Literature Review On End Of Life Care

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Literature Review
In the health care management, end-of-life care has become crucial and concern for everyone within the territory of health care and society. There are various challenges health care workers face in a day to day practices such as dealing with different cultural background patients, staff, changing medical care, demand of complimentary alternative medicine, and lack of educational opportunities in EOL. These factors are also contributing to the quality of care received and health outcomes of patients. Literature on these concerns provides insight into the issue inquiry and potential resolutions. This segment of the study will review expert’s perspectives of these factors and how they relate to the care received by patients
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The Nuremberg modern medical ethics code (1947) started to control illegal practices and assist the patient, care takers at end-of-life situations (Thieren & Bull, 2009). As the medical science advanced in the last few years the challenges become more challenging and complex due to the rising cost of care (see figure 1), new research, technological progress in medical care, and changing living lifestyles of the current generation. Prior research suggests that delay or errors in ethical decisions, increase the economic burden on patient, society, and country (Neuberg, 2009; Bach, 2010; Orszag, 2009). Neuberg (2009, p. 128) report mentions that “care near the EOL consumes a disproportionate share of cost and is a logical target for efforts to promote value in health care” (p. 127). Therefore, the management of this new challenges becomes more and more aggressive, expectations of the patients & relatives are increasing, thus, hospitals, provider’s offices, and other health related facilities management becomes more challenging job for the health care workers (Daugherty & Gonzalez, 2011, p. …show more content…
Each nation is currently facing challenges of rising health care cost, ethical issues due to new treatment options (such as CAM-Complimentary Alternative Medicine), changing work conditions, and frequent changes in policies (Kerridge & McPhee, 2011, p. 184). Additional issues of maintaining records, keeping, privacy, and providing information to patients’ families are creating more ethical challenges and putting the burden on health care workers (Nakaya, 2012, p. 66). Eventually the new policies and the law are emerging and making more complicating the situation for health care workers. Many Ethicists are arguing that legalization of physician-assisted suicide in EOL will threaten the relationship between patients, doctors, and healthcare workers. Many believe that the reason behind this is that the provider’s role in health care is healing the patient, not ending his or her life (p.

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