Nurses face more and more ethical dilemmas during their practice nowadays, especially when they are taking care of the patient at end of life stage. The case study demonstrates an ethical dilemma when nursing staff are taking care of an end stage aggressive prostate cancer patient Mr Green who expressed the suicide thoughts to one of the nurses and ask that nurse keep secret for him in Brisbane, QLD, Australia.
Ethical dilemma identification
The ethical dilemma is identified as “if the nursing staff should tell other health care team members about patient's suicide attempt without patient's consent”.
To better solving this case and making the best moral decision, the ethical theory, the ethical principles and the Australian nurses' code of ethics values statement, the associated literature relative with this case are analyzed before the decision making.
Ethical decision making
After consider all of the above factors, in this case, the best ethical decision for the patient is that the nurse share the information of Mr Green's suicide attempt with other health care professionals.
In Mr Green's case, the nurse chose to share the information of Mr Green's suicide attempt with other health care professionals. The nursing team followed the self-harm and suicide protocol of the hospital strictly, they maintained the effective communication with Mr Green, identified the factors which cause patient's suicide attempt, provided the appropriate nursing intervention to deal will these risk factors and collaborated with other health care professionals to prefect the further care. The patient transferred to a palliative care service with no sign of suicide attempt and other self-harm behaviors and passed away peacefully 76 days after discharged with his relatives and pastors accompany.
Essay on Euthanasia: Unethical And Immoral
2106 Words9 Pages
Despite one’s medical condition, euthanasia should not be an end of life choice. But what is euthanasia or doctor-assisted suicide? Euthanasia is defined as "the bringing about of a gentle and easy death for a person suffering from a painful incurable disease," while Suicide on the other hand, is "the intentional killing of oneself." Doctor-assisted suicide combines both of these definitions with the idea of a physician helping a terminally ill patient to die. Doctors can perform euthanasia by giving a patient a lethal injection or by prescribing a lethal dose of drugs (“Euthanasia”). Active euthanasia is actually taking proactive measures to help a person die. Opposite active euthanasia which is defined as "allowing to die," and is used…show more content…
Since Oregon enacted the Act, more than one hundred people have died with the assistance of doctors (Meyer).
However, in 2009 the state of Washington will put into effect Initiative 1000. Initiative 1000 allows terminally ill patients who have less than six months to live to ask their doctors for a life-ending prescription. For those requesting fatal medication, the patient must be eighteen years or older, declared competent and must be a state resident. Two doctors must certify that the patient has a terminal condition with six months or less to live. Witnesses must affirm that the patient wishes to die and a psychologist must deem the patient competent. After a mandatory three requests, a fifteen day waiting period begins after the first request. It is up to the individual doctors to write or fill lethal prescriptions and to participate (Ellis).
There are other places besides Oregon and Washington that have openly and legally authorized assisted suicide, one such place is the Netherlands. The Netherlands has allowed euthanasia for more than 30 years, supposedly under strict guidelines to protect the vulnerable from abuse. But the list of those “eligible” has steadily lengthened to the point that it now includes depressed people without organic illnesses. And now, the Dutch government has opened the legal door to killing patients with Alzheimer’s disease. In doing so, the nation sent a powerful