Although we wish we could live forever it’s an inevitable part of life that we don’t live forever and how it’s important to plan for the time when we pass away. When someone close to us passes away, they have the right to leave a living will stating particularly what they want and don’t want when they unfortunately pass away. Generally when someone passes away a living will takes into effect to determine what the person would of wanted to happen in certain circumstances.
A living will is defined as…“is a legal document designates the medical treatments a person does or does not want if the person cannot express his or her wishes” (Feldman, 609). Living wills are intended to alleviate pain and suffering for the families on deciding what to
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do in life threatening situations. There can be dangerous problems regarding a living will, even though a patient authorizes what they wish happen in medical treatment, it may not be interpreted that way to a medical personnel. Understanding some of the problems that may occur in a living will can make a difference between your wishes being followed through and how family might want your medical care to be taken care of. Living wills can be very confusing and if someone doesn’t fully understand the documents they are signing for could make a difference between life and death. “These problems can make living wills useless or, worse, cause them to be misunderstood by health care workers so that patients are subject to treatments they do not want or are not treated when they wish to be” (Mirarchi, 2009). DNR is defined as…“DNR orders, living wills are ineffective unless people take steps to make sure their health-care proxies and doctors know their wishes” (Feldman, 609).
When patients become ill and are going to be living out their final days it is very important to everyone how the patient wishes to have certain medical treatment. No one likes to discuss the idea of death and most feel comfortable in not discussing the topic at all but in certain situations it becomes a serious topic in determining the patients medical condition. DNR has been in use for many years, but nonetheless medical providers fail to follow through on the wishes of a patient. Failure in providing the type of medical care as wished by someone leads to serious consequences patients are not able to make decisions regarding resuscitation and CPR is performed on patients who didn’t want it and can lead to further damage. Not having a DNR can result in irreversible medical care all because the family didn’t discuss certain matters earlier regarding a patient’s health and before you know it it’s too late to communicate with doctors and family about what you would …show more content…
want. Durable power of attorney is defined as…“heath-care proxies may be authorized to deal with all medical care problems” (Feldman, 609).
For some people who are growing older may go forward and proceed with a durable power of attorney for all the things they wish to happen. Power of attorney is usually done for medical and financial reasons that have specific requirements. Most families prepare for someone to start handling the paperwork required for power of attorney to assess and make sure everything owned by someone is dispersed correctly and to whom they choose. “problems may arise with real estate transactions, tax returns or government bonds. Powers of attorney are more likely to be honored if they specifically refer to certain assets or types of transactions” (Durable Powers of Attorney). It is very important to choose wisely whom you appoint to take care of everything for you when you are no longer able to make important decisions in your life. If you do have someone in your life that you can trust with everything and anything, then proceeding with a power of attorney should be no
issue. In conclusion, I have learned and understand the differences with living wills, DNR, and durable power of attorney. I believe if you want a say in how things are handled when you get older and can no longer be able to make important decisions regarding yourself, then it’s up to that person to be knowledgeable in taking the proper steps in taking care of themselves. The treatment that someone would want for themselves may not be the same as other family members may want, but it’s all meant for the person’s best interest.
In What Dying People Want, Kuhl comments, "Dying involves choice"(xviii). People choose what they wear, what they do, and what they will eat on a day to day basis. Choosing how, when, or why sick people die is just like an everyday decision for them. This however, has not been accomplished by some individuals in this Country. Americans have the right of choice. When a patient communicates the desire to die, the inspection of acceptability for palliative care begins instantly. Inspections include evaluation of pain management, depression, anxiety, family burnout, spirituality and other observed issues (Baird and Rosenbaum 100). When working or living with an elder, never ignore the words "I want to die". If this is ignored, that person will not receive their wishes they deserve. Countries are starting to understand that people should be able to die if they choose, "In the United States there are assisted dying laws restricted to terminally ill and mentally competent adults" (Firth). The assisted dying law is only in Oregon, Montana, Washington, Vermont, and California. That is five states out of fifty states. This must be expanded to all fifty states because all individuals have the right of this law. In 2013, Vermont passed an "End of Life Choices" bill. This bill allows terminally ill people to get
As we get older and delve into the real world, it is important to start thinking about end-of-life care and advance directives. Although it is something no one wants to imagine, there is an absolute necessity for living wills and a power of attorney. Learning about the Patient Self-Determination Act and the different legal basis in where you live is important because it will help people understand why advance care directives are so important. Although there are several barriers in implementing advance care directives, there are also several actions that healthcare professionals can take to overcome these obstacles. These are also important to know about, especially for someone going into the medical field.
