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A case study on stages of grief
A case study on stages of grief
CONCEPT OF grief
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When your life reaches the end, the world does not sit around for you to ponder what you need to do with whatever remains in your life. Imagine a scenario where you don 't have any earlier plans and your life is tossed into a circumstance where you have no self-governance or autonomy. I think it is smart to leave a guideline to friends around you, and let them know what you need them to do when you cannot make important life decision on your own. In this manner, by recording or jotting down your final five wishes, you can prevent yourself from being treated unreasonably, as well as letting your family know your will. By and large, this task opened the door for me to really compose my own last five wishes, and think back on my life.
Most importantly,
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In spite of the fact that I need to follow the doctor’s choice over my life-support treatment, I do not want my specialists or medical caretakers to remove any life support without my guardian 's understanding. In case the food is offered through a tube, I want my surrounding to be clean. Additionally, “I want to have life-support treatment if my doctor believes it could help. But I want my doctor to stop giving me life-support treatment if it is not helping my health condition or symptoms” (Aging with Dignity, n.d.). Likewise, as a note to my own family, I do not need any illicit medicinal treatment, and especially do not want to hurt other people for my health …show more content…
I wish my family and friends will be happy that I will reunite with Jesus Christ instead of grieving. I will write a letter of encouragement, and I would like this letter to be distributed on my Social Network such as Facebook and Instagram to share the Gospel. I want to challenge everyone to look back at their life and find what is the truth, and put their hope in things that will not perish. I wish my family to give any of my belongings, for example, clothes, shoes, or books to an orphanage except for my diaries I wrote. My smartphone should be kept, but if anyone needs it, my family should transfer the pictures I took to my computer before donating. When somebody wants to commemorate me, I would like him or her to look after the needy and my neighbors as Jesus looked after me. What 's more, I want to advise my siblings to be a decent Christian for the world. I want my siblings to battle against gender inequality and poverty since it was my will to help other people. Also, I want them to work hard to provide educational opportunities for people who are denied from education. I believe that they help these people with their whole heart. However, I trust that they will be the witness of Jesus and share the Gospel throughout their whole life. As much as I want a typical funeral for my family, I want my body to be cremated for financial
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
After the Civil War, America went through a period of Reconstruction. This was when former Confederate states were readmitted to the Union. Lincoln had a plan that would allow them to come back, but they wouldn’t be able to do it easily. He would make 10% of the population swear an oath of loyalty and establish a government to be recognized. However, he was assassinated in Ford’s Theater and Andrew Johnson became the president; Johnson provided an easy path for Southerners. Congress did their best to ensure equal rights to freedmen, but failed because of groups who were against Reconstruction, white southern Democrats gaining control within the government and the lack of having a plan in place for recently freedmen.
This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between nonmaleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.
were to go on living or to bring another child into the world only to see him or
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.
Terminally ill patients deserve the right to have a dignified death. These patients should not be forced to suffer and be in agony their lasting days. The terminally ill should have this choice, because it is the only way to end their excruciating pain. These patients don’t have
What is most disturbing is that these policies, if enforced, would prevent profoundly brain-damaged and dementia patients from receiving tube-supplied food and water because such care is considered medical treatment.
The autonomy of a competent patient is an issue not often debated in medical ethics. Refusal of unwanted treatment is a basic right, likened to the common law of battery, available to all people capable of a competent choice. These fundamental rules of medical ethics entered a completely new forum as medical technology developed highly effective life-sustaining care during the 20th century. Several watershed cases elucidated these emerging issues in the 1960’s and 70’s, none more effectively than that of Karen Ann Quinlan. Fundamentally, this case established that a once-competent patient without the possibility of recovery could have their autonomy exercised by a surrogate in regard to the refusal of life-sustaining treatment. This decision had a profound effect on medical ethics, including treatment of incompetent patients in end-of-life situations, creation of advance directives, physician-assisted suicide (PAS) and active euthanasia.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such.
While navigating the abundant and sometimes confusing legal language of advance directives can be time consuming, it would benefit every person to consider their end of life wishes and have some form of written statement available for their doctor and family to understand those wishes. Doing this in advance can prevent emotional anguish, suffering and expensive litigation. In the end, clearly and when possible, written, documentation of a medical directive, a living will, or a chosen health care power of attorney will lessen the burden for the medical professionals and family of a dying or incapacitated person.
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.
However it can also make room for medical, legal and ethical dilemmas. Advances in medical technology enable individuals to delay the inevitable fate of death, overcome cancer, diabetes, and various traumatic injuries. Our advances in medical technologies now allow these individuals to do things on their own terms. The “terminally ill” state is described as having an incurable or irreversible condition that has a high probability of causing death within a relatively short time with or without treatment (Guest, p.3, 1998). A wide range of degenerative diseases can fall into either category, ranging from, HIV/AIDS, Alzheimer’s disease and many forms of cancer. This control, however, lays assistance, whether direct or indirect, from a
Imagine visiting your 85-year-old mother in the hospital after she has a debilitating stroke. You find out that, in order to survive, she requires a feeding tube and antibiotics to fight an infection. She once told you that no matter what happened, she wants to live. But the doctor refuses further life-sustaining treatment. When you ask why, you are told, in effect, "The time has come for your mother to die. All we will provide is comfort care."
While I do not have a terminal illness, I have a chronic illness and with all illnesses come complications. Many of these complications are solved through quick emergency room visits or an adjustment to my medications, but I am aware that it could be much worse. It is very important that I write up a living will so that if there was a major complication with my illness and I was unable to make medical decisions for myself in the moment, my wishes would still be known and carried through. I am very adamant that I do not stay on life support machines if there was not a chance that I survive without them. I also am very adamant that my family should not have to make the decision whether or not I stay on life support. I’ve seen too many people I know go through having to make that decision for their loved ones to wish that on mine. So instead, I will take that burden off of them and decide now while I still am able to express my
However, it must also be recognized that even without physician assisted suicide being passed doctors still meddle in a patient’s life by having way worse alternatives to the way of death. For example, David J. Mayo, explains how there is options that are legal that still lead to the hastening of death; one of the examples would be to stop the feeding tubes. His father died of colon cancer at the age of 93 after self-starving himself (qtd. in Karaim 465). Although many people claim that if physician assisted suicide were to be legalized, it would invite abuse from the doctors and maybe even the family members, according to David J. Mayo, “…Oregon’s 15-year experience with legalized death with dignity provides such conclusive data: The threatened abuses simply have not materialized” (qtd. in Karaim 465). It is normal to think that abuse will occur if physician assisted suicide were to be legalized, but it is next to impossible. Obviously many people believe that if physician assisted suicide were to be legalized, it would target the poor or other vulnerable groups. However, Battin et al., “found no evidence that patients in the vulnerable groups were more likely to receive PAS” (qtd. in Lachman). Critics argue that patients might die just because the doctors or nurses in charge of them