End Of Life Choices

.“As medical technology continues to advance and health care choices become more complicated, the preservation of end-of-life autonomy is an increasingly important issue faced by various client populations.” (Galambos, 1998).

Key people could be family, doctors, carers, religious leaders etc. Each may own distinctive role to play in order for the choices and preferences of the individual to be respected and carried out. [ Every person’s end-of-life trajectory is different and needs differ in intensity and quality over time. End-of-life care must adapt to the varying and changing needs of the individual over time and that it cannot be limited to certain settings or services. The provision of good

The beginning of life is celebrated. Books and resources are shared among friends and family in preparation for becoming a new parent. So, what happens as one approaches the end of life? Unfortunately, the same care and sharing rarely occurs in those circumstances and many face the prospect of dying unprepared. Though most people state they would prefer to die at home, this is often not where death occurs. Many Americans spend their last days attached to medical apparatus that keeps the body alive, but it does not allow for communication with family and often requires heavy sedation. Additionally, this level of treatment comes at a high price. As a society, we must become as comfortable in addressing the end of life process as we

The importance of end of life issues and decisions are now being discussed at the time of admission to most acute care and long term acute care facilities. More attention is being placed on these specific decisions to ensure that the patient's

Since all diseases are not curable, a lot of people are living in severe pain that is unbearable. Assisted suicide, also known as mercy killing, is the act of bringing the death of a hopelessly ill and suffering person in a relatively quick and painless way. Indeed, it is one of the effective solutions for people who are suffering in pain from terminal illness and especially for children who are not able to choose for their own lives. Even though assisted suicide is not legalized globally, there are few countries and six states in America including Washington State that allow such action. Many people are still against an assisted suicide system. However, since America is the country of freedom, people should have choices

In addition to advance directives, there are other decisions involving end of life care that people should think about and discuss with their loved ones. These are decisions are around the ‘how’ and ‘where’ that people wish to die. These types of measures may be touched on in one’s advance directives, but may not go into great detail. If diagnosed with a terminal disease or if the end of life is imminent, one should decide on the type and amount of treatment they receive. With death as a certainty, most people turn toward either palliative care or hospice

Planning for end of life care for a loved one can be a very difficult process for some families. Knowing that you are going to lose a loved one and planning for how they will be taken care of can be quite stressful. End of life planning can be used in two different scenarios one of which is for terminally ill patients and the other is for the aging and elderly. Planning for end of life care can be quite expensive with all of the doctor visits and counseling’s. In Obama’s Affordable Care Act there is some hope for the elderly for paying for some of these expenses.

End of Life Care Planning is a controversial topic that is huge dilemma in healthcare. The average Medicare expenditures per person over the last two years of life was $102, 939.00 (Harter, 2015). One quarter of traditional Medicare spending for health care is for services provided to Medicare beneficiaries in their last year of life (The Henry J. Kaiser Family Foundation, 2016). Nurses deal with ethical dilemmas when caring for patients at the end of life. Nurses are responsible in minimizing unwanted treatment and patient suffering, which can sometimes be interfered by what family members want and the patient wishes (American Nurses Association [ANA], 2012). This paper will go over why end of life care planning should and should be covered as a covered expense.

There are occasions when medicine is not your friend and the effects of the treatment will only prolong the suffering of the patient. Healthcare professionals must be objective and ask will the end result be changed. We must know when it is appropriate to discuss end of life options and when it is not. According to Adams (2015), most desire to die at home, but less than half are allowed to do so (p. 13). Our responsibility is to allow the client to make an educated decision about all the available service and treatments.

While examining the issue related to end-of-life decisions raise both legal and ethical concerns. The issues may be accountable by a number of issues like who the patient is, who has legal competence to determine what course of action is in the best interest of the patient, Pennsylvania state laws, the values of the patient or the patients parents, and the counselor of the patient providing the services. Standard A.9.c reports counselors have the option to break or not break confidentiality in this situation. Throughout the decision making process, Clinical Mental Health counselors need to be engaged in consultation or supervision since the professional has legal, ethical, and moral dirty to warn when the suspect their client may be in danger (Newsome, Gladding, Pg. 68)

Death is inescapable. Praise God for the life he has blessed his children with. In Elisabeth Kubler-Ross’ novel “On Death & Dying” she effectively explains the dying process in five steps: denial, anger, bargaining, depression and acceptance. The impact of her novel, if given the chance, on the medical field would be tremendous in the attempt of allowing individuals to die with their dignity while also remaining in peace throughout the majority of the process. In reality a funeral should not consist of mourning over what is lost. A funeral should be a celebration of the life the individual was blessed with and the impact they had on the people around them. Truly in the end, death is a blessing to those that believe and a frightening silence to the many that do

When a person comes to the point of time at which they are at the end of their life, whether it is due to their age, natural causes or because an accident has happened, end-of-life care becomes a key component in their given situation. For most people, their families, whether it be their husband or their wife, their children, or even their parents, have to be the ones to make decisions about that care. This end-of-life care involves many decisions that most people do not want to make but have to, whether it is to prolong this person’s life or deciding to let them go peacefully and without any pain. In this paper, I will discuss one particular case, that of Terri Schiavo, and her end-of-life care.

Cable News Network. (2014). Choosing death can be like a 'birth,' advocates say. Retrieved from

With major advancement in medical treatments, it is now possible to keep a patient alive, which would not have been possible in former times. This has made end of life issue one of the most controversial issues in healthcare. Medical improvements have set the stage for ethical and legal controversies about not only the patient’s rights but also the family’s rights and the medical profession’s proper role. It is critical that any decision made in such situation is ethical and legal to preserve the rights of the patient and also protect the healthcare institution involved. It is very important when making decisions to discontinue treatments to make sure all other alternatives have been explored.

Our society finds it difficult to talk about dying and euphemisms are the norm. It is typical for both doctors and patients to be hesitant to initiate a discussion on dying. Focus instead is often more often placed on interventions and actions for managing symptoms. This avoidance can leave patients and their families unprepared for the inevitable death. (Schapira, 2010) It also often results in requests for therapies which may be excessive, costly and even painful in the hopes for a cure. One study demonstrates that when patients are aware that they are terminally ill, the majority are able to reach a state of peacefulness and also exhibit lower levels of distress. (Ray, Block, Friedlander, Zhang, Maciejewski & Prigerson, 2006) It is also important that family members are willing to discuss end-of-life options with their loved ones. According to elderly patients, they are most often the ones who initiate these conversations with their