Nursing Ethics Essay

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End-of-life dilemma with End-stage Heart Failure Nurses encounter various aspects of ethical decision making when providing care by being exposed to patients’ vulnerability to life and death situations on a daily basis. The article “Dilemmas in End Stage Heart Failure” by Chen-Scarabelli, Saravolatz, Hirsh, Agrawal, & Scarabelli discuss an ethical dilemma regarding communication difficulties among end-stage heart failure and end of life (2015). In the article, patients diagnosed with end-stage heart failure are predisposed to an illness that is evidentially terminal (Chen-Scarabelli et al., 2015). Heart failure is a complex condition where the heart develops “structural or functional disorders” (Chen-Scarabelli et al., 2015, p. 57), thus weakening the heart, which is vital to human life. In advanced heart failure patients either require aggressive treatment, palliative or hospice care (Chen-Scarabelli et al., 2015). Palliative care provides holistic care with the goal to improve the quality of life, whereas hospice care focuses on comfort by providing symptom management (Chen-Scarabelli et al., 2015). Is it considered unethical if physicians wait to discuss end of life, due to not knowing the length of the disease course? Should the physician discuss end of life early in the disease process to help enhance the quality of life? This paper will focus on an ethical dilemma on deciding appropriate time in discussing end-of-life decisions with patients suffering from end-stage heart failure. As the disease progresses, and prognosis is poor, decision-making on end-of-life care and wishes are imperative to communicate with patients and caregivers early in the disease process (Chen-Scarabelli et al., 2015). Professional Values In fidelity, nurses uphold the standard of being faithful to patient decisions and maintains promises (Husted & Husted, 2008). Nurses

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