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As a physician am not obliged to offer to a patient medication that I know will only aggreviate their condition. Futile interventions tend to increase the patient’s pain instead of reducing it. Medicine has come of age, especially in the American society where the role played by the patient is both important and inclusive. Even though patients have a right to make a choice or even demand that the acceptable treatment be given to them, it does not expresslly provide that their wish be granted. A physician is only obliged to offer treatment that conforms to the professional guidelines. Many at times the decision is made based on the personal preference of the patient. A patient may decide that a particular outcome is not worth striving for and therefore reject or demand tratment. As a medical physician I would therefore take it upon my self to explain to the family of the patient about the various medical procudures available and the futility of those procedures. In a loving and compassionate language I would try my best to make them understand the dinamics of such treatment in an effort to help them come to closure with the issue. I may only agree to use some of these interventions to help the patient stay alive if at all there is an important relative who really needs to see the patient alive at least for the last time. Carefull choice of words comes in handy here especially when trying to make the family and friends to realize that the decision has nothing to do with the availability or cost of the necessary medical equipment for the futile procedure. According to medical ethics; the principle of beneficience states that every medical practioner must endevour to do well to the patient whenever possible, including when the most beneficial thing to do is “nothing”. It’s therefore important to have all parties realize that it’s for the best interest of the patient that nothing is done. That’s where statements
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However, others consider Sunday as a day off, a time ripe for unwinding and escaping their busy and demanding lives. I understand and respect with sincerity the notion of sacredness of the Sabbath; however, the diversity within the masses must be respected.
Keywords: Systemic Lupus Erythematous, end of life decisions, ethical, financial, social, legal considerations. Ethical End of Life Decisions and Different Considerations: A case of Systemic Lupus Erythematous (SLE) Patient Systemic Lupus Erythematous (SLE) is an autoimmune disease which presents with antibodies that attacked nuclear antigens can affect multi organ system in the body and is prevalent to female sex with 9:1 female to male incidence ratio (Rahman and Isenberg, 2008).
The medical community is given the responsibility of withholding treatment in these extreme cases. Families may see it as their right to pursue hopeless avenues while physicians must take a more pragmatic stance. Medicine and the medical community have a code of ethics that defines medical futility and guidelines that direct them through this difficult issue.
Today, medical ethics is evolving in the face of new technologies, greater knowledge of medicine and its limits, and the impact of culture and the individual's view of personal ethics. Volumes have been written in an attempt to clarify professional ethical standards, while trying to anticipate the next ethical question created by modernity.
Those who are found to be engaged in the care of a patient that is definitively undertaken to end that life are actually committing criminal acts, according to the many legal laws surrounding the field of medicine in the UK. Regardless of the laws there are cases that still take place with this one objective and those that are directly involved claim that their actions were never meant in any adverse means but rather where carried out to gain peace and comfort for that of their patient.
Results: - Three main views were extracted from the review; they are: 1. Experiences of nursing community in various fields. 2. Nurses' perception of medical futility. And 3. Role of nurses in decision making.
Search strategy: - Databases Blackwell Synergy, Entrez Pubmed, Cinahl, Nejm, and eMJA were searched using search terms, 'medical futility', 'nursing experiences', 'ICU experiences' and 'role of nurses'.
ICU Consultant and a junior staff nurse to the parents. The family appeared to fully understand the news of brain stem death. The family belonged to the Roman Catholic faith. Organ donation was also mentioned to them but they were opposed to the idea of organ
coveries of drugs that can do wonders and the perfection of medical procedures, critical illness as such can no longer be thought as having a natural progression towards a definite solution. Today, death is no longer a domestic family occurrence. Rather, end of life care
Generally if a patient is diagnosed with an organ failure, the concerned hospital then decides whether that organ could be replaced. If it is found to be possible, the hospital then takes the further step of helping the patient for a transplant. The
in line of reasoning skewed towards providing substantial arguments to support patients or their authorized representatives and families’ acceptance for the need to transcend to end-of-life (palliative) care. This line of reasoning was apparently made clear from the beginning
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