In the case study (see appendix) there are two possible choices. First, Lucia can go for bone marrow transplantation. The bone marrow transplantation would mean exposing her to intensive chemotherapy, total body irradiation and put her in isolation after the transplant. She has second option to quit the transplant and can stay on palliative measures only. As a nurse I will ask the parents to think by considering their child’s values in this moment. I will ask them to think about option one which is transplantation. Would they think it is good for their child to go under this procedure in which there are only ten percent chances that the transplant will be effective? During the procedure, their child has to go under chemotherapy, radiation therapy and weeks of isolation and will that make their child happy? Now, think about second choice, which is free from pain and suffering. Now, see the comparison between two choices and what makes their child happy? The other health care providers such as doctors respect the decision of Lucia is consistent. The effect of first choice of transplantation will be weighted against effects of second choice of palliative measures. The first …show more content…
According to CNA code of ethics (CNA, 2008, p. 11), as a nurses I should identify and respect decision of my client. I should support person’s right to refuse for treatment. As in Lucia’s case, I will respect her decision to refuse consent for the transplantation. The parents are disagreeing with decision made by her and wanted to impose their wishes on her. In this case, I will help family to understand the person’s decision and I will meet family to answer their questions. As parents mentioned (see appendix) they want their child to be happy. I will make them understand that accepting the child’s wish is the way they can see their child
"I just told them they could do a topsy. Nothing else, Them doctors never said nuthin about keeping her alive in no tubes or growin no cells. All they told
Nothing else. Them doctors never said nuthin about keepin her alive in no tubes or growin no cells. All they told me was they wanted to do a topsy see if they could help my children. And I've always just knowed this much: they is the doctor, and you got to go by what they say. I don't know as much as they do.
Position When the health care provider decide that the patient will not improve and there are no brain activities. Since her husband and her father are there, the hospital should listen to them to suspend the life support. But in this case husband want to discontinue the treatment, father want to continue the treatment, doctor does not have hope and they do not know what patient would want. In this situation, this case should be referred to the court. Court should make the decision protecting patient right, understanding their relative feelings, hospital ethical committee with doctors’ advice.
Similarly, all clinicians need to gain consent from nearly every patient, either verbal or non-verbal, unless in an immediately life-threatening condition. To refuse consent, a patient has to have all information presented to them by the clinician including; the risks they may face, other alternatives to the initial treatment plan and likelihood of success (SCAS, 2016, 5.3). Consent given by a patient under unfair pressure from a friend/family member or clinician, is not considered consent as it is not the patient’s decision. If a valid consent has been given, then a patient is entitled to withdraw their consent at any time. If a patient lacks capacity to give consent, and has no nominated person with Lasting Powers of Attorney, then no one can give consent on their behalf (SCAS, 2016,
As the informed consent law indicated, an adult with thorough mind patient is the sole intermediary what should be done on his/ her own body either to accept life-sustaining treatment or to refuse at all as long as he/ she understand the consequences. The decision making about the medical treatment shall serve as the fundamental legal and ethical basis for withdrawal of life-sustaining treatment option. Hence, legal authority to withdrawal life-sustaining treatment is the basis of the patient’s autonomy. The underlying principle of legal and ethical consensus in decision-making capacity of the patient may withdraw the
According to Karaim in 2013 “Decisions about sustaining life, allowing it to end or even hastening death are among the most difficult choices terminally ill patients and their families can face” (para 1). Patients going through this have a bountiful number of things going
Although Halacha will probably favor treatment if there were a chance of survival, the patient/surrogate may refuse such an approach if the prognosis of the treatment is unfavorable. In case three, intubation would be reasonable, but after the kids told the doctor their father’s wishes they have to respect that. This is only okay because the father had a terminal
When the kids are 18, if they can, will go to a special house to live. Some of the older patients will never leave, because of the severity of their
You have to consider the parents. While you are trained to see the development barriers and recognize them, as parents they only see their baby. Continuously bringing up concerns or making suggestions could come off a little offensive. You should consider the condition of the child because his situation has a lot of unknowns.
Embracing Death: A Rhetorical Look at Clendinen’s “The Good Short Life” How does one want to die? That might be a question too harsh for some to think about. So, maybe the correct question would be, how can one embrace death?
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
1. Describe the range of emotions associated with being the parent of a child with special needs. Select two emotional states and describe how you as a teacher would you work with a parent experiencing these emotions. The range of emotions associated with being the parent of a child with special needs includes grief.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
Ethical Issues in Healthcare There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order. Neonatal Ethics Neonates are babies within their first twenty-eight days of life.
Another ethical dilemma that nurses face every day are decisions patients make regarding their religion. This may fall under autonomy. Patients have the right to make whatever decision they make without interference from others. Nurses may advocate for patients and inform them about the risk that comes with their