Bioethics Group-5

Group 5
BIOETHICS
Dignity in
Death and
Dying
1 Administration of Drugs to
the Dying
WELCOME 2 Advance Directives
TO
3 DNR or End of Life
TODAY’S
Nursing Roles and
CLASS!
Today’s
4 Responsibilities
Discussion 5 Ethical Decision Making

Process
 In medicine, specifically
in end-of-life care,
palliative sedation is the
Administration of practice of relieving
distress in a terminally
Drugs to the Dying ill person in the last
hours or days of a dying
patient’s life.
 Usually by means of
continuous intravenous or
subcutaneous infusion of a
sedative drug, or by means
of a specialized catheter.
 Palliative sedation is an
option of last report for
Administration of patients whose symptoms
cannot be controlled by
Drugs to the Dying any other means
 It is not a form of
euthanasia, as the goal of
palliative sedation is to
control symptoms , rather
than to shorten the
patient’s life.
Advance
Directiv
es
are legal documents that allow you to
spell out your decisions about end-of-
life care ahead of time. They give you a
way to tell your wishes to family,
friends, and health care professionals
and to avoid confusion later
THE LIVING WILL
The living will is a
legal document used to MEDICAL POWER OF ATTORNEY
state certain future
health care decisions A durable power of
only when a person attorney for health
becomes unable to make
the decisions and choices
care, is a legal
on their own. document in which you
name a person to be a
proxy (agent) to make
all your health care
decisions if you become
unable to do so.
• It involves treatment, care and
support for people who are nearing
the end of their life. End of life
DNR or End
care includes palliative care.
• If you have an illness that cannot be

cured, based on the understanding
of Life Care that death is inevitable, palliative

care makes you as comfortable as
possible, by managing your pain and
other distressing symptoms.
• It also involves psychological,

social, and spiritual support for
your family and your family or
careers.
DNR or End
of Life Care
Nursing
Roles and
Responsibilities
1. Treat people
compassionately
2. Care of the person 6.Acknowledge pain and
3. Listen to people distress and action
4. Communicate clearly and 7.Involve people in
sensitively decisions about their care
5. Identify and meet the and respect their wishes
communication needs of 8.Keep the person who is
each individual reaching the end of their
life and those important
to them up to date with
any changes in condition
9.Document a summary of
conversations and
decisions
ETHICAL DECISION
MAKING PROCESS
1 Identify the
ethical problem
• If there is a possible
violation of an important,
ethical principle, societal
2 Collect Relevant
law, or
organizational standard or Information
policy.
• If there are potential should seek to gather as
consequences that should be much information as
or avoided that emanate from possible about
an action being considered to which rights are being
resolve the problem. forsaken and to what
degree.
3 Evaluate the
Information
• apply some
type of standard or Consider
assessment criterion to 4
evaluate the situation.
Alternatives
• The decision maker
might use one of the • Confronting another persons
predominant ethics actions
theories utilitarianism, • Seeking a higher authority, or
rights, and justice. • Stepping in and changing the
direction of What is happening
5 Make a Decision
• The decision maker

should seek the action 6 Act or Implement
alternative that is
supported by the • The decision maker, if truly
• evaluation criteria seeking to resolve the problem
used in step 3. being considered, must take
• A decision maker action
selects a course of • Once the action alternatives
action that is supported have been identified in step 4
by all the ethics and the optimal response in
selected in step 5, the action
is taken in step 6.
7 Review the
Action
• Once the action has been taken
should review the consequences of the
action.
• If the optimal resolution to the
problem is not achieved, the decision
may need to
modify the actions being taken or
return to the beginning of the
decision-making
process.
Utilitarian perspective
3 Ethics
Theories Rights perspective
Justice perspective
Scenario 1
Mrs. G. Oner, a 58-year-old woman, had a massive
myocardial infarction after an aneurysmectomy being
kept alive for several weeks by a left ventricular
assist device. It appears that she may survive.
However, Mrs. Oner has become clinically depressed and
is strongly considering discontinuing hemodynamic
support. After a discussion about her condition during
which she learned that survival could not be assured,
she elected what the hospital calls “code two” do not
resuscitate (DNR) status (no cardiopulmonary
resuscitation, no intubation) but wants all other
treatment to continue “as long as it will help her.”
She did not discuss this decision with her husband, an
internationally acclaimed professor of law,
beforehand.
When he visits later that day, she
unexpectedly has a stroke accompanied by
respiratory difficulty and Professor Oner
insists that “everything” be done. The team
informs him that the patient will not be
intubated, per the code two status. He insists
that he is her legal surrogate and demands the
DNR status be withdrawn. Which options are
unethical
A The husband is Mrs. Oner's legal surrogate. He can order a change
in the DNR status.
B The professor will likely sue. Intubate.
C The DNR status, regardless of the circumstances, stands legally

and ethically.
D The DNR is invalid because the spouse was not informed of the
change.
E The DNR should be suspended until the patient's neurologic status

is determined.
Thanks! g
Bagacina, Allesandria Daphne

Curtina, Christine
Labini, Maria Assha
Oliquiano, Anna Jean
Sablaon, Ruth
Sabordo, Jhanine
Solares, Sunshine
Talavera, Antonette
Velasco, Maria Bernadette
Warde, Dolores

Bioethics Group-5

Uploaded by

Copyright:

Available Formats

Bioethics Group-5

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Bioethics Group-5

Uploaded by

Copyright:

Available Formats

Group 5

Discussion 5 Ethical Decision Making

• If you have an illness that cannot be

of Life Care that death is inevitable, palliative

• It also involves psychological,

• The decision maker

B The professor will likely sue. Intubate.

C The DNR status, regardless of the circumstances, stands legally

E The DNR should be suspended until the patient's neurologic status

Bagacina, Allesandria Daphne

You might also like