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Patient clinician communication 7 principles
Legal and ethical issues surrounding physician-assisted suicides
Legal and ethical issues surrounding physician-assisted suicides
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The film titled WIT, included events that occurred from the time of cancer diagnosis for Dr. Vivian Bearing, the explanation and choice of treatment options, what Dr. Bearing experienced emotionally and physically through the course of treatment, deciding that she did not want to be resuscitated if cardiac arrest occurred, to the final days leading to her death. Dr. Bearing was diagnosed with ovarian cancer which went undetected during stages one through three. Dr. Kelekian proposed a treatment option that was being researched as it was used as an aggressive chemotherapeutic treatment for cancer beyond stage three (Nichols, 2001). After a brief description of this treatment was offered to Vivian and no other options were presented, she gave …show more content…
They have a right to access and read their medical records and a right to refuse treatment. Patients also have the right to make decisions regarding end of life care (Torrey, 2016). 3 b. What inference can you make about patient advocacy in this film? The only person that demonstrated patient advocacy or made an attempt to do so was the nurse. Susie attempted to advocate for Dr. Bearing by suggesting to Dr. Kelekian to lower the dosage of the treatment and expressing concern for her health and distress. She also advocated for Dr. Bearing by informing Dr. Kelekian that Dr. Bearing was in severe pain and suggesting patient controlled analgesia rather than continuous Morphine. Susie advocated for Dr. Bearing one last time after she went into cardiac arrest by informing Dr. Poser and other healthcare staff that she had a DNR order (Nichols, 2001). FILM REVIEW 5 3 c. Discuss the concept of breaking bad news and communicating effectively and therapeutically with terminally ill patients. It is important to be honest with patients and their families. Therapeutic communication requires active listening, showing empathy, touching if appropriate, and asking open-ended questions …show more content…
Dr. Bearing felt like just another patient or more like a diagnosis instead of a human being with thoughts and feelings because some of the staff did not attempt to speak to her other than ask for her name before performing FILM REVIEW 6 diagnostic testing. The technician that performed one of the x-rays left her alone in the procedure room while he took a break. This made Dr. Bearing feel like her wellbeing and preferences were not important to the technician because he put his own needs and desires before hers. Another example from the film that showed unprofessional behavior included when Dr. Poser was unorganized and forgot some things when preparing to perform an exam. This may have caused Dr. Bearing to lose confidence and trust in him. He also left her in the lithotomy position while he went down the hall to find a nurse. It was not the safest position or most comfortable position to leave her in (Nichols, 2017). 5. Discuss the role of nursing in maintaining privacy, dignity, and pain relief for the terminally ill patient. Promoting patient dignity includes respecting them as a person and not as a diagnosis. It
There are certain aspects that may have provided better treatment, but probably could not have prevented the tragedy. Clear communication and understanding for the culture were essential aspects that were lacking during her treatment. Additionally, the presence of a questionnaire like the one developed by Arthur Kleinman would have bridged the gap between the patient and the provider (Fadiman, 1997, p. 260).
...ical necessities and furthermore cannot trust any doctor anymore because people in Hopkins took her tissues and cells and exploited them.
Physicians face an ethical dilemma when confronting their patients who are suffering. Many have to choose between abiding by the law or ignoring the law and acting on their own beliefs by assisting in a patient’s suicide. Dr. Jack Kevorkian is certainly one doctor who has taken the illegal route in assisting in many of his patients suicides. In “Killer Doc,” William F. Buckley provides a brief overview of the case and informs his audience of the shocking incidents of Kevorkian’s performed euthanasia on Thomas Youk. In “Offering a Helping Hand to those Who Long to Die,” Mark Nichols compares the famous euthanasia doctors, Dr. Kevorkian and Austrailia’s Dr. Philip Nitschke.
Lessenberry, Jack. "In Latest Suicide Trial, Kervorkian Asserts 'Duty as a Doctor'." Newsweek. May, 1996: 16.
Despite the fact that Jack Kevorkian wasn’t the one who pulled the trigger, doesn’t mean what he did was right. He had broken his words of honor as a doctor by creating a killing machine and let, counseled even, people to use it. Plunging his desperate and hopeless patients to doom by supporting the idea “to die with dignity”, whereas he himself when confronted with such position refused to die that way. Moreover, justifying suicide under any circumstances is inevitably not right. For these reasons, I therefore disagree with what Dr. Jack Kevorkian had done.
Cotton, Paul. "Medicine's Position Is Both Pivotal And Precarious In Assisted Suicide Debate." The Journal of the American Association 1 Feb. 1995: 363-64.
Schneider Keith, “DR. Jack Kevorkian Dies at 83; A Doctor who helped End Lives”. The New York Times. Arthur Sulzberger Jr. 3, June 2011. Online Newspaper 2014
In “ Sounding Board Death and Dignity, A Case of Individualized Decision Making” by Timothy E. Quill talks about a patient of his named Diane. An ordinary person but has struggled with alcoholism and depression. Quill then, with vigorous testes, finds out she has acute leukemia. Now knowing this, Quill and other doctors advised Diane about undergoing treatment as soon as possible. But she refused and just wanted to go home and be with her family. Though at this time she was not experiencing any suffering as ...
Since the patient is not able to give informed consent it should be noted that George’s spouse should be the one to determine the best course of action. It would be up to his wife, Helen, to decide what should be done about continuing or discontinuing treatment. If she decides to respect George’s wishes, then treatment will cease. But the renal dialysis will resume if she chooses to ignore George’s request. This is only true if George is unable to achieve competency, such as treating his depression and then reevaluating if he still believes he should no longer be treated with renal dialysis to end his
In June 1990, there was a large spark of this issue of mercy killing and assisted suicide when Dr. Jack Kevorkian assisted Janet Adkins a patient in suicide. This debate later on sky rocketed in March 1991 when a doctor, Timothy Quill also came clean to his assistance in the professional suicide of Diane Trumbull. From here, a large number of public events followed regarding physici...
“In 1999, Dr. Jack Kevorkian, a Michigan physician known for openly advertising that he would perform assisted suicide despite the fact that it was illegal, was convicted of second-degree murder” (Lee). The fact of the matter is human being...
I believe the nurse was concerned about the facility rules and regulation more than the patient's suffering. She did not care about the dying 87-year-old lady that really needed her help. After all, the purpose of nursing is to help take care of patient at critical moments like this. I was actually shocked to see the nurse refuse to care for the suffocating patient. I do not think her reasoning has to do with respects patient autonomy at the moment.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
• Setting – It’s not actually mentioned, but it is implied that it at the Olson’s house, a doctor is called to look at the daughter as she is not feeling well.
her husband, who is in fact a doctor, who is ordering her to take total