I have a patient named John who is married African American male that is 72 years old who has terminal lung cancer. John is a retired U.S. Steel Mill worker for thirty years and has been married for 25 years. John wife is named Mary who is also 72 years old African American female who retired from U.S. Postal Worker. John and Mary does not have any children. John was diagnosed with terminal lung cancer and the physician recommended that he is in the hospice program because the physician stated to John and his wife Mary that there isn’t anything medical that they can do for them. Terminal lung cancer is “to spread to more than one area in the other lung, the fluid surrounding the lung or the heart, or distant parts of the body through the bloodstream. Once released in the blood, cancer can spread anywhere in the body, but it is more likely to spread to the brain,…
4. Does the patient in this case have a right to an advance directive? Why or why not?…
The Panic of 1837 was an economic depression resulting from Andrew Jackson's economic policies, which included the refusal to renew the charter for the Second Bank of the United States. Another policy was the Coinage Act by Jackson, which required payment for public lands to be in gold and silver. The actions of Andrew Jackson resulted in the accusation of Martin Van Buren, Jackson's successor, for causing the Panic of 1837. Van Buren's refusal to involve the government in the economy was said to have stimulated the damages. Bank irresponsibility, both in causing rampant speculation and by introducing paper money inflation was also a root of the problem. This was caused by banks issuing paper money they couldn't redeem in gold or silver coin; these notes then lost value over time, so that more were needed to buy the same thing as had been bought before for less.…
Patient Preferences: The patient has not been involved in the decisions regarding her current treatment, and did not have a DNR in place or an advance directive in place regarding situations such as this. The family who had been acting as surrogates, were ready to stop treatment and place a DNR based on the prognosis given about the patient. As of now no one has fully assessed the patient's decision making capacity or asked the patient about her preferences, despite her regaining consciousness and her improved mental state.…
Physician-assisted suicide raises many ethical and moral issues. For patients who advocate for PAS, they acknowledged that the act promotes human dignity, autonomy, and is a humanizing act to end their suffering. PAS is an act of healing for the terminal sick to help end their daily struggles and many see it as a dignified choice. It is evident from patients’ voice and Dr. Byock testimonials strikes the heart of the senseless need to keep the terminal ill alive. Along with the inevitable deaths comes costly medical expenses that can better serve to improve the country and the communities’ welfare.…
The team should be knowledgeable to give proactive care, understand the patient's preferences and forgive conflicts. The process of truth telling in advanced cancer or any other terminal illness can be a difficult task. Whenever a patient is too moribund and not in a suitable mental stage, the family carers are required to give informed consent. The doctor and nurse in the palliative care team have to build the communication with a responsible family carer so that confidentiality and dignity for patient's last stage are maintained.[1,2] Communication is meant to deal with ethical questions regarding two fundamental aspects of Palliative Care: To explain the concept of a good death and to resolve the conflicting needs of patient vis-à-vis family.[8]…
Ilene, many of the ethical dilemmas faced by nurses could be eliminated if people would take the time to let their family know what interventions they would want in situations like this. End-of-life planning and advanced care directives will increase the quality of life of a dying patient, ease the ethical decisions having to be made by family members, and will ensure that personal wishes will be abided by (Eggertson, 2013, p. E617). Many people talk about what they do and do not want but never write them down. This leaves the family, doctors, and other health care members second-guessing the wishes of the patient whenever they are too ill or sick to make decisions themselves. If your patient had made these decisions earlier and made it…
However decision making is essential for nurses to participate in order to focus on ethical and moral issues and note situations that appears to be dilemmas with the help of professional and ethical competence (Tschudin, 2002). Moreover unprofessional ethical practice may result to litigations if care was deemed not to be professionally sound.…
There is a difference between being nice and involved in a patient’s life and healthcare and being with that patient and making irrational choices for the patient because of that relationship clouding up judgement. A lot of doctors say that a relationship with a patient is unethical and unprofessional. According to a survey done by Medscape in 2012 asking 24,000 doctors, “is it ever acceptable to become involved in a romantic or sexual relationship with a patient?” 1% say that “yes” “even if it’s with a current patient”, 22% say “yes, 6 months after they stopped being a patient” and 68% say “no”. There is the last 9% that say that it depends on the situation (Physicians Top Ethical Dilemmas), which is the grey area that everyone questions.…
Physicians assisted suicide can be defined as the voluntary termination of one's own life by administration of a lethal substance with the direct or indirect assistance of a physician (Snyder 2001). In order to truly explore the ethical dilemma of physicians assisted suicide we must first understand and grasp the base meaning of the term, as well as let go of any prior misconceptions we may have surrounding the topic. The process of physician-assisted suicide is different than you might imagine. Before I had researched this topic I had the inaccurate impression that physician assisted suicide was a procedure similar to that which you would imagine for an animal being put down or euthanized. As many of us unfamiliar with the topic might believe,…
Within the healthcare field, a worker will have to make some ethical decisions. These decisions may be easy, but most will be hard to make. There are certain code of ethics a healthcare worker needs to follow in order to create the best work environment for them and for the patients. These are set so that everyone has an equal understanding of the ethics.…
Within this report there will be a small investigation into current concerns the public and other health care professionals have in regards to service users being abused and how this has affected service provision and methods of working.…
Without understanding the compassion for assisted dying, it’s a challenge to get past the stigma. Opponents assert it’s unethical, but in reality, assisted dying is the basis to having a righteous ending. When we grant people the right to die, we promise them a dignified death. By offering a choice we give way to an escape from the pain, and the unnecessary suffering that would otherwise lead to the same fate. There’s more to the surface than just life and death. The mindset that goes behind it is what it means to have a dignified death.…
It is very important to the organization and its patients to retain well diverse and educated nurses. They may perform an array of duties that a hospital will have 5 or 6 nurses performing. Most of the patients need extensive care with chronic conditions. Nurses perform several duties in the LTC facility such as, Liaison between patient and doctor, family and any additional care such as rehab or psychiatric care. Although nurses with company longevity and stable family homes are easily retained many others are not. To successfully retain LTC facility nurses, organizations must focus on methods that will accomplish high retention scores. Here are some ways to help retain nurses and protect the safety of our residents.…
When it has been determined that a patient is medically ready for discharge, the health care team must determine the most appropriate setting for ongoing care. Determinants of the appropriate site of care involve medical, functional, and social aspects of the patient's illness. The patient’s acute and chronic medical conditions, potential for rehabilitation, and decision-making capacity must be taken into account.…