Essay : A Guide To Someone's Medical Wishes

A person’s life can end at any age. They can depart quickly or slowly. End of life care, also known as palliative care, is the care of patients that are not only in their final hours or days but the patients with a terminal illness that has become incurable. End of life care takes into mind what the patient desires so it is recommended that they consider an advanced care plan also known as an advance directive and living will. These documents allow the patient to formulate decisions on the future of their care if, at any point, they cannot vocally express themselves.

A patient barrier might include having limited knowledge surrounding life-support systems and treatment options, thereby hindering their ability to fully comprehend or demand certain interventions. Good counseling is therefore essential to overcoming this barrier in implementing the patient’s true and best wishes (Kroning, 2014, p. 222). Another barrier in implementing advance directives concerns the role and influence of family members and the patient. There may be discordance between the desires of the patient and family, which can result in serious debate and tension if not addressed and taken into consideration. Physicians still may have reservations, as certain demands made by the patient may raise ethical concerns in the future, if the provider feels the interventions being done are no longer medically appropriate.

The thin line between life and death has become an ethical issue many health care providers and the government have long tried to ignore. The understanding that life begins at birth, and ends when the heartbeat and breathing have ceased has long been deemed factual. Medical technologies have changed this with respirators, artificial defibrillators, and transplants (Macionis, 2009). “Thus medical and legal experts in the United States define death as an irreversible state involving no response to stimulation, no movement or breathing, no reflexes, and no indication of brain activity” (Macionis, 2009, p. 436).

Although all the clinical practitioners were not required to study medical ethics at that time, AMA still believed that the clinical practitioners would be able to make good moral judgements in bioethical dilemmas. The AMA’s laissez-faire approach worked fine until the emergence of the morally disruptive technologies, such as the dialysis machine, ventilator etc. These new innovations in medicine were morally disruptive because they challenged the previous definitions of life and death. For example, the invention of a ventilator destroys the previous definition of death. With the use of a ventilator, a patient whose heart stopped beating could still live because the ventilator would provide the pulmonary function to him/her. This not only led to the reconsideration of the definition of death, but also raised the moral issues of whether or not they should discontinue the life support of the ventilator-dependent patients. In addition, there was an outbreak of research ethics scandals, in which the clinical researchers continued to do research on

An 89 year old patient came to the emergency room from a nursing home. Per the nursing home staff, the patient had a “floppy leg” and grimaced when that leg was moved. The patient’s advance directive paperwork was provided. The patient is non-verbal. An advance directive is a document composed by competent patient’s that ensure the right of self-determination: the right of every person to make their own decisions about their medical treatment, including the right to refuse treatment (Martin, 2013).

When you are able, you should put thought into the physical process you will go through. All of us love you and want to make sure that when the time comes, we know and can follow your wishes regarding the care you wish to receive. Having your decisions thoroughly and clearly stated in an advance directive will make this possible. (Berger, 2014, p. 590). Your advance directive document may contain a living will, a signed consent for Do Not Resuscitate (DNR), and information identifying your healthcare proxy. Understanding these things now, will help you make clear choices. A living will clarifies what care, or lack of care, you wish to have (Berger, 2014, p. 590). This is helpful for reference if you are ever unconscious or in any way incapable

Advanced care directives are legal documents provided to physicians and health care workers with an outline containing preferences for the treatment at end of life. Patients often do not discuss their wishes regarding end-of-life care with family members or health care providers prior to the event of a serious illness or traumatic event. Educational interventions focus on raising awareness and providing patients with information on advance care planning.

