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End of life decision making essay
Medical ethic and law quize
Medical ethic and law quize
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Alive and Not Living? Through reading the essay-interview, "The Long Goodbye" by Sam Mowe, you become exposed to Katy Butler 's view on medical care and how she feels the decision-making process of end of life events should occur. Katy has experienced the death of her parents in two very different manners and used those struggles to explain her views. She believes that many people are kept alive past the point that they can live a meaningful life. Katy also expresses her opinion that palliative care is a necessity in these end of life situations so that more appropriate decisions can occur when death is near. This article also touches on how Katy Butler feels that with there being so much money in health care, personal care takes a back seat …show more content…
This experience also reaffirmed my belief in palliative care. Our society is one that pushes planning things out from a very young age. Through most of the things we are taught, planning is an integral part of all of it. We value success very highly and are taught to attribute success to planning an endeavor out well. In the article Katy Butler said, "it would 've been better if someone from a palliative-care program could have helped us weigh the pros and cons of what she faced. Then I could have been simply a grieving and supportive daughter." The one dying isn 't the only person who is affected by this whole process. As loved ones, we might be tasked to help with these choices. If we don 't happen to be medical care professionals how can we make the correct judgment? This lack of knowledge is one of the biggest reasons I see that palliative care should become a more common feature in these situations. As human beings, we rely on others to do what they 're good at so that we can focus on what we do. In a time when someone 's life is on the line, we should value and rely on a professional knowledge to make a judgment. As loved ones, we should be allowed to deal with our emotions for who we might be losing instead of wracking our brains with something we that our knowledge might be limited in. …show more content…
The quality of life during our final days, weeks, or months is something that should be precious to us and those around us. Being in a vegetative state and unable to recognize those around me would truly be something awful if it were to happen to me. Having someone to help me decide on which treatment course or management in my final time such as palliative care also seems like something I would highly value if my life were coming to an end. I also would want to be treated more as a person by the medical community rather than to become a statistic in their success rates. I don 't plan on having to deal with this situation myself for a long time to come, but I hope that these impressions I have will stick with me if and when the time comes for me to be a loved one losing someone I genuinely care
God tells his children, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away” (Revelation). Death is one of the most frightening and confusing times a person can go through. Watching a loved one pass away is also one of the hardest trials a person can experience. Many people assume that death is a time of pain and the only thing that they can do is mourn and watch their loved one fade away from the earth. This is wrong. There are ways that people can turn a bad situation to good. Dying doesn’t have to be painful and full of suffering. The County Hospice staff makes sure of this. The Hospice staff not only takes care of passing patients physically, but they also take care of the patients emotionally and spiritually. Hospice staff also plays a key role in helping families during the grieving process.
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. The book states that quality of life changes throughout one’s life and experiences.
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.
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
We consider the legislation consistent with the principle that "respect for that person [who is capable of participating] mandates that he or she be recognized as the prime decision-maker" in treatment. [2] The patient is a person in relationship, not an isolated individual. Her or his decisions should take others into account and be made in supportive consultation with family members, close friends, pastor, and health care professionals. Christians face end-of-life decisions in all their ambiguity, knowing we are responsible ultimately to God, whose grace comforts, forgives, and frees us in our dilemmas.
The decision to end a life is a difficult one no matter the situation presented. It stirs a great deal of emotions when thinking about a loved one choosing to die in situations where they are terminally ill. Death is a scary thought for most people, but we need to remember that it is just a fact of life, no matter how morbid it sounds. There is some dignity in ending a life for a patient is who terminally ill and suffering, although it may be a tough decision, it can sometimes be the right one.
Thanks in part to the scientific and technological advances of todays’ society, enhanced medicinal treatment options are helping people battle illnesses and diseases and live longer than ever before. Despite these advances, however, many people with life threatening illnesses have needs and concerns that are unidentified and therefore unmet at the end of life, notes Arnold, Artin, Griffith, Person and Graham (2006, p. 62). They further noted that when these needs and concerns remain unmet, due in part to the failure of providers to correctly evaluate these needs, as well as the patients’ reluctance to discuss them (p. 63, as originally noted by Heaven & Maguire, 1997), a patient’s quality of life may be adversely affected. According to Bosma et al. (2010, p. 84), “Many generalist social work skills regarding counseling, family systems, community resources, and psychosocial assessments are relevant to working with patients and families with terminal illness”, thereby placing social workers in the distinctive position of being able to support and assist clients with end of life decisions and care planning needs. In fact, they further noted that at some point, “most social work practitioners will encounter adults, children, and families who are facing progressive life limiting illness, dying, death, or bereavement” (p. 79).
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
Not only people who are unsure about the end of life, but even other doctors who need to open up to their patients about the important issues and how to face them together. People strive to have a great life and how to let people live out their final days should be taken into account. I love the thought of having nursing homes beaming with life and maybe managers and caretakers should take some hints from this book. People need a reason to live, they need a purpose to get out of bed and have a productive day. I know that if we started to show the respect and care that elders need in those final years, we would be able to bring about a society that would fill lives with meaning and purpose. Death is scary, but living a life with no desire or goals is even more frightening. People need to be around others and be social, it’s just who we are. This is a reason that I wouldn’t want to confine this book to a certain cohort or age group; the sooner people start having the hard conversations, the sooner we will grow and create elderly living options that we would be thrilled to join when our time
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
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
It can also be quite stressful for the dying individual if the family members are attempting to plan their funeral and they are unable to communicate their wishes (Callanan & Kelley, 1992: 42-43). This issue of miscommunication occurs closer to death, so if the planning process starts soon enough the dying individual should be able to effectively communicate their wishes (Callanan & Kelley, 1992: 42-43). It has also impacted the dying individual in positive ways. Because of this, there are now places that individuals can transition into before the actual dying process begins. For example, in past decades, individuals with dementia would have to stay at home and be cared for by their friends and family, who while trying their best, may not have been able to cope with the demands of that individual along with their own personal lives (Dosa, 2010). Now, these individuals, when money and resources allow, are able to access special institutions and sectors in hospitals that are specially equipped to deal with those demands (Dosa, 2010). But this transition has plenty of financial challenges that go along with
Hospice is a concept of caring borrowed from medieval times, where travelers, pilgrims and the sick, wounded or dying could find rest and comfort. The contemporary hospice offers a program of care to patients and families facing a life threatening illness encompassing medical, nursing, spiritual, and psychological care. It is more than a medical alternative, it is an attitude toward death and the process of dying. Terminal disease is managed so patients can live comfortably until they die. The hospice program in the United States has evolved in part as an attempt to compensate for the inadequacies of the present medical system, particularly in caring for patients with a terminal illness. Hospice care has grown from an alternative health care movement to an established component of the American health care system. The modern hospice movement began in 1967 when Cicely Saunders opened St. Christopher's Hospice in London England. In the late 1960’s, several Yale University students invited Dr. Saunders to come speak at Yale. These students were inspired to create a similar service in the United States. They opened the Connecticut Hospice in Branford, Connecticut and pioneered the hospice movement in the United States. This became the nation’s first specially designed hospice care center. What is Hospice care? In an attempt to answer, the World Health Organization (WHO) issued a statement in 1990 about the philosophy and techniques of hospice care.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of 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. A living will is one way of doing that. A living will is a document explains to your doctor what types of treatment you want if you become terminally ill. A living will only works when you are terminal, it does not come into effect if you are in an accident and need emergency treatment. Some people may feel that a living will is not for them, when in fact everyone should have a living will. Most people assume that a living will means that they are refusing treatment, which is not true. A living will just explains your wishes.