Thursday, April 23, 2015

Obligations to the dying? (Exam Q)

What are our obligations to the dying?  What are health care professionals' obligations?

13 comments:

  1. I believe our obligations to the dying are to follow their wishes and also to keep them comfortable. Dying can be painful and incredibly uncomfortable. I think we should respect their wishes, even if it is physician assisted suicide. Health care professionals' obligations are to be honest with them. The dying should know just how much time they have left and just how bad things are. Physicians should, however, be respectful of their wishes. If the dying don't want to know specific details about their condition, they should not share those details with the individual.

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    1. I agree on the absolute autonomy of the dying individual as well. If they wish to pursue physician assisted suicide then I feel the resources should be provided to them, against the physicians better judgment or not. After being properly informed of all possible interventions, given an estimated time they have left, and with having the insight on how they feel, I feel they are able to make an informed decision on the route they want to take, it is the physicians obligation to at least provide the resources for this patient.

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  2. I think our main obligation to the dying is to support them. Dying can be extremely difficult for some to process. A patient should be respected regardless of their decisions because it is their life, not ours. Physicians should be obligated to keep the dying comfortable and as pain free as possible. They should also provide the patient and the patients family with resources for emotional support, spiritual support, and counseling in order to prepare the dying patient and alleviate fears. I do not believe that it is ethical to let someone die in physical or emotional pain because they were not provided with proper end of life care.

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    1. I agree with every point you made. It is essential to respect and support decisions being made by this patient because they have a right to autonomy and when their life is near an end anyway there is no reason to judge based on their well being. Also providing resources to the family allows for a smoother grieving process, getting them ready for what is going to happen before it happens, speeding the process of grieving to the acceptance stage making it a healthier experience for them. Lastly your point about it not being ethical to let someone die in pain and suffering is what I keep finding myself saying about these situations. Although, in some cases it is not a matter of the care provided, sometimes the suffering is un-relievable and untreatable. I feel it is unethical when there is a possible way for it to be treated or ended, and it is the patients wish, but the act or intervention is not allowed or available based on lack of resources or legal barriers.

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  3. I believe that our obligation to the dying is to provide comfort. Patients that are dying should be able to make their own decisions about what they want in their final days or months. They should also not be in pain and should be able to live to the fullest. Emotional and spiritual support should also be provided to the patient and their close family to ease the grieving process and fears. My mother has a terminal illness and I have spoken with her before and she mostly wants to be comfortable. She does not want to be revived or on a ventilator. For her, if she does not have quality of life, she does not see the point in living; which I agree with. I would not want her to be living her life in a hospital suffering. Although these decisions she has made are hard for our family, I feel that it would be wrong to go against her wishes because we may not be ready to see her go.

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    1. I also believe that one of the most important obligations is to provide comfort to the patient, and the family. I think that it is also best to maintain a positive atmosphere, well as positive as you can make it. I know that if it were me i would want to be as comfortable as possible, and not be in any pain.

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  4. My obligation as a future health care provider is to make my patient comfortable and as happy as possible. Even if the patients family is unhappy, I would be willing to inform them on the occurring topics. Not everyone in these situations can be happy.
    Informing my patient on every possibly care option and the reasons why or the consequences behind this options is also an obligation. You don't want your patient to be misinformed or to be misled.

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    1. I agree with you Amanda that not everyone can be happy. The patient is the first happiness that we should think about. This can be hard at times but again we need to realize that we aren't always going feel good about the decisions that we make. We just need to make sure that we are doing the right decisions.

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  5. I believe that it is the duty not from a medical view but from a humanities view to promote the well being of our fellow people. Because of this we should make sure that we are providing comfort care to not only the patient but also the families of those patients who are all dealing with the impeding loss of life. Now how far we go is often the question. I have no issue to a degree with PAS as a means of relieving suffering for a patient with a progressive painful disease, because if the methods are available and regulated we should shorten death because the alternative "delaying death" which we currently do does not always benefit the patient or the family. Comfort care or end of life care definitely seems great but in reality it is just not available to all who could need it. Therefore, an alternative method of relief should be a possibility for those who ask for it.

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  6. My job as a productive and good member of society to the dying is to make sure that I am empathic to the dying. I am not sure where I will be working but if i am working in a place that provides care I will be sure to have a open mind and to always listen to the person that is being treated. I have to learn to put my feelings aside and to understand that I may not understand where the other individual is coming from. My opinion can be heard but that doesn't mean that it will be taken. Comfort is very important and something that I think is universal in all health care. This is something that we should owe to the dying no matter what. Health care professional need to be honest. The news may not be good but they owe it to the patient to tell them what is going on. If they are dying they need to be able to do what they want to do with the time they have left.

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  7. I believe that our obligations to the dying would be to make them as comfortable as possible and to provide them with a positive atmosphere. As a health care professional, our responsibility would be to not only care for the person dying, but move our attention to the family, and begin our care with the family, and making sure that they are comfortable and have all of the resources they need at the time. I think maintaing a positive atmosphere is very important.Also, keeping everyone informed with what is going on is also a very important obligation.

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  8. I believe that we have an obligation to the dying to keep them as comfortable and pain free as possible. Dying for some can be extremely peaceful or extremely painful, I believe that the patient looks to their family or their health care providers for the comfort they need. Also there is an obligation to the patient's family, to keep them informed and also comfortable. There should always be support for the patient and their family.

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