End-of-life care

Being Mortal: Medicine and What Matters in the End. -Atul Gawande. A Reaction Paper. By - Malay Parekh Q1. Atul Gawande talks about various culture and the difference in their approach towards the elderly. He starts with talking about how his father adopted to every aspect of American life except the way we treat our elderly. Dr. Gawande talks about how the elders are treated in India. He talks about the time when he went to visit his grandfather. His grandfather had the aging effects…

values “are regarded as typical of economic life” (Lucjan 52-55). Business ethics foundation extends from a European-American economic tradition which at the core possess the basic ethical competencies. The values are Freedom, Justice, Responsibility, Trust, Progress, Prosperity, Sustainability, and Rationality. However, these values vary in rationale and reasoning. The American way tries to make them a part of everyday business life opposed to finding a reason to justify the…

Kevorkian was arrested in the 1990’s for the murders of some of his patients. Today, some may still argue that certain religions restrict the hastening of death for anyone. However, physician assisted suicide should be considered as another form of end-of –life care. Physicians need to be willing to provide their patients with the best treatment options, even if they include physician assisted suicide. Once palliative…

Handling of Legal/Ethical issue #1 Sustaining Life support disregard of the patient’s wishes The disregard of the patients’ rights as a health care provider, it is important to give the family time to accept their loss. “The treatment team allowed a week to pass to allow the husband more time to give him supported in his grief and to appreciate the gravity of his wife’s situation.”1 From the standpoint of a health care provider legally it is not possible to force the husband to abide by the…

the way he was in the beginning to the way he was in the end. The Phoenix, books, hands, and mirrors are all crucial symbols in the story that Montag connects with. Each symbol helps describe unique parts of Montag that he gradually develops and attains throughout the story. At the start of the book, Montag doesn't care about the world he lives in. He doesn't see life as something precious that should be appreciated. But closer to the end, Montag finally opens his eyes and looks at…

lead a team of nurses and healthcare assistants to provide care in the community. I often work with people and their families over a period of time, so get to know them quite well. As a result, I can notice when their health is deteriorating and they are nearing the end of their life. I also have a good understanding of the local community and am able to access help from a wide range of resources. In these situations I spend time with the person who is dying and those close to them, helping them…

People in the United States are concerned about the amount of money that is spent on end-of-life care. Recent studies have found that Medicare spends an average of $170 billion on health care for patients in the last six months of their lives. Although hospice care seem expensive, it is easier than dealing with the burdens that come with passing away at home. In the article “Dignity in Dying,” Kent Sepkowitz, a doctor at a cancer hospital, argues that it is emotionally and financially much…

If I were terminally ill I would highly consider entering a hospice, especially once I could no longer care for myself. According to Leming and Dickinson (2016) “The primary goals of hospice care are to promote patient–family autonomy, to assist patients in obtaining pain control and real quality of life before they die, and to enable families of patients to receive supportive help during the dying process and the bereavement period” (p. 216). These are all great ways to have a better, more…

Making the decision whether or not to treat patients with medical interventions that could prolong life, which may or may not be beneficial, is an extremely difficult decision. Medical futility or futility of care is a controversial topic with legal, ethical, and moral implications. In order to begin the process for making this decision, a nationally recognized definition should be established and the legal, ethical, and moral implications must be considered. History of Medical Futility…

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. It also relates closely to an experience I had at clinical when caring for a patient who was very sick and being transferred to hospice care. In this film, I learned a lot about the family involvement in the end of life decisions for patients. There was…