Sunabh answered on
Aug 22 2021
Running Head: HEALTHCARE 1
ETHICAL COMPLEXITIES IN PATIENT CENTRED APPROACH TO DEATH AND DYING
Table of Contents
1. Background to the Social Issue 3
2. Importance of Presented Issue in Multicultural Societies of Australia 4
3. Rights of Person who is passing in Terms of the Policy and Legal Frameworks 5
4. Holistic Range of Skills and Knowledge Required by Professionals to Ease the Journey of the Person and their Loved Ones 6
5. Recommendations for Improvement in Palliative Care during End Stage and their Loved Ones 7
1. Background to the Social Issue
Death is an evitable truth and every living organism on this planet dies. Advancements in medical technologies might have improved the quality of life along with prolonging life; however, they fail to change the norms of death. It would be essential to understand that these medical advancements of medical treatments do not hold any promises with respect to recovery or sustainability of life even with secondary life support such as ventilators or feeding tubes. Therefore, this raises ethical concerns with respect to end of life care in patient centred approach.
Autonomous decision-making is one of the most prominent and prevalent ethical issues in the patient centred approach. This is majorly because autonomous decision-making sets up various challenges for patient as well as their family members because patients have the right to place forwards their end of life treatment preferences (Karnik & Kanekar, 2016). However, this right to autonomy is su
ounded by numerous limitations; thus, directing towards ethical dilemma.
Moreover, healthcare professionals are required to respect patient’s decision but they also have to consider the perspective of their families or medical decision maker. Further, death is not strictly a medical event; therefore, it would be essential to understand the connection between health and social, psychological and spiritual needs. However, it is difficult for the general population to understand the concept of limited treatment in case of futile cases.
This raises ethical concerns because families and patients might not understand the need to limit the treatment in cases of futility. Moreover, cost involved in end of life care and bioethics are some of the emerging ethical complexities associated with patient centred approach during end of life care (Australian Institute of Health and Welfare, 2016).
2. Importance of Presented Issue in Multicultural Societies of Australia
Australia is world’s 52nd most populous country and majority of its population is concentrated mainly in u
an areas. It would be essential to consider that Australia is a multicultural society that is; there exists individuals from different communities, religions, groups and ethnicity and religious beliefs. Moreover, 3.3% of the overall Australian population belongs to indigenous communities; therefore, there exist variability inn perceptions and assumptions towards end-of-life (Australian Commission on Safety and Quality in Healthcare, 2020).
It would be essential to understand that the healthcare providers are required to abide by ethics of patient centred care; therefore, they possess a duty to promote good and operate in a way, which would be beneficial for the patient. However, due to variable beliefs and understanding, it becomes difficult for healthcare providers to apply similar approach for all communities (Australian Institute of Health and Welfare, 2016). For example, individuals from Jehovah community beliefs that use of needles is against their religious beliefs; hence, they do not seek medical treatment. Likewise, it places the healthcare providers under ethical complication while treating Jehovah patients.
As mentioned by Pentaris and Thomsen (2018), the western concepts of autonomy or decision making and respecting the decision of patient might not be appropriate for...