I am writing to apply for the recently advertised Registered Nurse Float Pool position in your website. As an acute care and certified hospice and palliative nurse I demonstrate the capability of identifying the physical, psychological, social and spiritual needs of patients. I initiate proper interventions and supportive care in a compassionate approach for patients during their hospital stay. I am interested to bring my experience of acute care to your organization.…
The matter of life and death relates to religion, culture, and individual thoughts; however, the correct way to handle these matters is up to you. There is a lot of controversy over assisted suicide and patient autonomy. A perfect example of this is the Terri Schiavo case. The Terri Schiavo case turned family into rivals and threw the judicial system into the fierce mix. Terri Schiavo suffered cardiac arrest that resulted in hypoxic-ischemic encephalopathy (HIE).…
With the shortage of organs available for donation, the criteria to consider a body for donation has changed from “brain death” to “circulatory death”, making organs available sooner. This change in practice has caused ethical dilemmas among the healthcare environment. In a “2006 study found that some perioperative nurses did not accept the irreversibility of cardiac death” (37). A nurse is trained to save lives, and this practice goes against that notion. A nurse must set aside her own personal views and help the family exercise their right to the choices that they…
Physician-Assisted Death Introduction The ethical dilemma I chose is physician-assisted death. I chose this because it has been in the news and it is a topic which has always interested me as a nurse I very much value life but also believe in one being able to make their own decisions regarding their health care but do not believe this is meant to involve takings one’s own life. Ethical Dilemma Physician-assisted death, is it right or is it wrong? Is it our right to choose when and how we die?…
For many years now it has been a debating topic whether or not a dying patient has the right to die with the assistance of a physician. Some are for it because it’s seems morally right to respect the wishes of a patient, and others are against it because of religious reasons. The main concern for many is if it’s more acceptable for terminally ill patients that are in the final stages of their lives. Physicians are also torn on the issue, not knowing where it draws the line between dying, or killing.…
I remember one time, when I was in the hospital doing an internship, there was this patient that was on her deathbed. I remember her saying she did not want to live anymore. On that day the elderly patient, who was in the Intensive Care Unit breathing her last breath, was slowly allowed to die. This was about two years ago and I’ve never forgotten that moment. I was told that day that sometimes you have to let the patient pass.…
A controversy in nursing I believe that is starting to come around to more people is the right to die law. There are many people that have been suffering in pain due to an incurable medical condition that comes to a point of not wanting to live. Since Kevorkian MD, there have been many people with medical conditions that are incurable. These people are those that are suffering in pain as their family watches. They feel helpless as there are currently no ways to help besides giving them more pain medicine to make them comfortable.…
In today’s society, one of the many controversial issues discussed is physician-assisted suicide for the terminally ill. There have been many questions and opinions concerning the incident, and as a result, some people have been criticized for their opinions of physician-assisted suicide. Many have debated about what is wrong and right yet, none of us actually know what is best for society. Furthermore, we ask ourselves, “Should patients have the right to die? Should we agree to the patient’s request regardless if they want to die based on emotional/mentally reasons, their fear of becoming weak, or their condition?”…
The nurse may not always agree with their patient’s choices, but they can make sure they have all the information required to help them make the right decision for themselves. Respect does not always mean agreement, most Americans feel that their end of life choices should be theirs, and not the governments or medical professionals (Altmann, T & Collins,S., 2007). This fact leads me to believe that more states will follow in passing laws legalizing PAS and that means that nurses have to be up to date on what is going on in their states. They should ask themselves how they feel about PAS and if they could be involved in the…
Every day healthcare workers must make decisions when providing care to their patients. Some of those decisions are clear cut such as providing medicine that will stop nausea or medications that will relieve the pain of a heart attack. Other decisions in healthcare blur the lines of bioethics. One such area is end of life care and whether to assist a terminally ill patient to die. The practice of assisted suicide has been given names such as "death with dignity" or "right to die" to make it more palatable to individuals.…
At some point in your career you have or will encounter a pediatric/adolescent patient with a progressive, slow deteriorating disease with no treatment options, or a severe central nervous systems disability, that predisposes them to an unpredictable death. Regardless of the reason, death for pediatric/adolescent patients should be uncomplicated and pleasant. The problems often seen are the inability of health care facilities and health care provider’s to understand and comply with the wishes of these dying patients. Denying those wishes tend to complicates the death experience and imprints a negative experience on the family. According to Donnelly, “there is evidence that dying in a hospital is not always a good experience” (Donnelly & Dickson, 2013, p.732).…
Ethical principles are not laws, but guiding principles about what is good and what is bad, that should direct doctors and other health care professionals in their work and decision making. Issues arising over end-of-life care involving decisions that affect the nature and timing of an individual's death raise difficult ethical conflicts for all concerned and can be a source of discord between health professionals within a team, health professionals and family members, or between different family members. Ethical dilemmas arise when there is a perceived conflicting duty to the patient, such as a conflict between a duty to preserve life and a duty to act in a patient's best interests, or when an ethical principle such as respect for autonomy conflicts with a duty not to…
Harris (2014) said, “Terminal illness makes patients and families susceptible to physical, emotional, and spiritual distress. Older patients may worry about becoming a burden to their family at end of life” (p. 58). When the issue of assisted suicide is discussed it is important to understand why the patient believes this is the best option. The patient should involve their loved ones in the discussion. The nurse must be prepared to offer emotional support to both the patient and the family.…
The Decision Maker Would you be able to “pull the plug” on a loved one? No one should be alone when making such a massive decision like this as well as when experiencing a death. When we think of children, we do not usually think about death. The article “When Living Is a Fate Worse than Death” by Christine Mitchell argues that doctor’s should have the control over deciding life or death for a patient. The author’s argument is ineffective because the text lacks in facts, is one-sided, and gives a negative tone.…
This learning opportunity reflection was on based on choose your own adventure category. In this learning opportunity I reviewed a documentary titled “Extremis” on Netflix. This documentary took a close look at patients in the ICU and the decisions surrounding their care when their prognosis is not good. In total I spent about two hours completing my learning opportunity and the reflection assignment. I chose to review this film because the description looked interesting.…