Case Study Analysis | Nursing Assignment

Running Head: Nursing Assignment
Case Study Analysis
Name of the Student
Name of the University
Authors Note

Case Study Analysis1
Introduction
This essay is focused on palliative care of an aboriginal patient, John. This 20 year old
young man is suffering from end stage Reynolds disorder. His doctors told him that he was
not expected to survive more than three months despite of dialysis. After knowing the truth
he wanted to return back to his community which is 500 kilometre away from the hospice
care. In palliative care, some ethical and cultural complications are present when care
transcends from its cure based approach to comfort based approach. Nurses and other health
professional find difficulties in serving the patient with proper care surveillance. This essay
will briefly discuss the ethical and cultural considerations during the transition of care for a
patient with life limiting illness.
Discussion
Ethical considerations of Interdisciplinary team
This case study will show that ethical consideration during care provision. As John
wanted to return back to his community the treatment procedure transcended to comfort
based approach (Meeker, McGinley, Jezewski, 2019). Clinical integrity beneficence, non-
maleficence, justice, autonomy are some components of ethical consideration framework
during treatment of a critically ill patient (Ellis, 2020). Transition of care approach will lead
the interdisciplinary team members’ ethical dilemma. Perception and responses towards
patient’s decision might be different for each individual. Family members might not
understand the perception of different care approach in palliative care. This will lead to
disagreement among patient’s family member and Healthcare professionals. Although the
right to self-determination support patients will in in the last stage of treatment Healthcare
professionals always want to provide treatment to a patient for better quality of life.
Supporting John on behalf of his autonomy for treatment the interdisciplinary team members

Case Study Analysis2
might think that will lead to breach of beneficence and non-maleficent practice ethics.
Transition of care can be responsible for onset of conflict between patient and his family
members. Withdrawal of life supports and clinical treatment might not the agreed by the
family members of patient. In this kind of situation nurses play the role of negotiator. The
advocates for patient’s autonomy and integrity of decision making power related to his
treatment (Long et al., 2016). Realising terminal condition of the patient might not be easy
for his family full stop in that case psychologist and counsellors with the collaboration of
doctors will help the patient family members to understand the Ethics of clinical practices and
patients right towards his or her treatment. In many cases family members one patient to
come back home and spend the last days of his life with them. All the members of inter
disciplinary team might not agree with this kind of decision. The question of clinical
integration might arise as withdrawal of life support in in end of life care does not promote
patience improvement. During disagreements between team members the registered nurse
should make them understand that patient’s autonomy and right to self-determination are the
priority factors for them(Caruso, Grolnick, Rabner & Lebel, 2019). According to some
clinician, withdrawal of support system opposed justice towards patients’ treatment. End of
Life Care includes different ethical and legal complications. Overlapping of multiple ethical
components with humanitarian values mind increase the confusion. Therefore transition of
care often responsible for conflict between personal values or professional conduct and
ethical considerations.
Cultural Consideration during End-of Life Care
In end of Life care culturally competent care division is significant. Cultural
sensitivity and cultural awareness are two components which should be promoted in this
stage of care provision (Myburgh et al. , 2016). Nurses should opt for therapeutic care rather
than serious clinical care. In end of Life Care patient’s pain and sufferings are the concerns.