End-of-life Care

 End-of-life Attention Essay

Honest Dilemma Controversy

George-Ann Wood

Midway University

Nursing 460

March 01, 2011

Moral Dilemma Issue

As the population ages in the united states, the problem of end-of-life care becomes an important issue for the professional doctor. As reported in Evidence-Based Geriatric Medical Protocols for Best Practice, the Patient Self Dedication Act (PSDA) of 1991 establishes advance directives and decision making for all those when capacity to make their own health care decisions is impaired (Capezuti 2010). In light on this PDSA, rns often end up involved in end-of-life situations that conflict with patient's wishes for themselves and family's wants for the individual. The problem presents itself in this field of turmoil between the inconsistant desires of patient and family. The nurse need to completely support the person's wishes whilst assisting the family to complete the same. The nurse is advocate for the patient, instructor of the friends and family, and addition between the interdisciplinary team. The debate comes up within those conflicts; the ANA Code of Integrity binds nurses to admiration the autonomy of each patient and their decision to choose the health care options consider are appropriate for them depending on their faith based, social, ethnic and personal desires for end-of –life care (ANA Code of Values 2001). Nurses are also bound to participate in promoting for the individual to alleviate unnecessary treatment to get the patient who may have designated they do not want treatment options that doctors and/or families may be advocating for the patient against that patients would like (ANA Code of Values 2001). The nurse should be familiar with the end-of-life wishes of their people otherwise; the individual looses an invaluable advocate to assist in reaching their desired goals for end-of-life care. Nurses must also keep in mind their own personal values and beliefs encircling end-of-life maintain their patients' choices to advocate sufficiently. The dilemma during end-of-life issues occur when you will discover differing...

References: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/CCode-of-Ethics.aspx


PROVIDING EXPERIENCED CARE AND COUNSELING TOWARDS THE END OF LIFE http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/etpain14426.aspx

Mauk, Kristen D. (2010). Gerontological Nursing Competencies for Care. Massachusetts: Jones and Bartlett