New issues and ethical questions have arisen as a result in technological advances in the field of medicine. One of these issues is quality of life for the individual. Is it better to keep a person hooked up to a life machine, if the person has no quality of life? That is there is no interaction with other humans and the person is only being kept alive because the machines are handling vital bodily functions. These advances add to moral dilemma of physician-assisted suicide and to the intense debate if the practice of physician-assisted death is ethical. Furthermore, there are direct and indirect physician-assisted suicide practices. Direct physician-assisted suicide practices include: administering a legal dose of drugs to end a life, withdrawing or withholding life sustaining treatments, and palliative sedation. Indirect physician-assisted suicides are a little bit different in that the physician may give

Every seriously ill patient and their family should have decided the following issues: proxy, resuscitation, hospitalization, and specific treatments. Every seriously ill person needs to have pointed out a person to speak on their behalf when they get too sick to do so. A “proxy” can be filled out at any hospital or nursing home granting “power of attorney” to a loved one to be able to make decisions. A person

This film explains the legal role of advance directives in end of life issues. An advance directive is “a written document directing how medical decisions are to be made in the future when the patient lacks decisional capacity and is unable to decide and choose” (Hanlon, End of Life Issues, Slide 28, Bullet 1). All three of the cases demonstrate the importance in filling out some form of directive. When there is nothing to go off of, it makes decisions extremely tough for families and medical providers. Having legal documentation of patient wishes helps understand what treatments they would or would not consent to. In cases like

According to the Holy Text in Islam, killing a person, even when said person is terminally ill, is forbidden. Yet modern advancements in medicine are continuously increasing the conditions that question this ahkam or perhaps render it anachronistic. Contemporary improvements in medicine have, for the first time ever, granted humans the ability to maintain physical life even when cerebral existence has ceased. Furthermore, new technologies have allowed doctors to employ extreme measures in prolonging life even in the direst of circumstances. Such cutting-edge developments, which are continuing to create new ways to keep people alive, also generate alternative decisions that were previously unavailable to doctors and patients in earlier times. One of the most controversial options that is now accessible to the medical community is that of life support. Its controversy derives from the many questions it prompts surrounding euthanasia, murder, and suicide. These questions are particularly important to Muslims because the Holy Scripture provides some clashing regulations according to the Shari’a. In my paper, I will analyze the central doctrine and rules of Islam that guide the practices of end-of-life resolutions. I will also review the ethical obstacles that Muslim jurists and medical practitioners face when proposing and carrying out actions regarding brain death and life support with adherence to the Shari’a. I find that two courses of action, which allow the

With an increasing aging population and growing numbers of individuals with chronic conditions, it is important for individuals to prepare for end-of-life care. An Advance Directive is a defined as a “legal document that provides data to critical care staff about patients’ wishes, especially when critical illness decreases decision-making ability” (McAdam, Stotts, Padilla, and Puntillo, 2005). An Advance Directive also allows for better communication between the patient and doctor, and preserves the autonomy of patients. It may also alleviate one’s family from any possible burden of uncertainty of one’s wishes. It provides guidance, which may avert arguments with family members concerning treatment choices (Cedars Sinai, 2015). The Patient

Advance Directives are our wishes when we are at end of life stages of life that give specific direction of how, who, and when to treat us in our final days and hours. We can have documents drawn up to say what we want in the event we are in a state where we cannot voice our wishes aloud. These documents have legal and ethical basis, and they should be followed unless the legally or ethically unable to do so.

In current times we have made many technological advances that have boosted the medical productivity in hospitals. However, the rapid development of medicine is far from being a long term resolve for many health issues. We have a plethora of people whose quality of life is very low and has no chance of improving. During these situations allowing the person to end their life via euthanasia should be allowed. I will argue that Euthanasia is morally permissible in some cases because there are several moral justifications that argue for ending one’s life.

There are many ethical issues that the medical field faces daily. One major issue that is a common debate recently is death and dying and the ethical dilemmas associated with this stage in life. There are many different routes a patient can take when they are diagnosed with a terminal illness, two routes that are often up for debate are palliative care and physician assisted suicide. Many ethical concepts are brought up in the debate of these routes of care, sometimes even conflicting one another. Since medicine has advanced over many years we are experiencing a growing population of elders. With this increase in the elderly population, the debate of death and dying has become an important topic to