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The role of faith in sickness and healing
The role of faith in sickness and healing
The role of faith in sickness and healing
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Question: A patient with terminal lung cancer tells you, "I want to stop the chemo; my life is good and I want to enjoy what time I have left." How might each of the human dimensions influence this decision? What other factors can influence health decisions?
Physical, emotional, environmental, intellectual, sociocultural and spiritual factors strongly influences the patient’s health –illness statues, health belief and heath practices.” (Taylor, 45). I believe that patients face difficult decisions with chemo because of its complications of side effect. These factors can be positive or negative factors that help the patient change their mind.
In the physical dimension, the patient might decides to stop chemo based on his/her family genetic inherited. If they had a family member who passed away from lung cancer, they will use that to decide to continue with chemo or not. I believe experiences really impact their decisions. Age is other significant factor; if they are middle-age adults or elderly, they might want to enjoy the time with their love ones instead of being depressed about the cancer.
In the emotional dimension, patients diagnose with lung cancer can feel varies of emotions- such as fear, depression, anger, guilt and confusion. I believe stress affects the body in a negative way and being clam affects the body in a positive way. For example as the textbook states, “Long time stress affects the body system, and anxiety affects the health habits; conversely clam acceptance and relaxation can actually change body response to illness”(Taylor, 45). I agree with this concept, people who tend to accept and focus on positive things; the body reacts to their emotions in a positive way. If it is a negative emotion, the body r...
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...health while going through cancer. In this case, their family leads to the emotions that can impact the patient’s health and decision-making.
In the spiritual dimension, religion and belief are important to patients. It helps them relaxes their mind and soul. It helps them understand about the purpose of their life. In this case, the patient probably reached her highest level spiritually to decide to stop chemo, maybe leaving everything to God. Some patient believes in a higher being and some don’t. It all depends on the patient’s spiritual belief.
Reference:
Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2011, 7th edition). Fundamentals of Nursing. (pg. 45-46). China. Lippincott, Williams & Wilkins.
Works Cited
Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2011, 7th edition). Fundamentals of Nursing. (pg. 45-46). China. Lippincott, Williams & Wilkins.
If a situation came about where I was terminally ill and the doctors told me that I had just six months to live, I wouldn 't opt to end my life. This is probably because I’m young and I could desperately use those six months to see and do as much as I’d miss for the rest of my life. I’d ask that the doctor give me some medication for pain mediation, and then I’d scrape together whatever energy I had and I’d go travel and live what was left of my life. Even if I didn 't want to travel or I was bedridden, I’d still opt to live the time that I had left for the reasons that it would allow people who are close to me to spend time
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
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Wilson, Ronald W. and Elmassian Bonnie J., The American Journal of Nursing , Vol. 81, No. 4 (Apr., 1981), pp. 722-725
Practice. In P. A. Potter, & A. G. (7th ed.) Perry, Fundamentals of Nursing (pp. 215-324). Saint Louis MO: Mosby-Elsevier.
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 ...
...essive episodes (CareNotes). As chemo is administered, patients may aquire other issues, such as a loss in appitite, less energy, sores in the mouth, pain throughout the body, an increased heartbeat, coughing or breathing issues, and confusion (CareNotes). According to CareNotes, patients must stay away from people that are sick, due to a decreased immune system, and they must drink a lot of water to stay hydrated.
Nursing/Academic Edition. Web. The Web. The Web. 01 Apr 2014.
Cancer patients often wonder if going through treatments like chemotherapy and radiation are worth the risk of the side effects, in addition to the cancerous side effects. They feel that they can’t enjoy or relax in what a short amount of time they have left because they are bedridden from the nausea and pain that treatments put them through. Patients tell their loved ones to just let them die so long as they don’t have to go through any more pain. Those who are too old, are unable to recover from the effects, or are just too far in the grips of cancer, should refuse the more harsh treatments like chemo and radiation. On the positive side, refusing treatments after a certain point can save their families from the stress and cost of hospital bills. If caught early enough, patients can opt for safer and easier routes to getting rid of cancer like surgery or by doing a stem cell transplant.
art and science of nursing care (6th ed). Philadelphia, PA, Lippincott Williams & Wilkins, a Wolter Kluwer business.
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
...e the cancer and look for the positives in the prognosis and treatment find encouragement for the future. There are various models and theories such as health belief model that are used to explain ones belief on risks and associated risks of a chronic illness and then there are theories such as Crisis theory when dealing with shock when diagnosed with a chronic illness and gate control theory when looking at pain and the psychological issues around dealing with pain. However even with various theories and models trying to explain crisis, pain and compliance to treatment the outcome and understanding and ultimately the way an individual deals with a chronic illness such a breast cancer falls very much down to self-efficacy and the belief the individual holds towards the illness itself the attitude and perception in the outcome of the illness, treatment and beyond.
In the September 4 issue of the British. medical journal The Lancet, Canadian researchers report on how dying patients' "will to live" is likely to show "substantial fluctuation" due to changes in both physical and mental factors. Dr. Harvey Chochinov of the University of Manitoba and his colleagues assessed the "will to live" twice daily in 168 mentally competent cancer patients admitted to palliative care, and correlated this with a variety of other factors. The patients ranged in age from 31 to 89 years old; they survived an average of 18 days, though one woman lived more than 150 days. The factors with the most impact on the will to live were "depression, anxiety, shortness of breath, and sense of well-being." Which factor was most important varied with the stage of illness. During the earlier course of a patient's illness, anxiety was the dominant factor; depression became more important later, and shortness of breath was the chief factor suppressing a will to live when death became imminent. The study confirmed that, at least during much of a terminal illness's course, psychological factors weigh more heavily in a desire for death than factors such as physical pain.
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
First, let’s consider the reasoning behind the patients choosing to forego extraordinary treatment for their cancer. They have decided, as Beauchamp would put it, that refusing to prolong their lives in the face of pain and suffering “neither harms nor wrongs [them] and may provide a benefit” (Beauchamp, 76). They “intend to quit life because of its bleak possibilities” (Beauchamp, 77). The doctor readily complies with their wishes out of moral, legal, and professional obligation. A choice has been made to let both patients die, as a response to their “competent and authoritative refusal of treatment” (Beauchamp 74).