Preview

What Is The Moral Of Atul Gawande's Last Duty

Good Essays
Open Document
Open Document
447 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
What Is The Moral Of Atul Gawande's Last Duty
Health professionals treat older adults equally while providing quality care. It is not acceptable to receive scarce resources according to characteristics such as gender or race. Also, it is ethically acceptable and even mandatory to alleviate the patient's pain, even when it may shorten life. It is important to recognize that some older adults may choose to accept some level of pain to avoid sedation.
One case study from Dr. Atul Gawande’s book is his father, Atmaram Gawande. Atmaran Gawande came to the United States in his youth for better opportunities. Coming from India he felt it was the family’s responsibility to take the aged in, give them company, and look after them. As he became successful, he sent home larger amounts of money, but there was no denying that he had left, and he was not going back. His father embraced every aspect of American culture. He gave up vegetarianism and discovered dating, instead of letting his father (Atul’s grandfather) arrange his marriage. In Atmaran’s last days of life, he rather chose to die instead of becoming a quadriplegic. He also decided to be taken care at hospice home care. This type of hospice if about palliative care, giving the care to help manage those kinds of difficulties. The suffering Atul Gawande’s father experienced in his final days was not
…show more content…
Jewel Douglass wanted to find the longevity to her illness. Her biggest fear was that she would not be able to live life again and enjoy it, that she would not be able to return home and be with the people she loved. As her cancer progresses, she did not want to take risky chances, things only got worse at home and she did not know if she was willing to face the suffering that surgery might inflict on her and feared being left worse off. Three days after surgery, she went home with hospice to look after her, and she dies peacefully in her room in the company of her husband next to

You May Also Find These Documents Helpful

  • Powerful Essays

    Gnt1 Task 1

    • 2042 Words
    • 9 Pages

    References: Smith, Nathalie, RN, MSN, CNP. Grose, Sara, MSN, RN, PHN, CNL, CLE. August 2010. Pain Assessment in Older Adults. Retrieved from http://www.ebscohost.com/uploads/poc/pdf/NRC_skillPaper.pdf…

    • 2042 Words
    • 9 Pages
    Powerful Essays
  • Satisfactory Essays

    Angel Hardy Mrs. Vermillion AP Lang & Comp 26 March 2017 Complications: A Summary Complications: A Surgeon’s Notes on an Imperfect Science is book that gives the reader a view of what doctors experience while explaining the imperfections of the medical profession. The author, Atul Gawande, includes gripping accounts of true cases while exploring the power of medicine, offering a determined view from a hardly-seen point of view. Gawande begins the book with an introduction to medicine and the misconceptions associated with learning how to become a successful doctor. Many patients do not feel comfortable having interns operate as the main surgeon, yet Gawande notes that if interns do not learn hands on, then there will be no surgeons in the future. Emphasizing the point that practice makes perfect, Gawande includes his struggles and successes that occurred during his first year as a resident.…

    • 701 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Within in the aging population pain and discomfort are so common that is causes day to day…

    • 717 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    In the health care field there will always be ethical dilemmas to contend with and the majority of these are the most difficult to imagine. In this case, a 96 year old male cancer patient is receiving naturopathic treatment from his daughter who happens to be a physician in that field. This has caused conflict between the daughter and the regular physicians due to the fact that they feel she may be causing her father unnecessary pain as well as speeding up his death. The scope of healthcare ethics encompasses the decision making process and how it relates to what is right and what is wrong. Therefore it is important…

    • 1294 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Being Mortal is a book written by surgeon Atul Gawande about the limitations of current healthcare in handling patients who are declining toward death, something that he feels is not taught properly to those caring for them. In the book, Gawande (2014) wrote, “…When I came to experience surgical training and practice, I encountered patients forced to confront the realities of decline and mortality, and it did not take long to realize how unready I was to help them” (p. 3). His sentiments describe what many healthcare professionals feel, which in a society that is trending up in age and health issues, is a major hindrance in caring for these patients.…

    • 1074 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    It is important to have a holistic approach to managing pain and discomfort by looking at the situation as a whole. Not just the physical side but also the mental, emotional, spiritual and social needs. Conventional medicine, alternative and complementary therapies can be used as options to relieve pain and other symptoms if desired. The care plan has been made with information which supports their lifestyle and culture. The purpose is to bring comfort, dignity and peace to the clients as well as support to their family members.…

    • 349 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Web Validity Assignment

    • 1963 Words
    • 8 Pages

    One of the roles of a health care provider, including a nurse, is to read and analyze research to continuously improve health care or professional practice (Davies & Logan, 2012, p. 43). The research article entitled “A National Online Forum on Ethnic Differences in Cancer Pain Experience” by Im,E.O., Lee, H.S., Liu, Y., Lim, H.J., Guevara.E., & Chee. W. (2009), explores cultural values and beliefs in relation to cancer pain experience. In a nursing role, it is fundamental to assess a client’s pain. When assessing pain, there are many factors to consider which sometimes hinders the nurse’s perception of pain. Having an understanding of your client and the factors that may affect this individual’s experience is important for a thorough pain assessment; “Therefore, nurses need to assess all factors affecting the pain experience, including physiological, psychological, behavioural, emotional and sociocultural factors” (Kozier et al. 2010. p. 988). According to the Canadian Pain Society (2005), it has been reported for decades that pain management in Canada is inadequate (p.4). Pain management is important when providing care for a client and may affect the client holistically if not handled appropriately. Culture is especially important to consider when a nurse is assessing a client’s pain experience. There are many factors that represent culture that need to be identified to gain knowledge and ultimately make a judgment to provide safe and ethical care. When considering a client’s cultural background, the Practical Nurse needs to be aware of barriers that may effect communication, cultural values and beliefs, and be able to identify individuality. It is a client’s right to have the best pain relief possible and it is a nurse’s obligation to recognize this right and implement care…

