Essay On Goal Driven Decision Making

Improved Essays
Langendoen and Bartels also express the need for goal-driven decision making asserting that, if the goal is strictly patient comfort, then pressers should be discontinued, however, if the patient’s goal is to maintain alertness and the ability to communicate, then many measures may benefit the patient and should be continued (Langendoen and Bartels, 576). It is also important to revisit and reevaluate a patient’s needs on a regular basis as their care progresses.
Some people may argue that because a physician or healthcare provider is deliberately stopping treatment, that the resulting death is therefore just as deliberate and just as morally inexcusable as actively euthanizing a patient. Still, the idea of “letting” someone die “naturally” is considered to be much more permissible by many healthcare professionals. A patient can refuse a treatment and therefore, if the discontinuation of that treatment results in death, it is still for the patient to decide. On the other hand, a patient cannot demand a treatment, and if a patient
…show more content…
Each party must understand one another and be absent of coercion. In this way, the decision to withdraw care can be made without doubt or guilt by any party. That’s not to say that the decision will be any easier. Patients and their family members will continue to experience anxiety and may even fall into depression. We cannot forget however, that prolonging treatment will not prevent these disasters, but only delay them.
In choosing to withdraw end of life care, we can provide an environment in which patients can die peacefully and on their own terms. It gives the family the chance to say goodbye and avoid watching as their loved one dies a much slower and more painful death. It provides much needed closure and the chance for life to continue and to be

Related Documents

  • Superior Essays

    In every state in America except Oregon and California, it is permissible to withhold treatment and let a patient die, but impermissible for a physician to take direct action to assist the patient in ending their life. Both scenarios involve a patient dying, and highlight the difference between letting a patient die and killing them. Either way, the patient is giving up all hope of a cure, medical breakthrough, miracle, or even an extended life. Dan Callahan, an advocate of keeping physician suicide illegal, highlights the metaphysical, moral, and historical arguments against physician assisted suicide that violate the integrity of the medical profession by intentionally killing. The US courts have already set precedents against physician assisted suicide, as there is no fundamental liberty interest in legalizing assisted suicide.…

    • 1314 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The importance of patient participation in healthcare decision making is extremely important it keeps patients involved with the care they are receiving, it empowers them, and improves services and health outcomes. Health care professionals such as doctor-patient relationship, recognition of patient’s knowledge, allocation of sufficient time for participation, and also factors related to patients such as having knowledge, physical and cognitive ability, and emotional connections, beliefs, values and their experiences in relation to health services. Shared decision making aims to support patients to articulate their understanding of their condition and what they want to achieve from treatment, inform patients about their condition and the pros…

    • 215 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Many wonder if euthanasia is right and moral and if it is not what should be done when being faced with this situation. I think the best way to look at physician-assisted euthanasia is through consequentialism and deontology. It’s important we look at the consequences of physician-assisted suicide because they are literally the difference between life and death. A patient that is gravely ill or in a coma may be diagnosed and given a time limit until death, however, some patients have surprised their doctors.…

    • 770 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    I. Physician-assisted suicide, under various names and colloquial definitions, has been a documented ethical issue for centuries – not to mention an undocumented ethical issue since the hypothetical dawn of life. By common understanding, physician-assisted suicide is death either directly or indirectly permitted or carried out by a physician. In simple terms, an “out” is provided. For this reason, it is often associated with chronic pain or terminal illness. Suicide where the doctor in charge is directly involved is perhaps the first situation which comes to mind when one thinks of euthanasia.…

    • 2007 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    Some, who only have six months or less to live would consider receiving physician assisted suicide over having their illness slowly kill them. Physician assisted suicide is when a doctor prescribes a lethal pill to a patient that has a terminal illness. It is only prescribed if the patient asks for it and if the patient only has six months or less to live. Physician assisted suicide is only legalized in California, Oregon, Vermont, and Washington. Every other state in the United States have prohibited physician assisted suicide.…

    • 1308 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Death With Dignity The nation’s eyes opened when twenty nine-year-old Brittany Maynard publicly made the decision that she was going to end her life. When she learned that even with surgery her death was inevitable, she moved with her husband and mother to the first state that made the Death with Dignity Act legal, Oregon. Brittany Maynard did not want to die in vain: “She said, “I will rob cancer of the ability to take everything of me before it takes my life”” (Printz). The right to die with dignity is ethical in many cases similar to Brittany Maynard’s and should be available in The United States because people shouldn’t have to suffer severe illnesses, there should be an option available for Physician-Assisted death, which helps with peace of mind, and they should not face a penalty for going about the process.…

    • 729 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Imagine you are going by your day as always. You are married, have children, and you are enjoying your life. Nothing seems wrong, but a checkup with the doctor leads to devastating news. You are diagnosed with cancer. That was the case of Janet Planet, “I was first diagnosed with breast cancer when I was 42.…

    • 1542 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    NMC Code Analysis

    • 1148 Words
    • 5 Pages

    The new NMC Code is a guide for nurses to reflect and reinforce their knowledge and skills they hold to ensure they practice effectively and safely to provide excellent care. The code is the core of the NMC standards and which nurses and midwives are required to follow. (Goldsmith, 2011) The NMC Code is separated into four main areas; Prioritise people; Practice effectively; Preserve safety; Promote professionalism and trust. Person centred care is based upon forming trusting relationships between nurses, patients and families.…

    • 1148 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    One of the many ethical dilemmas surrounding health care today is physician assisted suicide. Many will misinterpret this as Euthanasia because they both accomplish the same goal, causing the death of a person. However, physician assisted suicide is different because of the way that death is accomplished. Boudreau and Somerville (2014) explain that, “In assisted suicide, the person takes the death-inducing product; in euthanasia, another individual administers it” (p. 2). The physician in the case of physician assisted suicide is removed from the actual act of death.…

    • 1226 Words
    • 5 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
  • Superior Essays

    If doctors are enabled the decision to terminate a life on behalf of a unconscious patient, they would be then granted a power over society that not only breaches the Hippocratic Oath, but also empowers them to “play God”. This responsibility could then reflect upon society, altering their views and their trust within doctors and medical professionals as they could then be seen as “providers of death” (Cosic, 2003. 25) In addition to this, a doctor’s decision to terminate a life may not rely on the condition and best interests of the patient, but instead of amount of hospital beds and facilities that are…

    • 2101 Words
    • 9 Pages
    Superior 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
  • Improved Essays

    Rachels goes on to reiterate the statement from the AMA to allude that at a patient 's request, a physician may withhold treatment which would prolong one’s life. However a physician may not take steps to intentionally terminate a patient 's life. Although Rachels says that this doctrine is what is believed to be the…

    • 1667 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Physician-Assisted Suicide Essay Outline I. Introduction - There is a controversial debate throughout the United States for the last decade regarding physician-assisted suicide for terminally ill patients, many believe having a Doctor prescribe a self-administered lethal drug to a patient is diminishing the value of life. While others believe this method should be the patients’ right to choice when the pain and suffering from a life threatening illness should cease. II. Main Point # 1 - Will Physician-…

    • 824 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The prompt that I chose was “The Timothy Quill Case.” Dr. Timothy Quill starts off the case by describing to his readers about the events that happened. He published the case as an article in New England Journal of Medicine in March 1991. Dr. Quill prescribed barbiturates for his 45 year old patient who was suffering from leukemia, Patricia Diane Trumbull. He also told his patient the amount of drug taken that would be considered lethal.…

    • 1067 Words
    • 5 Pages
    Improved Essays