The presence of care practices such as sedation and euthanasia in the hospital have spanned various views and reasoning especially where ethics is concerned. Hospice care providers deal with many potential ethical…
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and symptom management, sometimes pain and other symptoms are unmanageable. In such cases, the hospice care team may use total sedation to relief suffering from uncontrolled symptoms. Total sedation may be referred to as palliative or terminal sedation. This involves using of sedatives to bring about a level of comfort in a terminally ill patient that is facing unrelieved pain or suffering. Most health care professional does not consider total sedation as euthanasia. The use of total sedation to relief suffering is an ethically acceptable intervention, especially in the face of imminent death (Fine, 2001, p. 81). I proposed to include euthanasia as a permitted option when caring for terminally ill patients with intractable suffering.
Euthanasia is a deliberate act undertaken by one person with the intention of ending life of another person to relieve that persons suffering and where the act is the cause of death (Gupta, Bhatnagar, & Mishra, 2006, p. 1). In other words, itis the act of ending the life of a patient due to severe suffering by the patient (Fine, 2001), which may end the suffering faster than total sedation. Euthanasia can be voluntary or involuntary, both raises ethical controversies. In voluntary euthanasia, physicians get informed consent from the patient. Physician assisted suicide is a huge ethical issue in the United States (Friend, 2011). The legality of the actions is another issue of concern that contributes to increased ethical dilemmas. It is currently legal in some states. For example, Oregon, USA has legalized only physician-assisted suicide in 1997 (Gupta et al., 2006, p. 1). However, euthanasia is mostly illegal in the United States.
Principles such as autonomy (self-determined) invoked as justifications for this potentially controversial end of life (EOL) care practice (Keown, 2004, p. 621). Autonomy comes from the Greek words “authos” (self) and “nomos” (rule or law) and originally referred to the right of
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To a layman the word euthanasia means the act or practice of ending the life of an individual suffering from a terminal illness or an incurable condition, as by lethal injection or the suspension of extraordinary medical treatment. The question merges in this context why medicos do it and how such situation comes into existence!
In effect, euthanasia is the final resort to terminate a person's prolonged suffering when all other medical, psychological and physical avenues for better health and better care no longer exist.
Legislative discussions for permitting active euthanasia in various countries have been repeatedly debated among their public, the politicians, the jurists, philosophical ethicists and even medical practitioners resulting in drastic to insignificant or ambiguous changes in the concerned country's legal framework.
More important, they help the child and the family make the most of the time they have left together.1 (Craft, Sir Alan) This is opposed to hospital care and treatment, which is usually ill-prepared to help with either the emotional side of this issue, or with comfort issues facing children, in which hospice caregivers have become expert; nor do hospitals historically do well with helping the dying child and their family to live their lives fully up to the moment of death and separation.
Therefore, the hospice care deals with the symptoms of a terminally ill patient which are physical, emotional, spiritual or social in nature. In a reflective analysis of the history of the hospice care, it becomes lucid that the concept of hospice as a place to treat the incurably ill has a long history of evolvement which dates back to the 11th century.
The process of dying should allow family members and the patient time to reconcile, grow and get spiritual enrichment (Rousseau 1999). If care not taken there could be physical suffering, emotional anguish and desperation.
Sometimes symptoms may
I have developed a strong appreciation for people working in this field who provide a variety of services to the patients like administering medications and providing emotional support to the patients and their
This paper will assess the evolution, advantages and disadvantages and the funding of hospice care.
Cecily Saunders established the hospice movement in the 1960s in Great Britain. The basic concept of this
First, Leaders should have integrity in their way of governance because it promotes the public trust in the government (Palanski, Kahai, & Yammarino, 2011). The public trust is necessary for any government or institution that provides services
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