Social Attitudes Survey noted that 78% of respondents believe that “the law should require doctors to carry out the instructions of a Living Will” (Park et al, 2007). These decisions become important once patients lose their mental capacity, are unconscious, or unable to communicate” (BMA, 2009). The Mental Capacity Act 2005 defines an “advance decision” as a decision made by a person 18 or over, when he or she has the capacity to do so. The implications of a Living Will, make the case against legalising assisted dying weaker. This is because if a person is legally allowed to set out which treatments they will or will not agree to, and can refuse life sustaining treatments by creating a legal document, then why shouldn’t an individual in extreme pain who is able to make the request at the time be able to ask for assistance in
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
The American Nurses Association (ANA) thinks that nurses should stay away from doing euthanasia, or assisting in doing euthanasia because it is against the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001; herein referred to as The Code). Overall, nurses are also advised to deliver a quality of care what include respect compassion and dignity to all their patients. For people in end-of-life, nursing care should also focus on the patient’s comfort, when possible the dying patient should be pain free. Nurses have also the obligation to support the patient but also the patient’s family members during these difficult moments. We must work to make sure that patients and family members are well informed about every option that is
Two examples of Advance Care Directives, which are living wills that allow a person to document end of life medical treatment, are the FiveWishes and MyDirectives in the United States. The FiveWishes directive is described as living with a heart and soul and follows five wishes. These wishes include: the person which will make decisions regarding the patient’s health when the patient is not able to, the kind of medical treatment wanted and not wanted, the level of comfortability of the patient, how the patient is treated, and the amount of information that the patient’s loved ones know. The MyDirec...
One of the greatest dangers facing chronic and terminally ill patients is the grey area regarding PAS. In the Netherlands, there are strict criteria for the practice of PAS. Despite such stringencies, the Council on Ethical and Judicial Affairs (1992) found 28% of the PAS cases in the Netherlands did not meet the criteria. The evidence suggests some of the patient’s lives may have ended prematurely or involuntarily. This problem can be addressed via advance directives. These directives would be written by competent individuals explaining their decision to be aided in dying when they are no longer capable of making medical decisions. These interpretations are largely defined by ones morals, understanding of ethics, individual attitudes, religious and cultural values.
It is found that nurses report that their most uncomfortable situations come with prolonging the dying process and some struggle with ethical issues by doing so (Seal, 2007). Studies have shown that implementation of the RPC program and educating nurses have increased the nurses’ confidence in discussing end-of-life plans (Austin, 2006). With confidence, the nurse is able to ask the right questions of the patient and make sure that the patient’s wishes are upheld in the manner that they had wanted, such as to not resuscitate or to make sure their spiritual leader is present when passing (Austin,
In addition, those potentially nearing the end of their life may be asked a DNR, or “Do Not Resuscitate,” Order. This states that in a life-threatening emergency where one is facing possible death, no actions shall be done try and “resuscitate” the individual in an attempt to restore life to the person. However, if a DNR Order is not filled out, actions including CPR, or cardiopulmonary resuscitation, mechanical ventilation, h...
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.
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
In the face of the threat of euthanasia, does the patient have the right to the final word? What are his rights in the area of medical care? This essay will explore this question, and provide case histories to exemplify these rights in action.
A living will is a legally binding document people create in advance that dictates their final wishes in time of their last counting days. With the living will, ill patients express what they want to happen to them if they were to become too sick to refuse or consent to medical treatments. Euthanasia, also called assisted suicide, or physician-assisted suicide, offers one of many options for terminal-ill patients or those with intractable pain. Many infer euthanasia as the action that brings about the end of a patient’s life because it has been decided they would be better off dead. Since euthanasia involves killing another person, voluntarily or not, a virtuous person considers euthanasia acceptable.
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.