors having critical diseases want to live instead of
Regarding the views of physicians on euthanasia and assisted suicide, it is difficult to get a true picture of physicians views from articles in newspapers or from journal review articles. Since euthanasia and assisted suicide are new and a challenge to established values, a report about a single physician practicing assisted suicide is more likely to get published than a report that members of a large physicians' organization reaffirms traditional values. Physicians that practice euthanasia and assisted suicide have been more outspoken and vociferous since many consider themselves as pioneers. Whereas many physicians who continue to practice with traditional ethics, see no need to advertise this fact. Even if one reads consensus statements from medical ethics groups one may get a biased idea of the mainstream views of physicians. These statements are usually written by a small group of physicians, many of whom are active in ethics groups because they want to see change. Several articles have been published that poll doctors' views on euthanasia and assisted suicide, and these are likely to get closer to the real views of doctors. In a survey of doctors on management of the persistent vegetative state, 35% of doctors would never withdraw feeding or nutrition and 28% would always treat an acute infection or other life-threatening condition (1).
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
Anyone can be diagnosed with a terminal illness. It doesn’t matter how healthy you are, who you are, or what you do. Some terminal illnesses you can prevent by avoiding unhealthy habits, eating healthily, exercising regularly and keeping up with vaccinations. However some terminally ill people cannot be helped, their diseases cannot be cured and the only thing possible to help them, besides providing pain relieving medication, is to make them as comfortable as possible while enduring their condition. Many times the pharmaceuticals do not provide the desired pain escape, and cause patients to seek immediate relief in methods such as euthanasia. Euthanasia is the practice of deliberately ending a life in order to alleviate pain and suffering, but is deemed controversial because many various religions believe that their creators are the only ones that should decide when their life’s journey should reach its end. Euthanasia is performed by medical doctors or physicians and is the administration of a fatal dose of a suitable drug to the patient on his or her express request. Although the majority of American states oppose euthanasia, the practice would result in more good as opposed to harm. The patient who is receiving the euthanizing medication would be able to proactively choose their pursuit of happiness, alleviate themselves from all of the built up pain and suffering, relieve the burden they may feel they are upon their family, and die with dignity, which is the most ethical option for vegetative state and terminally ill patients. Euthanasia should remain an alternative to living a slow and painful life for those who are terminally ill, in a vegetative state or would like to end their life with dignity. In addition, t...
In the documentary of “Being Mortal”, surgeon Atul Gawande speaks about how being a doctor is one of the hardest things. For this reason, it is based off of what he mentioned “that in doctoring school they only teach you a small percent of what you actually need to know”. By this he was saying that the schools teach students on what to do with the concept of medical procedures and how to do them, but they do not teach you about the “being moral” side of dealing with a patient’s health issues. Later in the documentary, one of the doctors mentions that he “wishes he could do better, that he also feels like it is a failure for doctors and the mental mentality they use now was not trained to deal with surreal issues that they face now with patients
The concept between life and death cannot simply exist without one another, where the topic is widely discussed throughout “When Breath Becomes Air” by Paul Kalanithi. This memoir explores Paul’s definition of death as he passes through the distinct “stages” of his life. As Paul progresses through each stage, he views death differently as he transformed from a student to a neurosurgeon, neurosurgeon to a patient, and eventually becoming a father, where he needed to take full responsibility as an adult.
Doctors prefer to never have to euthanize a patient. It is a contradiction of everything they have been taught for a doctor to euthanize someone, because a doctor’s job is to do everything in their power to keep the patient alive, not assist them in suicide. The majority of doctors who specialize in palliative care, a field focused on quality of life for patients with severe and terminal illnesses, think legalizing assisted suicide is very unnecessary. This is due to the fact that if patients do not kill themselves, they will end up dying on a ventilator in the hospital under the best possible care available, with people around them trying to keep them as comfortable as possible. Legalized euthanasia everywhere has been compared to going down a slippery slope. Officials believe that it could be done over excessively and the fear of assisted suicide numbers rising greatly is a great fear. This is why euthanasia is such a controversial subject worldwide. But, even though it is a very controversial subject, euthanasia is humane. Every doctor also has a say in whether or not they choose to euthanize a patient or not, leaving only the doctors who are willing to do this type of practice, for euthanizing patients. Medicine and drugs prescribed by a doctor for pain or suffering can not always help a person to the extent they desire, even with the help of doctors
The subject of death and dying can cause many controversies for health care providers. Not only can it cause legal issues for them, but it also brings about many ethical issues as well. Nearly every health care professional has experienced a situation dealing with death or dying. This tends to be a tough topic for many people, so health care professionals should take caution when handling these matters. Healthcare professionals not only deal with patient issues but also those of the family. Some of the controversies of death and dying many include; stages of death and dying, quality of life issues, use of medications and advanced directives.
Some people believe that doctors should not have the right to tell their patients that they have a condition that cannot be cured, and that they have a certain amount to live.Doctors should tell their patients because what if you will never know that the last few moments they have to live their lives they wanna do something with it.