Wednesday, December 4, 2019

End of Life Care-Free-Samples for Students-Myassignmenthelp.com

Question: Describes legal and ethical issues you may have to consider when providing advice about the end of life care in the NewZealand context. Answer: According to Malpas, Mitchell Koschwanez, (2015) the end of life refers to a continued period where a patient is considered to be dying as no further medical help can be accorded to the patient. This happens mainly when a patient is having a terminal illness. Such a patient may consider assisted dying by appealing for help from care providers and healthcare professional to terminate his/her life. Several conditions have made patients to desire to terminate their life. Among these include too much pain, fear of burdening others with ones own disease and future incapacity and other uncertainties. There are however legal and ethical issues that has to be considered in end of life care and assisted death. According to Johnson, et al (2017) medically assisted death also known as euthanasia, assisted suicide or physician assisted suicide are considered illegal. However, efforts to legalize euthanasia are on the move. The best care accorded to a dying patient should be centered on pain management for the patient and allowing death to happen naturally and as comfortable as possible if it seem inescapable. Fernando, Rea, Malpas, P. (2018) explains that terminal sedation which involves continuous administration of intravenous or subcutaneous sedatives to relieve pain to a dying patient is considered the best available help for dying patients. Palliative care is considered necessary in patients who have terminal illnesses on the conditions that the disease has no more likelihood of cure and medical attention is focused on improving the quality of life of the patient. Malpas, et al (2015) explains major legal and ethical considerations which includes helping the family to recover from bereavement and undergo the process of grief successfully, advancement of the patients psychological, emotional and social wellbeing is also a vital role for the health worker. Pain relieving mechanisms adopted should also be carefully examined not to prolong or shorten the life span of the patient as death ought to occur naturally and with dignity. Oliver, Wilson, Malpas, (2017) explains that the New Zealand Medical Association (NZMA) advocates for several issues in the end of life care which includes continued public awareness, equity in accessing end of life care, efficient communication between patients and healthcare providers and respect of the patients decisions as they have a right to refuse medical services accorded to them. Nevertheless, the NZMA code of ethics urges health practitioners to always preserve life wherever possible References Fernando, A., Rea, C., Malpas, P. (2018). Compassion from a palliative care perspective.The New Zealand medical journal,131(1468), 25-32. Johnson, S., Kerridge, I., Butow, P. N., Tattersall, M. H. (2017). Advance Care Planning: is quality end of life care really that simple?.Internal medicine journal,47(4), 390-394. Malpas, P., Mitchell, K., Koschwanez, H. (2015). End-of-life medical decision making in general practice in New Zealand13 years on.New Zealand Medical Journal,128(1418), 27-39. Oliver, P., Wilson, M., Malpas, P. (2017). New Zealand doctors and nurses views on legalising assisted dying in New Zealand.The New Zealand medical journal,130(1456), 10.

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