Case study: ethics 301 the following case study was used by andrew j white, md, associate professor of pediatrics and division director of pediatric rheumatology, washington university school of medicine, as part of the “patient of the week” (pow) series. Do you agree that hospice was the appropriate care for evelyn in the above video what needs did hospice help evelyn meet both physically and emotionally. Case 3: mrs km is a 86-year-old woman with recurrent colon cancer with liver metastases admitted to the hospital for chemotherapy her prognosis is poor and the medical team has decided to approach her for changing the code status to dnr. Ethical issues in palliative care nursing barb supanich, rsm, md medical director, palliative care may 22, 2008 disclaimer nonbeneficial care • ethics case consultations • improve the process and outcome of care for the patient and family, professionals • bioethics committee. This article discusses some of the ethical issues associated with the use of qualitative research methods in two doctoral studies conducted by nurses in a department of palliative medicine these issues are of particular relevance with the increasing emphasis on evidence-based practice in palliative care both studies used multiple methods of data collection within a case study design.
Palliative care ethics case studies: required readings required readings are in the order that they appear in the module quick links to each module’s readings. Society of professional journalists ethics case studies military ethics cases from air university: the intellecutal and leadership center of the air force cases from the ethics education library cases from texas a&m interactive dillemas from the united states naval academy stockdale center for ethical leadership. Here with facts ~ discover the benefits of hospice & palliative care from industry experts hospice case studies & journal articles case studies chronic heart failure ethical issues in caring for prison inmates with advanced cancer. The ethical rationale for the use of palliative sedation derives from the principles of double effect, informed consent, and autonomy, although double effect is by no means necessary to endorse appropriate and proportionate sedation to alleviate refractory suffering.
Ethical analysis of selected clinical cases (no i): patient’s competence and autonomy paulina taboada & rodrigo lópez case history a 26 years old male patient with a hiv (+) test refuses to believe his diagnosis and does not accept to undertake any complementary studies (eg cd4+ t cell count, levels of hiv rna in serum plasma, etc) and treatment. The ethical conundrum facing physicians is whether there is any ethical rationale upon which they can refuse to provide treatment or, in some cases, any aspect of medical care, unless the patient is willing to forgo their tobacco use. Case studies dr catherine millington-sanders she is a gp, clinical commissioner and educationalist who has also worked as a speciality doctor in palliative medicine for seven years.
Editor’s note: this column presents a problematic case that poses a medical-ethical dilemma for patients, families, and healthcare professionalsas it is based on a real case, some details have been changed in the effort to maintain patient confidentiality the intent of this presentation is to offer ethical analysis and medical recommendations that are consistent with biblical principles. Case history: mr russell halbert was a 58-year-old male with a one hundred pack year history of smoking, chronic obstructive pulmonary disease (copd. Nurse educators teaching critical care courses can increase students’ understanding of ethical dilemmas by having the students participate in a clinical analysis of a case study the debate about whether to offer family presence during cpr is an example of an ethical dilemma that arises within critical care nursing practice. Physicians new to a case might object to an established care plan practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases. Through a case study of a child with a severe life-limiting syndrome, an analysis of both the ethical and legal implications of parental and team conflict are discussed an ethics team can help provide guidance for teams and help mediate goals of care discussions with families.
Abstract nurses encounter ethical dilemmas in their clinical practice especially those associated with palliative and end-of-life care the hospice and palliative nurses association (hpna) members were asked to participate in an ethics survey. Palliative sedation should be conducted in general care areas or inpatient palliative care or hospice settings, with monitoring of observed levels of comfort and signs of untoward adverse effects an institutional case study of palliative sedation j palliat med 2005 8 chinone y, ikenaga m, et al ethical validity of palliative. End-of-life ethics: a case study approach end-of-life ethics examines, using a case study approach, the ethical issues and dilemmas that emerge at the end-of-life ethical decisions at the end of life provide a point where all the factors that influence end-of-life care such as finances, laws, values, culture, and technology converge. This paper will outline a critical incident which occurred in one of my clinical experience in intensive care unit (icu)it presents the clinical case, identifies the ethical dilemma, and discusses the principles that apply to this situation.
Many palliative care patients would prefer to receive care, and to die, at home despite this many die in institutions in response to this, politicians and charities have adopted policies aimed at increasing the opportunities for care and death at home. In addition, hospice/palliative care nurses can review each case study, as though they were consulting on each of these case studies feel free to adjust the case studies so they are relevant to your participant’s clinical needs. Ethics of palliative medicine and attempt to ethics at the end of life: a case section 6:the goals of medicine in palliative care (revisited) section 7:decisions at the end of life involving children the case of maria maria was an 82-year-old woman who lived in athens she had been seriously incapacitated by. Case studies provide a roadmap for decision-making in future cases, help drive the development of new analysis and thought about complex medical and moral dilemmas, and are an effective way to bring bioethics alive for students, healthcare providers, administrators, attorneys and, even in some situations, patients and families.
The objective of the conference is to educate the participants on the major ethical issues related to palliative care and hospice care, in particular: examining ethical questions arising in the care for the dying. Palliative care for refugees: jordan case study june 14, 2018 june 14, 2018 by humanitarian health ethics research network leave a comment as presented by lisa schwartz at the 1st world congress on migration, ethnicity, race and health ( merh ), 17-19 may 2018 in edinburgh, scotland. The nhpco ethics advisory council offers the following case study and questions in the spirit of fostering robust discussion on this difficult ethical issue the council also encourages each hospice to explore these. Ethical practices in end-of-life care ethical concern each case study ends with a decision that needs to be made and a patients, palliative care emphasizes shared decision making that is based on explicitly identifying achievable and desired goals of care.
The aim of this article is to appraise the key elements of a case study relating to a decision encountered in practice, and to critically analyse the ethical issues raised by the case.