Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

The decision to terminally wean a critically ill patient - Article Example

Comments (0) Cite this document
The involvement of the medical staff in the decision to wean a terminally ill patient, as well as assisting the family of the deceased with the emotional burden is evident. We view the involvement of the nurse, as a part of the medical personnel, in the decision to terminate the patient, as well as the emotional assistance provided to the family that is coping with the grief and loss of a loved one…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER92.2% of users find it useful
The decision to terminally wean a critically ill patient
Read TextPreview

Extract of sample "The decision to terminally wean a critically ill patient"

Download file to see previous pages Nursing, as well as the other aspects of the medical profession, is one of the most demanding of tasks, requiring as much skill as an admirable character. Nursing care is directed towards the essential and comprehensive needs of the patient, as well as the needs of their families during the entire course of the medical treatment. This is especially important during the difficult times of passing away of the patient, where the role of the nurse is to relieve the symptoms and suffering associated with the process of dying, as well as the emotional burden that the family is left to cope with. "The nurse should provide interventions to relieve pain and other symptoms in the dying patient even when those interventions entail risk of hastening death. However, nurses may not act with the sole intent of ending a patient's life even though such action may be motivated to by compassion, respect for patient autonomy and quality of life considerations"1.
First, it is important to understand that the terminally ill patients, no matter of their illness, are divided into 2 main groups. The first group is the patients capable of communicating with the environment and therefore are capable to make conscious decisions about their future treatment and medical care. The second are those that are unconscious, in particular those who are on life support systems. Both conscious and unconscious patients receive pain control medications to ease their suffering. Pain control is one of the basic treatments given to terminally ill patients. It relieves the physical, as well as the emotional stress of the family. According to latest protocols administrating the pain control medications begins with you examining patients' or the families' attitude toward pain control, and then toward a specific preferred assessment tool. You also need to perform a comprehensive pain assessment by reviewing pathophysiologic or psychological causes of pain. Don't forget to asses the patients' response after an hour of administrating the analgesic. Also, immediately inform the doctor when the pain control regiment has reached the maximum limit, or there are sighs of adverse reactions. It is also important to explain to the patient (if possible) and his family that everyone has individual pain response to illness, and that pain control is important to proper medical care. Never to forget to review the pain medications' side effects.
"Withdrawing ongoing life support is a dreaded but necessary therapeutic maneuver when life-supporting devices have become hindrances rather than benefits"2. Pain control medications are still administered to ease the passing of the patient. There are 2 methods of removal: terminal weaning in which the endotracheal tube is left in place as ventilation support is slowly withdrawn, and terminal extubation in which the endotracheal tube is abruptly removed and the patient is suddenly without ventilation support. Most doctors and medical personnel believe that "terminal weaning is the most desirable mode for both ergonomic and physiologic reasons. The continued ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“The decision to terminally wean a critically ill patient Article”, n.d.)
Retrieved from
(The Decision to Terminally Wean a Critically Ill Patient Article)
“The Decision to Terminally Wean a Critically Ill Patient Article”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF The decision to terminally wean a critically ill patient

Division Courts Decision

Justice Act in the commencement of ss 108 to 117 and Schs 6 and 7 and the lawfulness of the Secretary’s Act in failing to fully implement its provisions. The second issue concerned the question of whether the Secretary had been guilty of an unlawful Act by exercising his prerogative and implementing a non-statutory tariff scheme when ss 108 to 117 represented the will of Parliament in regard to compensation for victims of criminal injuries, and whether he had thus breached his common law powers.

3(a) In 1988, a new non-statutory Criminal Injuries Compensation Scheme was set out under ss 108 to 117, 6 and 7 of the Criminal Justice Act of 1988. According to this scheme compensation for victims was calculated on a ba...
20 Pages(5000 words)Case Study

The Role Of The Nurse In Assisting The Patient To Adapt To Health Challenges

In a sense palliative nursing is one of the oldest types of healthcare, stemming as it does from centuries past when many (indeed most) diseases were incurable because of a lack of understanding of their causes. While the nurse using these techniques may use the most modern technology, he/she should be reminded that some of the oldest concepts/techniques in medicine may in fact be used.

