After suffering severe complications from a relatively minor surgery at a California children's hospital in early December , a young teenage girl was declared brain dead. However, to her family, the girl seemed responsive and they refused to accept the hospital's statement that their daughter was deceased. The hospital arranged visits with social workers and other staff in an attempt to help the family understand that their daughter was dead and, after three days, informed the family of its plan to move the teen's body to the morgue. The case quickly became a nationwide media event. The family acquired a noted lawyer to ensure the teen received the care the family thought was needed, while the hospital hired a public relations firm to become the hospital's voice in the issue, a move that might have exacerbated the problem. With such a complex and tragic crisis that rapidly unfolded, should the hospital have a policy in the event that family members disagree with an official medical diagnosis?
Ethical Dilemma Case Study
Ethical Concerns in End-of-Life Care | Nursing Care at the End of Life
This is especially common during end-of-life EOL care, where patients and caregivers may experience charged emotions, grief, and loss. Oncology nurses are often called on to act as mediators through difficult moments, advocating for their patients while connecting caregivers with the resources that will help them during a challenging time. During EOL care, ethical dilemmas may arise from situations such as communication breakdowns, patient autonomy being compromised, ineffective symptom management, non-beneficial care, and shared decision making. Oncology nurses can navigate ethical dilemmas by offering the best possible care while allowing patients, family members, and caregivers the opportunities to experience EOL with dignity.
Legal and ethical issues in end-of-life care
The dilemma in logic is a proposition to which two conflicting signs are prescribed, excluding the third. In other words, a dilemma is a situation in which the choice of one of two opposite possibilities is equally difficult. These situations arise wherever there is an interaction between two or more people. For example, they are typical of social work, medicine, and business.
Ann Munro describes the thoughtful and supportive service that enable her uncle to spend his last days surrounded by family. My husband John had vascular dementia and ended up going in and out of hospital for six months Tracey Green had to find a nursing home for her own father.