    • 1963 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Beyond that, it provides enlightenment in times when medicine is inept. If I must be scrupulous I hope that the book postulates on the future directions on aging and provide concrete examples of how society can work towards it, perhaps this issue can be recognized as a worldwide initiative or mark advance medical directives as compulsory. As Gawande suggests, we need to take a courageous stance to seek the truth in our medical situation and to be critical of what is significant in our lives. Most crucially, what should be done to instill the philosophy of assisted care so that people can see such form of care in a positive light, especially in Asia countries. With that, it could lessen the negative connotations on how the elders perceive themselves in the assisted facilities. It is significantly important for professionals to be a better listener so they can understand patient’s…

    • 1462 Words
    • 6 Pages
    Powerful Essays
  • Best Essays

    Health Care Provider

    • 341 Words
    • 2 Pages

    Singh, D., & Singh, K. (2010). Care of the elderly: a Sikh perspective. Nursing & Residential Care, 12(3), 138-139. retrieved from http://ehis.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer vid=9&sid=18f3e2fd-4b14-4a0b-81a6-7e0fdd68cdc8%40sessionmgr15&hid=116…

    • 341 Words
    • 2 Pages
    Best Essays
  • Good Essays

    Unusually great pain or a terminal condition or an irreversible coma or advances senility or extreme degradation is the disqualifying quality of life that pleads –choice or no choice- for merciful termination (Kass, 1989). Even though the number of people who are dying with a large amount of pain is low, that does not mean that there are people who are not comfortable. Doctors are only able to give so much pain medication to a person. If given enough medication, one may be so drugged they are not even themselves. That is no way to live. Dr. Balfour Mount, from the College of Family Physicians, once said, “People do not have to die with pain” (Palliummia, 2011). To me, this means that people have a…

    • 632 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Careful consideration by the nurse is essential when deciding to use a physical restraint. Nurses must address their personal beliefs and attitudes of restraint use in older adults as well as consider their clinical experience and the available research about the implementation of restraints in the health care setting (3). Research about restraint use has focused on the reduction of restraints in the clinical setting, but it is essential to explore the ethical conflict that nurses face when making the decision to apply physical restraints to a patient. Studying the decision-making process that nurses take part in when considering what is best for the patient using evidence-based practice is vital. Several clinical and environmental factors are altered when working towards the reduction of restraint use, which ultimately impact the process that nurses go through to determine the use of physical restraints. Through evaluation of clinical guidelines, nurses expertise and attitudes towards restraint use, and patient preferences, interventions can be instituted into the clinical setting to aid in the decision-making process by nurses that result in the restraint of a patient…

    • 442 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Aging populations from relatively poor backgrounds out to receive resources higher than the elderly from relatively well up neighbors. This will ensure that the elderly from poor backgrounds receive health care just as those from well up neighborhoods, and will enhance equity. Another ethical issue to consider in the perspective of the background is areas prone to diseases of the elderly. Aging populations from slums and poor areas tend to suffer a lot near the end of their lives. This is because they live in disease prone areas where they easily contract and succumb to diseases. Resource allocation in the care of the elderly should center on the aging in disease prone areas. These populations of the elderly should receive higher resource allocation to ensure that they are accorded the essential health care.…

    • 568 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Pain Assessment

    • 1176 Words
    • 5 Pages

    No one patient experiences pain the same as another. Sometimes, it takes more than one pathway in order to determine how extreme a patient’s pain is. The use of different pain scares such as the 1-10 Numerical scale, the Wong-Baker scale, and the observational pain assessment scale, has proven successful in the treatment of patient discomfort. When determining appropriate pain scales to use in the special populations, research has shown that is it of utmost importance that he nurse remains aware of any learning or health barriers that prevent proper utilization of pain scales. It was also determined that when dealing with patients of various cultural backgrounds, the nurse must always remember that different cultures express pain in different ways. Research emphasizes the importance of understanding that people living with chronic pain most often will not express any absence of pain. Instead, the goal for him or her may be to keep pain at a tolerable level. Pain can present in a vast number of ways through many different pathways; therefore, patients demonstrate the presence of pain in various ways. As always, it is the nurse’s responsibility to understand the patient and determine the way best to address pain in a timely and acceptable…

    • 1176 Words
    • 5 Pages
    Good Essays
  • Good Essays

    In Willeke’s article, nurses stated, “every patient over the age of 65 should be an automatic no code,” and “we should be saving the resources for the young” (Willekes, 2015, pg. 37). This relationship between health and ageism is evidently a dangerous one. The difference in the standard of care healthcare providers give older clients impacts healthcare needs of older adults significantly. Instead of resources being given to the most in need patient, ageism determines the course of action. This practice is unsafe, as ageism doesn’t determine health.…

    • 776 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Gibbs Reflection

    • 3124 Words
    • 13 Pages

    Philp I. (2007). The assessment of pain in older people. British Pain Society National Guidelines. No 8. Available at http://www.britishpainsociety.org/book_pain_older_people.pdf. Accessed on 1st May 2012.…

    • 3124 Words
    • 13 Pages
    Best Essays