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End of Life
Jane is a 57-year old African-American women who was diagnosed with stage 4 cervical cancer 2 months ago. At this advanced stage, the disease is largely considered terminal. This is more so the case given that following review, doctors indicated that the said disease could not be cured and, thus, there was no need to put the patient on any aggressive or advanced treatment with the end goal being to cure the disease. Towards this end, a decision was made to put Jane on treatment to control her symptoms. More specifically, it was recommended that Jane undergoes radiation therapy with the specific aim of not only controlling her symptoms, but also stopping bleeding and easing pain. Janes family has been very supportive so far. She is married to Jordan, a 64-year-old veteran. Together, they have 3 children who are all adults and married.
Over the last two weeks, Jane has been showing signs of distress and anxiety. She indicates that she wants to leave this planet as soon as possible so as to ease her familys suffering and release them to pursue other more meaningful engagements in life. She is concerned that they are unnecessarily spending resources on her and is convinced that she is wasting their time on constant visitations and in terms of the various demands of care. She sees the stoppage of treatment as the only way...…indicated elsewhere in this text, doctors have ruled out the need to deploy interventions aimed at curing the disease. Towards this end, the relevance of palliative care cannot be overstated. Thus, Jane ought to be placed on palliative treatment for cancer whereby the goal happens to be improving her overall quality of life and deploy various interventions and strategies to minimize suffering (Saracino, Rosenfeld, Breibart, and Chochinov, 2019). There would be need to ensure that Jane and her family members are aware of the need and relevance of palliative care. In this case, sensitivity would be paramount i.e. in relation to respecting the familys viewpoints and opinions. However, there would be need to ensure that a straightforward and honest tone…
References
Conte, C. (2009). Advanced Techniques for Counseling and Psychotherapy. Springer Publishing Company.
Davey, P., Rathmell, A. & Dunn, M. (2016). Medical Ethics, Law and Communication at a Glance. John Wiley & Sons.
Saracino, R.M., Rosenfeld, B., Breibart, W. & Chochinov, H.M. (2019). Psychotherapy at the End of Life. Am J Bioeth., 19(12), 19-28.
APNs have reported feeling greatly distressed when it comes to having to make end-of-life decisions because of a lack of support in this area. In conclusion, more effort needs to be put into making the lines less blurry for APNs so that they can make end-of-life decisions with more confidence and support. References: Ahrens, T., & Kolleff, M. (2003). Improving family communications at the end of life: implications for length of stay
End-of-life care provided by nurses in palliative settings necessitates conscious awareness of several factors that contribute to the effectiveness of care. Factors that are significantly important components of nursing in end-of-life care include communication skills, advance care planning, sensitivity to contextual and cultural factors, support from the healthcare team, and continuing education. Communication skills The importance of communication skills in end-of-life care was acknowledged by Clayton et al. (2007), who developed a
End-of-Life Health Care Imagine this scenario: a patient has end stage heart failure, coronary artery disease, peripheral artery disease, chronic obstructive pulmonary disease and sleep apnea. She has refused any invasive treatments for many years, ignoring potential consequences, and has opted for medical management. She has an advance directive stating her preference for no cardiopulmonary resuscitation, no artificial hydration or nutrition, and only desires comfort measures to allow for a
Grief is not something that goes away on its own. If grief is not dealt with properly it can result in psychological problems for the sufferer as well as for the patient. A "positive coping style may be characterized by a spirit of inner strength. A negative coping style may be identified by helplessness or hopelessness, which may lead to more negative outcomes in dealing with life circumstances" (Guido 2010:
End-of-Life Case StudyAbstractThe ethical issues that arise in decision-making process to end-of-life care will be addressed. Patient�s autonomy and preferences about treatment and end-of-life care should be respected by all parties which are inclusive of, but are not limited to; health professionals and family members. A patient may be incapacitated and may, thus, be unable to make decisions. In such a case, the values and preferences of the patient should
Life Dilemmas in Nursing End of life End of Life Dilemmas in Nursing: Issues with Euthanasia and How to Approach Them A friend of mine had the unfortunate experience of having to make a decision about withdrawing health care from his terminally ill wife. Even without revealing too much detail about the case the description of this incident is rather disturbing. His wife had been treated for breast cancer, but several months