The nurse involved in palliative healthcare seeks to neither hasten to delay death. Palliative healthcare is intrinsically linked to hospice care, as the Cancer Web site suggests, a hospice is “an institution that provides a centralized program of palliative and supportive services to dying persons and their families, in the form o...
8 Pages(2000 words)Report

How Does Branding Affect Buyers Purchase Decision

The scope of the study covers all kinds of buyers with different behaviours making buying decisions with regard to different brands. There is also a detailed study of the Consumer Decision Process. There is a good enough introduction on consumer buying process besides an extended and detailed introduction on Branding and Marketing emphasizing the difference between the two and how the concepts are different from each and in what way there can be a delineation between the two. There is an explanation on the different stages of Consumer Buying Behaviour, namely Need Awareness, Information Search, Checking Options, Purchase Decision, and Post Purchase Behaviour. There is also a detailed explanation on Types of Consumer Buying Behavio...
44 Pages(11000 words)Research Paper

Decision Making For Management - Linearity of Variable Costs within the Relevant Range

Keeping aside the fixed costs which have to be borne irrespective of the sales revenue, the remaining costs which are directly proportional to units sold can be minimized to manage cash flows in a better way. They can cut on their variable costs by having a look at the contribution margins of their company and their products.

The contribution of sales to before-tax profits, or gross profits, over and above the break-even is exactly the contribution margin as there are no fixed costs any more. The amount after the deduction of variable costs from the revenues will be added to the profits.

CVP graphs help the manager and the reader to have a better figure of the relationship between the profits, sales and volum...
7 Pages(1750 words)Assignment

Mentally Ill People and Their Re-Introduction Into the Workforce

...A Critical Review of Tsang et al In the article “A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: implications for recovery,” the authors attempt to discuss the difficulties that people with serious mental illnesses have in being discriminated against by employers, and how it is difficult for complete recovery by these individuals if they are to able to properly re-enter the workforce as this is a key aspect of recovery. The question in particular that the authors attempt to answer is whether there are any differences in the perception of employers in regard to individuals with serious mental illness in western and non-western societies. The lay theory proposed in the article states that people...
8 Pages(2000 words)Article

Decision Making in Health and Social Care

...DECISION-MAKING IN HEALTH AND SOCIAL CARE: ECONOMICS a) Why are market forces unsuitable for health service resource allocation? Refer in your answer to the problems of consumer sovereignty, agency, and health outcome measurement. Market forces, demand and supply, move in opposite directions with respect to price changes. When the price of a good is high the demand for it is less while the supply of it is greater. This is economic sense but nevertheless this positive economic statement about the predictable behavior of the consumer does not hold true when the demand patterns for Giffen and inferior goods are factored in. For instance when income, of the individual consumer, rises his demand for inferior goods such as potatoes...
8 Pages(2000 words)Case Study

Lack of Health Insurance for the Mentally Ill

Worse, because the family sometimes cannot afford to cover their medical expenses, these mentally ill patients end up with no medical care at all; they are forced to suffer the debilitating symptoms of their mental illness and to be subjected to worsening mental and general health conditions.
This paper shall discuss the lack of insurance among mentally ill patients. It shall first describe the mental health issue and the student’s position on such an issue. This paper shall also explain why this position is important and the relevance of the position to nursing practice, the mentally ill, and society. The rationale of this position shall be clearly explained and two factors that contribute to this issue shall be identi...
8 Pages(2000 words)Assignment

Selective Perception and Decision Making

Some people make take sound and quick decisions while they are facing severe problems whereas some others fail to make good decisions while they face even smaller problems. Various parameters can control our decision-making abilities.

Perception is the way that people organize and interpret everything around them in order to give meaning to experiences. The definition of perception does not change but each individual’s perception of experience can be different. There are many things that influence a person’s perception. Personal beliefs, attitudes, and past experiences can change the way a situation is perceived. Situational awareness also factor’s into perception. What might be normal in one situati...
7 Pages(1750 words)Research Paper

Nurse Staffing and Patient Outcome

...NURSE STAFFING AND PATIENT OUTCOME Critical appraisal of reviews Heinz, D., 2004 Heinz (2004) focused on the implications that could be drawn from The first review reported here by Dian Heinz (2004) reviews previous research studies that examined Hospital Nurse Staffing and Patient Outcomes. This paper aimed to review earlier research literature on the effects of nurse staffing on patient outcomes and recommendations for further research and suggestions to enhance nurse recruitment and retention were discussed. This study result of 16 studies who investigated the association between nurse staffing and patient outcomes included mortality, length of hospital stay, and patient complications. The researcher used The above study concluded...
7 Pages(1750 words)Literature review

Case of Dementia Patient

This standard requires everyone to take care and control of any activity that is ought to happen or be done by dementia patients as their personal responsibility. The client being Mr Paul is likely to suffer a high head concussion or even a sudden death. Dementia patients don’t have control or clear conscience on the act they do when they feel frustrated, the organization where he was as likely to suffer from poor operation and an eventual closure due to poor treatment of clients.
Quality standards cover the care and support to people living with dementia. The standard applies to all social care settings and services working with caring for people with dementia. The standards also extend to cover care provided by health...
9 Pages(2250 words)Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Article on topic The decision to terminally wean a critically ill patient for FREE!

Contact Us