(PDF) End-of-life issues for aboriginal patients
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Added on 2021-06-16
(PDF) End-of-life issues for aboriginal patients
Added on 2021-06-16
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Running head: END OF LIFE CARE FOR ABORIGINAL PEOPLECaring for Aboriginal People with Life-limiting Conditions Name of the Student:Name of the University:Author Note:
1END OF LIFE CARE FOR ABORIGINAL PEOPLEIn the medical study, there is no clear definition of the ‘end of life' consideration,while referring this situation as the last few days of life when a person is dying irreversibly.This type of situation is also addressed as terminal phase (Jones et al. 2012). This paper isfocused on a case study of Tom who is going through the life-limiting condition. This paperhas discussed the issues concerning both legal and clinical aspect of this type of situation.Henceforth, this paper has established some specific goals for the caregiver that has to beachieved. Furthermore, it also described the course of actions for the nursing procedure inthis situation. For appropriate identification of issues, the analysis of Tom's and his family's currentcondition have to be identified (Ranse, Yates and Coyer 2012). Tom is an old person whodecided to choose the end of life policy to get relieved from regular struggling in the terminalphase. Tom and his wife Cec who is his enduring guardian are prepared to take advance carefor the palliative approach. At the same time, as per the last medical registration Tom is underthe NFR regulation as per the team decision. At his home, Tom has experienced a suddenstroke and his family members took him to the hospital for treatment where he was gettingadvance palliative care. However, the legal issues have taken placed due to thecontradictoryopinion of his family members especially his daughter. As power of attorney Tom's daughter,Carina suddenly claimed that she wanted to stop the current not resuscitate approach. Asmentioned in Advance Care paper and NFR registration, Tom and his family membersincluding his enduring guardian absolutely agreed upon taking the end of life care approachfor Tom. In this situation, the sudden claiming of power of attorney is making a significantdilemma in legal ethics (Myburgh et al. 2016). As discussed earlier the claiming of Tom’s daughter has also made some seriousclinical issues. As per the clinical order of NFR agreement, Tom has been providedreasonable pain relief medication and morphine. On the other hand, being a power of
2END OF LIFE CARE FOR ABORIGINAL PEOPLEattorney, Cerina wanted to stop this medication for her father and to change the formalclinical procedure. At the same time, the pathophysiological condition of Tom isdeteriorating. He is becoming very agitated, restless in bed and also refusing to eat or drinkanything. Apart from that, the heartbeat and pulse rate are also pointing the stage of theterminal phase of natural death. Therefore, from clinical aspect altering the current aspectwill not help the patient at all, while making more painful situation for him (McVey,McKenzie and White 2014). In this condition, the sudden claiming of power of attorney ismaking a significant dilemma in clinical ethics. From the above discussion of this current situation, it is clear that making a decisionand identifying the goal in this type of situation will not be easy. However, with propercommunication with medical team and Tom’s family member is essential in order to makethe decision about the further procedure (Oliver, Borasio and Johnston 2014). On the otherhand, the current physiological condition of Tom is not pointing toward any resuscitatedpotentials. At the same time, the previous team agreement about NRF policy is a strong pointagainst the claiming of a power of attorney. Therefore, the goal in this current situationshould be making Tom’s daughter Carina aware of the current painful condition her father iscurrently going through. At the same time, it is also important to support her psychologicallyfor gaining enough emotional strength to accept the reality. The claiming of Carina can alsoinfluence the other family members against the current policy that will cause the moreoperational discrepancy. Therefore, encouraging the family members with Carina toparticipate in the awareness program is essential, where they all can get enough courage andmental stability to accept the truth about the terminal phase of Tom. The goal of thisawareness program should be making all the family members concerned about theessentiality of current clinical procedure that has been followed by the palliative care groupof the hospital (Rumbold 2012). Through this bereavement period, the main objective would
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