Communication: Death and Life Essay

Describe ethical dilemmas that may arise in own area of responsibility when balancing individual rights and duty of care. Nurses and other medical personnel normally confront ethical dilemmas when caring for terminally ill patients. Correct understanding of the fundamental ethical principles aids the nurses to examine major dilemmas in the delivery of healthcare to the very sick patients or terminally ill patients. Due to a boost in medical knowledge and expertise, so are alternatives for healthcare. These alternatives present intricate moral dilemmas when decisions arise regarding the treatment of dying patients. Majority of the medical personnel are faced with the decisions related to the treatment of dying patients to ease a patient’s final misery. Conceivably, a decision will need to be made about whether to allow a patient to continue living or to end his or her life by terminating treatment when all’s said and done. Often, these decisions concerning the care of a dying loved one confront people from all walks of life (Butts and Rich, 2005) End of life is a concept that is often ignored despite the fact that everyone will die some day. It is because death is a part of life that people are familiar with palliative care given at the end of life. Yet, the end of life concept is generally thought to be something equated with human life. At least, that is what people tend to think of when the phrase â€Å"end of life† is uttered. Today, palliative care is offered when someone is dying, and when the end is predictable. Some people die a slow death from issues like cancer or heart disease, but others die abruptly from an accident or heart attack when life ends. In the latter case, the end of life is only known in retrospect. How is the end of life defined? Death is very difficult to define. Yet, doctors have determined some criteria to at least allow someone into a hospice program. Still, the end of life can be looked at philosophically, and examined in regard to a number of different domains. For everyone, death is inevitable, and each loss is personally felt by those close to the one who has died. It is very important that nurses, the medical staff and or love ones understand the end of life process of the being in order to care for them. The dying person should be allowed to have a peaceful, pain free, and dignified death. The World Health Organization (2009) has defined palliative care as: â€Å"an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems such as physical, psychosocial and spiritual.†Caring for those receiving palliative care in the community during the end stages of life requires an extraordinary commitment from the nursing team, not only human resource but also competence, compassion and focus in anticipating the needs of the patient and family. It is a complex activity involving a holistic approach, building relationships together with expert professional skills and decision making processes (Melvin 2003). Similarly, in caring for older people the Gerontologists and ethicists argue that nursing home residents would receive more humane care at the end of life if they remained in nursing homes rather than were transferred to hospitals. Yet, there are legitimate concerns when advocating that nursing homes care for dying residents. Nursing homes recognize the need to earn society’s confidence in their ability to provide the dying the highest standard of care. Many homes do, in fact, deliver principled and compassionate are. Yet, even those homes that adhere to high standards point to the lack of industry guidelines on what constitutes quality end-of-life care as a barrier to their ability to assure that care to dying residents conforms to the highest quality. Nursing homes need public policy that supports their efforts to explore the use of palliative care models. Explain the principle of informed choices People approaching the end of life should have the opportunity to make informed decisions about their care and treatment, in partnership with health and social care professionals and with their families and carers. Good communication between health and social care professionals and people approaching the end of life and their families and carers is essential and should be sensitive to personal preferences. Treatment and care, and the information given about it, should be culturally appropriate. It should also be accessible to people with additional needs such as physical, cognitive, sensory or learning disabilities, and to people who do not speak or read English. People approaching the end of life should have access to an interpreter or advocate if needed. Workforces involved in end of life care should adopt an agreed, consistent approach and attitude to end of life care that encourages and accepts patient choice, regardless of their own background, culture and views. (Www diversity, equality and language, NHS, NICE guidelines) These principles should include: 1. The choices and priorities of the individual are at the centre of all End of Life care planning and delivery. 2. Effective, straightforward, sensitive and open communication between individuals, families, friends and staff underpins all planning and activity. Communication reflects an understanding of the significance of each individual’s beliefs and needs. 3. High quality End of Life Care is delivered via the process of close multi disciplinary and inter-agency working. Collaborative working ensures that the needs of the individual are articulated, shared, understood and reviewed. By developing and utilising networks the right resources and support are identified and provided. 4. Individuals, their families and friends are well informed about the range of options and resources available to them to enable them to be involved in the planning, developing and evaluating of End of Life Care plans and services. 5. Care is delivered in a sensitive, person-centred way that takes account of the circumstances, wishes and priorities of the individual, their family and friends 6. Care and support are available to, and continue for, anyone affected by the end life, and death, of the individual 7. Workers are supported to develop knowledge, skills and attitudes that enable them to initiate and deliver high quality End of Life Care, or where appropriate to seek advice and guidance from other colleagues Workers recognise the importance of their continuing professional development, and take responsibility for it