Assignment: Health Care Providers
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The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.
Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.
Provide a 1,500-2,000-word ethical analysis while answering the following questions:
Remember to support your responses with the topic study materials.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
End-of-life decision making is a growing need in the ICU, covering a continuum of treatment possibilities. The author describes end-of-life decision making in the ICU and suggests strategies for improving the process for healthcare providers as well as patients and patients’ families.
Mrs J., a 75-year-old widow, was admitted to the intensive care unit (ICU) after heart surgery. Before the surgery, she hd been active in her community and enjoyed canning, quilting, and helping her elderly friends. Her greatest fear about surgery was that she might have a stroke, and she asked her daughter, Grace, who was the designated decision maker on Mrs J.’s advance directive, to promise that if something happened to prevent Mrs J. from returning to her independent lifestyle, Grace would make sure that life-prolonging treatment was not continued.
Initially, Mrs J. did well after surgery, but she had a debilitating brain stem stroke several days later and required intubation, mechanical ventilation, and tube feedings. Grace, being very clear about her mother’s wishes, asked the physicians to stop the mechanical ventilation and the tube feedings. Three physicians were involved in Mrs J.’s care. Because of philosophical differences related to their specialties, they could not agree on a decision to discontinue treatment, despite repeated requests from Grace. Grace began to feel angry, and nurses caring for Mrs J. felt torn and frustrated.
Scenarios such as this are not uncommon in ICUs and require that those caring for patients in the unit be proficient not only in saving lives but also in providing expert care at the end of life. In this article, I focus on one aspect of end-of-life care in the ICU, namely, end-of-life decision making. On the basis of recent research in nursing, medicine, and social sciences, I describe end-of-life decision making in the ICU and suggest strategies for improving the process for healthcare providers as well as patients and patients’ families.
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