Reflective Account “End of Life” Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means …show more content…
Mrs X is becoming very tired, spending more time resting. Her skin is very fragile and the risk of skin breakdown has increased significantly. I was experienced and qualified care worker, but I and my colleagues need to be highly skilled in managing Mrs X’s skin so that it does not break down causing her addition distress. I was given by an additional training in this area so I feel confident and able to take proper care of Mrs X’s skin. My line manager always works alongside with me on demonstrated good skin care. This gave her opportunity to observe me, and to demonstrate best practice. She also talked to the nurse specialists, to find out if there are any particular creams or equipment that will benefit Mrs X, or if they have any other advice. My manager given me also a day course for End of life and supporting people to live and die well instantly so I managed to share to Mrs X situation and condition and it works. One day she talked to me about her pass. She said when she was youth she had a puppy and 2years later the dog was died. She’s devastated and don’t know how to deal with it until a day she found out she has terminal ill. I found her one day she cried. I came to the situation of sadness and tearful however I kept in myself, and tried to control and showed my professional experience in dealing with it. I talked to her and cheered her up. I asked how was she spent time with her puppy? She smiled
Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was
“Tuesdays with Morrie” and “The Death of Ivan Ilych” both portray a character who is dealing with a serious terminal illness and advance knowledge of their deaths. One story is based on the realistic life of an American professor with the story’s characteristics tone from the 1990’s while the other is set during nineteenth century Russia. Even though Morrie Schwartz and Ivan Ilych both suffered from the illness, their dissimilar lifestyles and beliefs led to different perspective on facing death. One views the knowledge as a blessing and an opportunity to share his life experiences before making his final good-byes, the other agonizes in pain and begs for an
Currently, nurse’s use nursing diagnosis to help implement care plans for patients. These care plans help to determine possible interventions that can decrease the risk of complications. In order for the nurse in the following shift to continue the care plan there needs to be standard characteristics for the nursing diagnosis. Impaired skin integrity is a nursing diagnosis that is seen everyday in the health care field. To reduce discrepancies in assessment findings the nurses must be
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
In Ernest J. Gaines novel A Lesson Before Dying, a young African-American, Jefferson, is caught in the middle of a liquor shootout, and as the only survivor is convicted of murder and sentenced to death. During Jefferson’s trial, his attorney calls him a hog in an effort to persuade the jury that he could not have possibly planned a crime like this. Having heard this, Jefferson’s godmother, Miss Emma, calls on the local school teacher, Grant Wiggins, to visit Jefferson in prison and help prove to the community, more importantly the white people, that Jefferson is indeed a man, not a hog. Throughout the book, Grant often contemplates why he is helping Miss Emma; he debates within himself whether he should stay and help Miss Emma and
You’re visiting the hospice for the twenty-third day in a row; the soft squeaking of the linoleum and the gentle buzz of the fluorescents in the waiting room greet you as you walk in. You’re visiting your Grandmother, whose lung cancer has entered metastasis, and has been slowly spreading throughout her body; she has already lost movement in her arms. She is a hollow shell of the woman she once was; her once bright eyes have been fading steadily every day, and her bubbly demeanor has become crushed and gravelly, and every day before you leave, she will only say, “Kill me.” What would you do in this situation? Would you break the law in order to respect your elder’s wishes? It is a cruel reality we live in when ability to choose the time
Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.
How should we die? Many people have not consider discussing plans for dying and the afterlife. Death can take families by surprise sometimes; therefore, they have to make quick decision and may not have all the details need. There are times when families are able to successful plan for their death and afterlife.
August 25th, I got a call from an old lady down by Grillton St., a body has been found. This elderly lady lived by herself in a two-story house, she was entirely immobile and bound to her wheelchair. She used to need her husband to help around the house but since his mysterious death she required a carer who would visit her daily to help her with everyday tasks like cooking and cleaning. The two floors of the house were only connected by a staircase. When the old lady needed to move between the two, the carer would have to carry her frail body like a baby, up and down the stairs. For years the local retirement centre has been trying to convince the poor lady to move out, but she always said that her late husband would want her to be there. To be with him.
They were the subjects of public disputes with family members, court systems, medical professionals, the media, and society at large. Terri Schiavo, Nancy Cruzan and Karen Ann Quinlan; their names are synonymous with permanent vegetative state (PVS). The amazing technological advancements in modern medicine has been credited with keeping persons alive who in times past would have died, therefore this is remarkable for countless families. In the cases of the Quinlan’s, the Cruzan’s and many like them, families members find it unbearable to witness loved ones who linger indefinitely in PVS with little or no chance for recovery. There are many like Terri Schiavo’s parents, who value the lives of their love ones no matter how limited their
Mrs Smith is a pleasant lady in her late 70’s who suffered from breast cancer, renal failure and several other health issues. Mrs Smith was diagnosed with diabetes quite early on in her life and has recovered from hip replacement and several fractures leading to restricted mobility. Mrs Smith requires a vast amount of assistance whilst socialising and being at home, she is incapable of applying weight on her legs therefore requires hoisting to and from her bed/chair. The majority of Mrs Smith’s care whilst at home is covered by district nurses who pay a visit on a daily basis, Mr Smith also
. I got to see her after ready and we asked her and grandpa to pack and get ready to come tot United States so she could be treated in the U.S. I got to see her after she arrived, her skin was yellow. Her face looked very sad, and as soon as she saw me, she cried so I ran into her and hugged her. We took her to a hospital that was near our house. The doctor ran some tests on her and then came out. The doctor looked at me and said: “can you come outside with me for a second”? “Okay sure”. I responded.
“The Fountain” is a movie centered around the imaginary spring of the Fountain of Youth. The Fountain of Youth is a mythical fountain which according to legend had the power of renewing youth (Knowles, Elizabeth). It was Izzi’s dream for Tommy to find the Fountain of Youth so she could be healed. People believed that the water would make old people young and would heal all kinds of sickness. The movie continually dwells on how to escape the pain of death. The ring is a symbol of a beginning without end. The “annual ring” is any of the concentric rings seen in cross sections of the stems of most trees and shrubs: each ring is a layer of wood that normally is a year’s growth (“annual ring“). however, this does not guarantee
While I have not yet agreed to donate any part of my remains to be studied after my death, I would agree to do so. I have been on the patient side of the medical field, rather often, and understand the argument that being a display because of a unique or rare issue is undesirable and could strip someone of their humanity. During life, a patient with a rare or intense medical issue can be examined, tested, and talked about as if they are not in the room. This occurs so often that is seems as they are more their medical diagnosis than they are human. If a body is displayed in a public way, as was done in Mutter’s time, it can make that person simply his or her medical problem, causing the person to lose their humanity. This seems to have
corner that served as his bed. He was a visitor here this week, and yet for