Introduction The purpose of this paper is to analysis the care of a patient who endured the death of her baby while in nursing care. In doing so, the components of the Framework for a Good Death (Emanuel & Emanuel, 1998) will be discussed. The goal is to examine the factors that come into play when caring for a patient who is experiencing grief and loss, as well as examine the multidisciplinary health disciplines utilized to offer the best of care when dealing with end-of-life decisions. What is the Framework of a Good Death? According to Emanuel & Emanuel, 1998), a good death is considered as one that is free from distress for both families and patients, follows the patients and families’ wishes, and keeps in mind ethical and cultural standards. Included in the framework are insights to end-of-life and characteristics of the dying experience, with four crucial components. Those are: characteristics of the patient, the modifiable components of the patient’s experience, interventions for family and friends, lastly the end result (Emanuel & Emanuel, 1998). In order to help our patients, achieve a “good death” health care professionals need to implement certain interventions. These interventions include addressing the patient’s physical symptoms, psychological symptoms, economic worries, social support, spiritual beliefs, and their expectations. Furthermore, making sure the patients pain and symptoms of the illness are managed, talking to the patient about their feelings
Q1: Complete the following table, describing the needs you would have to consider when planning the different aspects of end of life care for an individual
“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
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
This case surrounds the controversy brought about by the Arizona state legislature defunding life-saving organ transplant operations. In 1987, the Arizona state legislature voted to eliminate funding for most organ transplants for the indigent through the Arizona Health Care Cost Containment System (AHCCCS). At the same time of this decision, the legislature voted to extend health coverage to pregnant women and children in a “notch group.” The public controversy began when Dianna Brown died after being denied coverage for a liver transplant that would have saved her life. After her death, there was wide spread
You've sat in your hospital bed for at least three months now, and the pain and boredom is starting to become even more torturous than you could have imagined. The pain that you are experiencing on a day-to-day basis is excruciating; a normal, everyday procedure like using the restroom or getting something to eat is a long, drawn out, and painful ordeal. All of the doctors that you've talked to agree that you are going to die soon from the disease that has infested your body, but even six months sounds like an excruciatingly long amount of time, especially when all you have to occupy your time is lie in a bed painfully, waiting it out. Your family and friends are already distraught by the news; they already know that you are on the brink
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
they can offer a wealth of information and can help to make them feel useful.
In nursing, the goal of care is usually to restore the patient back to the highest level of health possible. In some cases, however, the goals of care change when a curative approach is no longer appropriate. The new goals of care could simply be palliation and pain control rather than a restoration back to full health. This type of care is called palliative care. Palliative care is not the same as end-of-life care, but the two go hand-in-hand at times. The goal of end-of-life care is a “good” death, good being defined by the patient. Palliation is part of that “good” death. Both palliative care and end-of-life
This paper will explore what would entail “A good Death”. I will discuss Pain Control, No Excessive Treatment, Retention Of Decision Making By The Patient, Support For The Dying Patient And His/Her Family And Friends, Communication Among All Parties And Acts Done Out Of Love That Make Dying More Difficult.
This is recognized to be an issue, and throughout the article the authors provided an understanding of how palliative care and end-of-life care are provided too late for a patient and should be provided at an earlier time in order to bring more comfort to the patients. The authors suggest that when and how end-of-life care is provided should be altered, with nursing ethics in mind, so that patients and nurses may feel better about the care they receive. This source will help my research by providing information on how changing the policies of end-of-life care and palliative care can result in the patient feeling a relief from their suffering and ultimately feeling more comfortable. This will also help my argument in how altering the current policies and focusing on providing better end-of-life care can lead to the diminishment of physician-assisted
In relation to the purpose of this study, the driving force behind the research are three questions. What are nurses experience following patient’s death? What are their actions and coping strategies following patient death? Would better learning opportunities and supportive practice environments be provided once there is an understanding of nurses’ grief and coping process, if yes, was it beneficial. The researchers proceeded with a broad question which allowed the focus to be sharpened and delineated later in the
In the midst of undergoing a serious life-altering incident, one often experiences the feeling of a paradigm shift. It is amazing to see how our perspectives of the world shift when forced to reflect on what is truly important. Such is the way with death. Being near death causes a sharp realization of what is truly important in life--love of family and friends, faith in God, and making the world a better place to live in--and enables one to not merely accept this, but apply it to their life as well. All those typical, average daily worries and concerns about homework, professional careers, food, sleep, personal grooming, etc., while important and necessary in everyday life must seem unbelievably miniscule when the death has wiped ones
Why are we allowed to be more humane to our pets than our parents? Physician-assisted suicide is a voluntary termination of one’s own life by administration of a lethal substance with direct or indirect assistance of a physician. Euthanasia is another term for this practice it provides a competent patient with a prescription for the patient to use with the primary intention of ending his or her own life. Compassion and Choices or Death with Dignity are names of supporters that promote euthanasia, also referred to as physician-assisted suicide, and believe that it is just as humane for terminally ill animals as it is for people. I too agree that it should be legally and morally open for choice to anyone suffering from a terminal
On Death and Dying By Elisabeth Kubler-Ross For my book review, I read On Death and Dying, by Elisabeth Kubler-Ross. Dr. Kubler-Ross was the first person in her field to discuss the topic of death. Before 1969, death was considered a taboo. On Death and Dying is one of the most important psychological studies of the late twentieth century. The work grew out of her famous interdisciplinary seminar on death, life, and transition. In this paper, I give a comprehensive book review as well as integrate topics learned in class with Dr. Kubler-Ross' work. Like Piaget's look at developmental stages in children, there are also stages a person experiences on the journey toward death. These five stages are denial/isolation, anger, bargaining,
1.) Explain how the answers to the self-inventories in the text concerning facts, attitudes, beliefs and feelings about death reflect our societal understanding or lack of understanding of death. I think that the self- inventory question reflected on both our understanding and lack of understanding about death related topics. Some of the answers to the questions on the inventory I knew without look at the answers, but some of the answers actually surprised me. The question about the death certificate was one of the questions that actually surprised me. I assumed before I did the inventory that every death certificate had a specific cause of death that was given on the certificate. Another answer that