The most important ethical problem faced by emergency physicians in end-of-life care is making ethical decisions on issues such as
whether to perform resuscitation and continue life-sustaining treatment in cases
where the patients are not competent to make decisions.
What is the main issue in end of life decisions quizlet?
What is the main issue of the end-of-life decisions?
Determining when death occurs
.
These challenges include
physical pain, depression, a variety of intense emotions
, the loss of dignity, hopelessness, and the seemingly mundane tasks that need to be addressed at the end of life. An understanding of the dying patient’s experience should help clinicians improve their care of the terminally ill.
What are 3 legal and ethical issues that occur with end of life patient?
These issues include
patients’ decision-making capacity and right to refuse treatment
; withholding and withdrawing life-sustaining treatment, including nutrition and hydration; “no code” decisions; medical futility; and assisted suicide.
What is end of life decision?
End-of-life decision making is the
process that healthcare providers, patients, and patients’ families go through when considering what treatments will or will not be used to treat a life-threatening illness
. Several forms of this decision making are possible.
What are 3 legal and ethical issues that occur with end of life patient quizlet?
- Pain.
- Symptom control.
- Psychological issues.
- Spiritual issues.
Why are there ethical issues surrounding end of life care?
During EOL care, ethical dilemmas may arise from situations such as communication breakdowns,
patient autonomy being compromised
, ineffective symptom management, non-beneficial care, and shared decision making.
What are some important issues in caring for a dying patient?
recognising when people are entering the last few days of life. communicating and shared decision-
making
.
clinically assisted hydration
.
medicines for managing pain
, breathlessness, nausea and vomiting, anxiety, delirium, agitation, and noisy respiratory secretions.
How is end of life determined?
People are considered to be approaching the end of life
when they are likely to die within the next 12 months
, although this is not always possible to predict. This includes people whose death is imminent, as well as people who: have an advanced incurable illness, such as cancer, dementia or motor neurone disease.
Does palliative care mean you’re dying?
Having palliative care doesn’t necessarily mean that you’re likely to die soon
– some people receive palliative care for years. You can also have palliative care alongside treatments, therapies and medicines aimed at controlling your illness, such as chemotherapy or radiotherapy.
What is the most important end of life ethical issue?
The most important ethical problem faced by emergency physicians in end-of-life care is making ethical decisions on issues such as
whether to perform resuscitation
and continue life-sustaining treatment in cases where the patients are not competent to make decisions.
What are the top 5 ethical issues in healthcare?
- Do-Not-Resuscitate Orders. …
- Doctor and Patient Confidentiality. …
- Malpractice and Negligence. …
- Access to Care. …
- Physician-Assisted Suicide.
What does the end stage of life look like?
As a person’s body becomes less active in the final stages of life, they need less oxygen, and their
breathing may become shallower
. There may be long pauses between their breaths. Sometimes the person’s breathing may also make a noise, commonly known as the “death rattle”.
Why does a dying person linger?
When a person enters the final stages of dying it affects their body and mind. … When a person’s body is ready and wanting to stop, but the person
is not finished with some important issue
, or with some significant relationship, he/she may tend to linger in order to finish whatever needs finishing.
Who makes your end of life decisions?
Without legal guidance, the most frequent hierarchy is
the spouse, then the adult children, and then the parents
. 13 Physicians should encourage the decisions that best incorporate the patient’s values, realizing that the most appropriate source for this information may not be the next of kin.
What does an end of life plan include?
The four components of end of life planning are: 1)
completing an advance directive (AD) or living will
, 2) appointing an individual with durable power of attorney for health care, 3) having a document for distribution of assets, and 4) specifying preferences for type and place of care.
