1 Withholding or Withdrawing Treatments in Hospice Care By Bayo Adejuwon Liberty University Online NURS 519 Fall 2011, D-02 Submitted to: Dr. Susan Tasker December 14, 2011 Abstract The choice to withhold or withdraw treatments from terminally ill patients have always been a difficult one to make and an ethical one to say the least. Should treatments be withheld or withdrawn from a critically-ill patient at the end of life? Patients and families are faced with the decision to withhold or withdraw treatments. The question most people are asking is whether withholding or withdrawing treatment is killing. Are terminally ill patients being helped to live longer at the expense of their comfort and dignity?
The researcher aims to accomplish quantitative study in order to develop theories or hypotheses pertaining to phenomena, it only takes into account the quantifiable aspects of phenomenon (Polit and Beck 2010).For the research, 100 nurses are working in an acute care setting and will be selected randomly. And after that collected data will be analysed using quantitative content analysis. The various ethical considerations such as anonymity, confidentiality, patient’s right, informed consent and beneficence will be given extra attention throughout the study. Therefore, the finding of the studies will show the importance of training and education, whilst providing care for the dementia patient. 1) Introduction:- The author will purpose on “Exploring the importance of standard of care for dementia regarding staff training”.
By learning about each person with dementia as an individual, with his or her own history and background, care and support can be designed to be more appropriate to individual needs. The way that dementia affects a person in there day-to-day life vary's from one individual to the next. For many years, people with dementia were classed as incapable, and seen as little more then
Voluntary muscles are muscles that are controlled by a conscious thought such as the arm, leg, and trunk muscles. I chose Lou Gehrig’s disease, because it took the life of a loved one. Lou Gehrig’s disease may be rare, but it is fatal once the disease progresses. My great-grandfather, Walter McBride, had Amyotrophic lateral sclerosis (ALS) at age 63 and passed on at age 64. Like many other cases, the disease wasn’t diagnosed in time for any treatment, nor would it have helped.
Ewart was an American who had gotten a disease that causes his organs to shrink for a long time. He chose to die by euthanasia, to end his pain of his own accord finally. He said that Motoneuron disease made him tired and he had no will to live. If he was in so much pain by the disease, he would still want to live, but there were too much pain. From Steven Ertelt’s article, we knew that Ewart said, if he chose to live, he would suffer illness, but it did not mean he could cure the disease and have a new life (2008).
I. What is the estimated value of caring for the elderly with dementia A. Caring for the elderly with dementia imposes a substantial burden on the family members and likely accounts for more than half of the total cost of dementia for those living in the community. B. Most studies have found that the cost associated with unpaid informal caregiver time accounts for a majority of the total cost of dementia. C. However, the estimates of the average caregiver time and associated cost for dementia care have varied widely (from $1,500 to $35,000 per year).
Bland fell into a coma and was put onto a life support machine at the hospital. Bland’s family wanted to continue use of the life support machine but doctors wanted to withdraw the use. The court didn’t reflect the Good Samaritan Law during the case and thought it patient’s best interests to withdraw the use of the machine. As a result, he became the first patient in English legal history to be allowed to die by the courts through the withdrawal of life-prolonging treatment including water and food. Khan v Khan (1998) also does not reflect the Good Samaritan Law; in this case the defendant supplied heroin to a girl who collapsed as a result of taking it for the first time.
It was already known it that syphilis untreated was fatal disease. Then in the mid 1940’s when penicillin was discovered to be the cure to syphilis the government let the doctor’s choose not to give it to them, and to make a list of names to be sent to all surrounding medical centers to be sure that nobody would treat these men.In the end these poor men did not get treated until the story of their suffering became public in 1972. By this time only 127 out of the 400 were still alive. This is just another nail in the coffin of trust between the Black American race and the American government. This movie is just a great example why Black Americans have always been untrusting of the US government.
Never do for the client what the client can do for themselves!! Encouragement Choice – always ask them Motivate them Positive reinforcement 7. What are some common physiological, chronic and age related conditions that older people may experience? Skin Skeletal Nervous system Respiratory system Digestive system Cardio vascular system Renal system 8. Based on age related changes that you have identified, what can you as a care worker do to support an older person maintain their quality of life?
During this period of time there have been around seventeen millions births which have been recorded in Britain itself. For those born in this time have now reached at the point of time that they have to retire and this is affecting the of society itself rather than economically in Britain. In the 70’s and 80’s there have been successful generations of falling fertility rates which are also known as ‘baby bust’, as currently there are birth rates at approximately about “1.7 per woman” but this needs to be around about “2.1” in order to replace the existing birth rates, as birth rates did fall below the replacement levels. These facts and figures are only assumptions and will only imply for the future social problems. As there are threats that will be a “Demographic time bomb” as the society will face with an enduring “labour shortage and productivity deficit”, these are yet believed to be myths.