Palliative Care: Legal and Ethical Principles, Effective Communication, and Care Plan
Added on 2020-09-21
8 Pages2386 Words343 Views
Running Head: PALLIATIVE CAREPALLIATIVE CAREName of the StudentName of the UniversityAuthor’s Note
PALLIATIVE CARE1Introduction In this case study, Tom is an Aborigine who has been admitted to the hospital because hefainted in his toilet. He had his family with him in the hospital and then his daughter arrives,which stressed Tom and he is feeling more pain because she is furious about the care he isgetting even after Tom discussed it with his general practitioner. This report will identify theissues of this case study, including establishing goals and selecting a course of action so thatTom and his family will not object to anything. Certain aspects such as ethical and legalprinciples, therapeutic communication, palliative assessment and symptom management will bediscussed in this paper. Legal and Ethical principlesIn this situation, certain ethical and legal principles need to be considered for thewellbeing of Tom because he is an Aborigine and what matters to him his family, community,independence and tradition. The use of indigenous treatment has to be considered for himbecause it is his wish, but the rights of the patient as well as the power of attorney in this case hasto be noted. The power of attorney comes into validation when the principal or the patient is notin the mental state to take decisions. The general power of attorney is someone who is appointedby the patient to take legal and financial decisions on their behalf for a certain period of time(Carter et al. 2016). The general power of attorney has no right to make medical, lifestyle orpersonal decisions on the behalf of the principal. However, this point becomes invalid if theprincipal is not able to take his own decision due to mental incompetency. Similarly, Carina isthe general power of attorney and she can only take decisions if her father is not in the state totake it, but Tom already had a discussion with the general practitioner about his treatment. He is
PALLIATIVE CARE2not mentally unstable so he does not require a power of attorney, currently (McGrath 2010). Thismakes Carina unsuitable for making any decisions for Tom because he has already discussed it.Tom has taken decisions with his general practitioner, which is shared decision making. Itbecomes valid because he has the right to autonomy and it has been taken according to thepatient’s values, concerns and goals. He has decided for NFR and no resuscitation and that has tobe respected because he is asking for a palliative approach, which is agreed by his family as well(Park and Astell 2017). The best available evidence is considered for the benefits of the patient.Tom’s enduring power of attorney is his wife who is Cec and she can be called if the patient isunable to take the decision, by the agent or the lawyer (Detering et al. 2010). Effective Communication The medical experts should communicate and explain to Tom and his family about themedical procedures and most importantly the conflict regarding his medication should be solved.Tom does not want morphine for his administration but the nurses are trying to explain him thatit will be used in the recommended amount so that there is no side effects. As Tom is scepticalabout morphine because someone he knows suffered due to this medicine, which is the reason hewants to use traditional Aboriginal healing medicines (O’Brien et al. 2013). This requireseffective communication between the nurses and Tom’s family, which will be utilized. The principles of effective communication for nursing is always putting the patient first,practicing active listening and talking with heart. The first step to effective communication isprioritizing the patient in a conversation and that means the conversation should be started fromthe perspective of the patient. They should be told about how they will be taken care of in theintroduction with a calming tone. Respect should be given to the patient comfort has to be
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