END OF LIFE BIOETHICAL ISSUES.2 Patientcare options are on arise as a result of the improving knowledge and technology in healthcare systems. This options are more complicated ethical choices to arrive at when it comes to making decisions concerning the diagnosis and care of dying patients. Many have to make the decision on best diagnostic alternative for a patient at the expense of not hurting them. Sometimes these option put healthcare professionals on a dilemma, like when one is corned to make a choice on how to end patient life or prefer treatment in intensive care units. Decision on whether to give care to their own patients on a death bed or their loved ones-confront people from all walks of life. Coming face with death is a bad experience, which a lot of people have to deal with by making simple or complex decisions. These decisions can be guided by legal-laws, ethics, morals, bioethics, religion or medical advice.For example, someone who may be dying might have to make a choice of having care at home or they may rather have medical treatment in a facility. Also some may have to make a decision on who or what type of family members they want involved in their treatment plan and decision making. Some other examples of decisions they made be face with are; wills, advanced directives, and power of attorney. Many might want to make a decision on how they want to spend their dying day; like reflecting the meaning of life. Some might be religious and want to participate in spiritual ritual or confessing of sins like for a Christian set up due to one believing it’s a curse instead(Watson-Jones et al., 2016). In certain cultural beliefs, death is considered sacred, therefore planning or mentioning death is unacceptable, heartless and even treacherous, as this could attract death Many people die in hospitals and long term facilities; hospice. Therefore, their close relatives or families are the ones legitimate in making decisions for either themselves, a family member, or loved ones. Almost 65%-75% of patients who are very critically sick are not able to
END OF LIFE BIOETHICAL ISSUES.3 speak for themselveswhen it comes time to make the decision to either limit treatment or not (Gill et al., 2016). Some people find it worse having to suffer then having to face death. For loved ones watching someone you love can be unbearable. The suffering can be so immense that the option of physician assisted suicide or euthanasia could be the only alternative. This a process which involves a third party person, normally an approved medical assistant (physician), ends the life of an individual-either passively or actively. This is currently applied to put an end the pain or suffering of the killed individual(Quill et al., 2016). What people don’t realize that sometime keeping people alive without hope of recovery may be causing their loved ones more stress and grief, and also if they were to survive it might not be a state that the patient would have chosen to live, and their medical care might be too much for families to handle. Therefore this act relives them economic and agony burden. Euthanasia is also questionable for a number of reasons for example it breaches a doctors oath not to harm (Köhler et al., 2017). In conclusion assisted death presents varied philosophies and experiences.Some may support assisted suicide, believing that this is the right thing to do when it comes to our compassionate and socially responsible citizens. Citizens who may be for assisted suicide or against it agree that there are cost and benefits to permitting versus banning the practice.
END OF LIFE BIOETHICAL ISSUES.4 References Gill,M., Bagshaw,S.M., McKenzie,E., Oxland,P., Oswell,D., Boulton,D., Niven,D.J., Potestio,M.L., Shklarov,S., Marlett,N., & Stelfox,H.T. (2016). Patient and Family Member-Led Research in the Intensive Care Unit: A Novel Approach to Patient- Centered Research.PLOS ONE,11(8), e0160947. Köhler,A., Collymore,C., Finger-Baier,K., Geisler,R., Kaufmann,L., Pounder,K.C., Schulte-Merker,S., Valentim,A., Varga,Z.M., Weiss,J., & Strähle,U. (2017). Report of Workshop on Euthanasia for Zebrafish—A Matter of Welfare and Science. Zebrafish,14(6), 547-551. Quill,T.E., Back,A.L., & Block,S.D. (2016). Responding to Patients Requesting Physician-Assisted Death.JAMA,315(3), 245. Watson-Jones,R.E., Busch,J.T., Harris,P.L., & Legare,C.H. (2016). Does the Body Survive Death? Cultural Variation in Beliefs About Life Everlasting.Cognitive Science,41, 455-476.