End Of Life

Improved Essays
In,“Truth telling and advance planning at the end of life: Problems with autonomy in a multicultural world” by Lucy M. Candid, she addresses problems of ethical and cultural in healthcare. It contradicts each other a lot. Specifically, she focuses on two different values. One of which is the value of family more important than personal autonomy. The other one is how a patient could control their own life. She shows that caring for a patient is changing. The author also recommends things that doctors and nurses could do in these situations. First off, the controversy is happening over a long period of time. There is a dramatic change in how we practice care in the end-of-life. Doctors and nurses sometimes believe that revealing medical information could hinder the happiness of the client present. The patients will think only about their death and not care about life. In contrast, the acknowledgment of the disease is believed to be cruel to the patient. It does not honor the patient's self-government. An end-of-life specialist, Stephen Levine, wrote a book on “spending a year as if he has a year to live” (Candid, pg. 2). The patients would live differently. They can fulfill all their dreams and what they want to do the most and when they die, they will not have any regrets. Now, the believe switches. In school or workplace, we are taught how to …show more content…
175). If we think about it, it is not really a dilemma because the doctor is biased. He uses his own experiences into thinking that everyone is the same. If he tells the patient first, he could practice autonomy by accepting the patient’s way of care in the family. He can be cultural competent at the same time by considering how the patient’s family practice in medicine, especially in the end-of-life

Related Documents

  • Improved Essays

    The author mentions that all nurses have for duty to respect patients’ privacy even after death. The author gives many examples of different ways a healthcare provider can breach a patient confidentiality. Additionally, the author mentions that nurses need to be properly trained on how to use electronic medical record. The article stresses the importance of only access information of patients that you are directly taking care of. The author did an excellent job presenting the material.…

    • 2001 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Article critique 3 Hospice is an important philosophy of care for people searching quality of life in the terminal level of illness. Supportive services that hospice provides to dying people including medical, social, emotional, and spiritual services as well as helping for the patient’s family. The major aims of hospice care are helping the patient to be as comfortable as possible and managing a patient’s pain and other symptoms. However, culture and ethnicity determine thoughts and ideas about death. Culture can significantly affect the patient’s response to the dying process and the decisions that the patient and family make (Giger, et al., 2006).…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    End of Life Care also referred to as Hospice or Palliative care is focused on making the patient as comfortable as possible by providing an array of services for the patient. In Ella’s case the social worker must use a framework objected towards Ella’s illness and pain. At the end of life much attention is given to the physical, psychosocial, emotional, and spiritual needs of the patient. Additionally, the Social Worker must create an agenda designed to deliver care to the family as…

    • 812 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    It is clear that the utmost importance in any medical context is the relationship between the healthcare practitioner and the patient. The duty of a physician is to adhere to certain principles of medical ethics namely the principles of respect for autonomy, beneficence, nonmaleficence, and justice. By examining the case study involving Dr. Nancy Morrison, one can observe that these principles are often ambiguous when referring to the issue of whether she committed voluntary active euthanasia or nonvoluntary active euthanasia. Thus, the thesis will aim to exemplify that ultimately Dr. Nancy Morrison was culpable for her actions. To give some context to the issue, Paul Mills was a 65-year-old individual suffering from terminal esophageal cancer.…

    • 1467 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    There is no set time as to when to tell a patient they have a certain amount of weeks, months, or years left; therefore, it is a constant struggle for doctors to admit that there is nothing left for them to do and that the patient is going to die. The research that Dr. Gawande conducts to become better at conveying the news of death to his patients can assist him and other doctors in their struggle. There is always a chance that a patient could be the one, the breakthrough. This makes it even more difficult to know when it is taking too much out of the patient to continue treatment because there is that…

    • 1053 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    However, in the case of physician-assisted suicide, there are no apparent social consequences for the actions of the patient. In Dr. Quill’s account, Diane’s decision to end her suffering did not contribute to any negative social consequences. As Arras demonstrates in the case above, there are crucial flaws with adopting an entirely rights-based society. Nevertheless, a rights-based approach provides a unique perspective in favor of physician-assisted death. The Utilitarian…

