End of Life Care for COPD and Alzheimer’s patient

Running Head: COPD
0
COPD and Alzheimer’s
student
5/27/2019

COPD
1
Table of Contents
End of life care.............................................................................................................................................2
Ethical and legal issues............................................................................................................................2
Decision making for Mac’s end of life care.............................................................................................3
Creating a Holistic care plan for Mac......................................................................................................4
Recommended Self-care Strategies.........................................................................................................4
Reflecting on my Experience.......................................................................................................................6
References...................................................................................................................................................9

COPD
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End of Life Care for COPD and Alzheimer’s patient
End of life care
Care provided to individuals who are close to the end of life and have no more receiving
management to cure or manage their illness is called the end of life care. End-of-life upkeep
comprises bodily, emotional, societal, and mystical support for the diseased person and their
relatives. The objective of end-of-life maintenance is to manage pain and other indications so the
individual can be as relaxed as conceivable. End-of-life care might comprise palliative care,
helpful care, and hospice upkeep (Aldridge, & Kelley, 2015).
Ethical and legal issues
Ethical and legal issues can take place when providing end of life care. The ethical issue
of medicinal futility is a medical situation in clinical ethics that might pose encounters in
delivering care at the end of life of the person. Ethical dilemmas at the end of life care commonly
rotate around choices to withhold or withdraw intercessions or management (Flo, Husebo,
Bruusgaard, Gjerberg, Thoresen, Lillemoen, & Pedersen, 2016). When the diseased person and
doctor decided that there is no advantage in carrying on or initiate a new intercession the right
accomplishment is clear, however, skill is obligatory on the nurses’ part to handle these
discussions perceptively. Respecting and concerning about the autonomy of a diseased person
who is essential to continue or start treatment requirements to be confronted when it would
outcome in irresistible harm, and may lead to legal issues. Ethical issues might take place when
the four different ethical values of end of life care are conceded; such as autonomy, the non-
maleficence, patient’s beneficence, and justice to patient. Legal issues might ascend when the
diseased person rejects to obtain any kind of health facilities and nurses attempt to pressurize
them to the treatment or service (Stuart, & Thielke, 2018).

COPD
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Therapeutic lying can be a reason for legal issues (Boland, 2018). As deliberated in the
mac’s case study his wife is unhappy and she considers that her spouse will expire in upcoming
days, here giving fake expectations to her, might source legal questions (Flo et al., 2016).
Beforehand giving any kind of facilities related to the end of life care, the agreement form
(consent) should be taken from their relatives. In any case, the nurses do not take consent; it may
lead to legal issues later. Mac had to dissimilar wellbeing matters that require consistent
assessment and managing, consequently nurses must meet Mac and identify if he is not
comfortable and facing additional issues. Ethical and legal matters may ascend if the health care
professionals try to accomplish their duty, and breach of privacy might arise. Mac is an old
person who must be addressed empathetically and respectfully, in order to build a therapeutic
association with him and Dorothy; ethical complications come up when the person is
disrespected by any health care providers or nurse (Karnik, & Kanekar, 2016).
Decision making for Mac’s end of life care
Decision making is the most crucial process at the end of life care which must include
patient, their families, and health care professional. Every individual admitted to the hospitals or
getting any health facilities to have specific right to sort choice about their disease management
and other facilities, it can be associated with the with pain management an advanced care
directives (Dzeng, Colaianni, Roland, Chander, Smith, Kelly, & Levine, 2015). When a diseased
person and his family are not capable to make a choice themselves, they have the right to allow
substitute decision-makers to make a decision on their behalf this process is termed power of
attorney. In case of Mac, this must be implemented and his wide must also be included in the
process. Before using any type of care plan nurses or other healthcare workers must provide the
patient and their family with advanced care directive form which allows the patient to write their