    • 1648 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Sometimes it is tough to incorporate demands of clients or family members especially when it involves certain ritual when a loved one passed away. Nurses must look beyond their personal beliefs, values and norms in order to accommodate other people's cultures that we are not even familiar with. "Nurses’ responsibility for cultural safety must include paying attention to the disparities in health care; more specifically, to improving health care access for all nations; acknowledging that people are all bearers of culture; exposing the social, political, and historical context of health care; and disrupting unequal power…

    • 96 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    The only behavior and choices that one can control is one’s own (Haigh and Neville 3213). In health care, it is thought to be a fundamental ethical principle to respect a patient’s autonomy (Haigh and Neville 3213). When the principle of the right to autonomy conflicts with others, it should almost always come first and take precedence over other principles (Angell). One principle, or basis for a system of belief or behavior, that the right to autonomy could possibly come in conflict is the principle that all physicians and medical professionals should always care for the ill and keep them alive (Angell). Although nurses pledge to do no harm to their patients, it is ultimately the patient’s decision to decide what is best for them in the event that they may not have many other options (Angell).…

    • 1442 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Advanced Care Planning

    • 552 Words
    • 3 Pages

    The discussion of advanced directives by the nurse with patients and their families should initiate before illness occurs. This discussion will empower the patient and family members with knowledge and an opportunity to ensure that at the end of life their wishes will be respected (Clabots, 2012). Developing a nurse-patient relationship will foster communication about end of life care planning by building a trusting…

    • 552 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Physician Assisted Suicide

    • 1457 Words
    • 6 Pages

    The main ethical issues present are two principles. One is the patient’s autonomy, and the other is the doctor’s duty to relieve suffering. The patient’s autonomy is defined as the right of the patients to choose their medical path. Advocates for physician assisted suicide argue that under the liberty provision in the United States Constitution’s due process clause, a terminally ill patient should have the right to choose death (Howard Ball). Those opposed to physician assisted suicide argue that there are limits to autonomy.…

    • 1457 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    ntroduction The Legal right to die describes in any situation of an adult who is in state of sound mind to decide about his or her treatment to be continued or not, where such voluntary, informed decision is made, should be recognized and respected. According to Lord Goff of Chieveley in 1993, at p. 864, in Airedale NHS Trust versus Bland [1993], the House of Lords held that “The principle of self-determination requires that respect must be given to the wishes of the patient. If an adult patient of sound mind refuses, however unreasonably, to consent to treatment or care by which his life would or might be prolonged, the doctors responsible for his care must give effect to his wishes, even though they do not consider it to be in his best interests to do so. […] To this extent, the principle of the sanctity of human life must yield to the principle of self-determination”.…

    • 832 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The evolution of modern medicine has dramatically lengthened the life expectancy of human beings. In many cases, the quality of those life years are satisfactory, and elderly individuals enjoy life. However, there are also many people experience terminal diseases or tragic accidents that reduce their quality of life to the point they no longer want to live. In these cases, patients may plead with their doctor to end their life. Naturally, a physician ending the life of her patient is morally conflicting.…

    • 1590 Words
    • 7 Pages
    Great Essays
  • Decent Essays

    One major cultural issue is whether or not to reveal a terminal diagnosis to the patient. As mentioned in the readings, the patient has the right to know his or her condition; however, many cultural families disagree. " In some cultures, it may be seen as…

    • 397 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Terminal Illness Model

    • 1517 Words
    • 7 Pages

    Introduction Terminal illnesses are health conditions that are life-limiting, and diagnoses of such conditions are distressing news that inexorably leaves patients and their families and friends filled with much uncertainty for the extended time periods. In the contemporary, such news does not only make the ailing and the affected kin perceive that everything has overturned, but also makes them acclimate to the norm of sudden death. These become the inception questions without definite answers, grief, and other mixed emotions and reactions, ranging from shock to acceptance, all of which determine how people deal with terminal illness. The main concern in this paper is to address how terminally ill people cope, along with the similarities and…

    • 1517 Words
    • 7 Pages
    Great Essays
  • Superior Essays

    Constructive Argument Generally the thoughts of death are taboo and death is seen as a terrible part of life. Most people fear death as it brings an uncertainty—both for what is to come after life and for how death will occur. An individual who has a terminal illness faces the questions surrounding death as doctors state that this person does not have long to live. While this person suffers through an immense amount of physical and psychological pain, doctors are required to keep the individual alive.…

    • 1593 Words
    • 7 Pages
    Superior Essays