...The Colorado End of Life Options Act Jasmine Shaw Denver College of Nursing Abstract This paper is intended to provide an overview regarding the Colorado End of Life Options Act. This paper includes information regarding what it is, who qualifies to use it, and what the entirety of the process looks like. The ultimate goal of this paper, however, is to provide enough information regarding the Colorado End of Life Options Act to ensure that a general understanding of the basic requirements/qualifications, processes, individuals involved, and dilemmas surrounding physician assisted suicide is obtained. Keywords: Colorado, End of Life Options, Physician assisted suicide The Colorado End of Life Options Act The concept of physician...
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...Assisted Suicide PHI 200: Mind and Machine Physician Assisted Suicide Physician assisted suicide is the common term whereby a physician, at the request of a terminally ill patient, assists the patient in voluntarily ending their own life. Assistance can mean providing one with the means (drugs or equipment) to end their own lives, but may extend to other actions. There are currently three states in the US which allow physician assisted suicide as well as a handful of countries. Global public debate has been ongoing for decades, centering on legal, religious, and moral conceptions of suicide and a personal right to death. “In some religious contexts, while a suicide is considered to be an offense made out of unknowing, confusion, or despair, assisted suicides are ostensibly actions made in faith, with no expectation of incurred sin or such that would bar transcendence to an afterlife”. In certain religious denominations, particularly the Roman Catholic Church, suicides are considered a serious sin. So, many Catholics oppose the practice of assisted suicide. For years, doctors have been prohibited from assisting patients to end their own lives. There are many arguments for and against assisting terminally ill patients to remain in control of their own destiny. Should a terminally ill patient be able to commit suicide? Proponents of patients’ rights argue that patients have the right to die...
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...rites of passage during a human life leading up to the final rite of passage, which is death. Funeral and death rites are used to mark the passing of a loved one and to help the living cope with and understand the departure of that loved one. These rituals are very different from one culture and society to the next. In the United States, funerals and death rites are usually one day affairs with no further rites practiced. In Japan, funeral rites are much more ritualized and not only deal with death, they also deal with life after death. The lack of funeral and death rites in contemporary Western society can lead to disenfranchised grief as they may be insufficient in helping people cope with the loss of a loved one. Japanese culture marks aging with milestone birthdays that are celebrated to map the progression of aging to the final destination of death. In this paper I will be examining funeral and death rites and if they adequately help with the grieving process and the acceptance of death. I will be examining the funeral and death rites in the United States from an etic perspective and contrasting this examination with an emic perspective of the same rituals as they are practiced in Japan, to show that my cultures rituals are lacking in the tools to deal with grief and acceptance of death. I will be examining funeral and death rites in my own culture from an etic perspective. In order to do this I will have to step outside my culture and my belief system. According to...
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...The Comfort Care Concept at End of Life Introduction End of life is a concept that is often ignored despite the fact that everyone will die some day. It is because death is a part of life that people are familiar with comfort care given at the end of life. Comfort care is offered when someone is dying, and when the end is predictable. Comfort care is an essential part of nursing care at the end of life. It is care that helps or soothes a person who is dying. The goal is to prevent or relieve suffering as much as possible while respecting the dying person’s wishes (NIH, 2012). The goal of comfort care in nursing is the immediate state of being strengthened by having the needs for relief, ease, and transcendence addressed in the four contexts of holistic human experience: physical, psychospiritual, sociocultural, and environmental (Kolcaba, 2010). I have worked in the oncology field of nursing for 16 years and have seen several patients go through the end-of-life process. I have seen the better outcome of the dyeing process take place, this is when all four holistic human aspects are met, but sadly I have also seen a few complete the process without having one or more of the holistic context met. I must emphasize that delivering exceptional nursing comfort care to the patients who are in their final days or even hours prior to death, is just as vitally important as delivering critical care to the acutely or critically ill patients. The purpose of this paper is to evaluate...
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...been playing very important roles in the caring of patients throughout the continuum of life and at the end of life for years. It is the position of the ANA that participation of nurses in euthanasia is prohibited as those acts are in contradiction of the code of ethics for nurses. Nurses have a duty to provide humane, comprehensive and compassionate care in respect to the rights of patients, but maintain the standard of the profession in the presence of chronic, debilitating illness and at the end of life. Voluntary euthanasia is the act of taking a life painlessly especially to relief suffering from an incurable illness, with the consent of a dying patient. Denying people such wishes can lead to unnecessary suffering. There are two types of euthanasia; involuntary, where patients refuse to consent and non-voluntary, patients unable to consent. Euthanasia can have great impact on the society. It affects everyone one way or another. Although a person has autonomy to make decisions about his end of life care doesn’t take away from the fact that their family and friends will be affected with guilt, anger and bitterness. Voluntary euthanasia can hamper efforts to advance medical research in finding cures for diseases (Saunders, 2011). As the nurse taking care of a terminally ill patient, the husband confides in you that he promised his dying wife that he would assist her in taking her own life when the pain became more than she could bear. The ethical dilemma for this nurse is...
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...Death Studies, 36: 1–22, 2012 Copyright # Taylor & Francis Group, LLC ISSN: 0748-1187 print=1091-7683 online DOI: 10.1080/07481187.2011.553312 BEREAVEMENT EXPERIENCES OF MOTHERS AND FATHERS OVER TIME AFTER THE DEATH OF A CHILD DUE TO CANCER RIFAT ALAM Department of Psychology, Hospital for Sick Children, Toronto, Ontario, Canada MARU BARRERA Department of Psychology, Haematology=Oncology Program, Child Health Evaluative Sciences, Research Institute, Hospital for Sick Children and Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada NORMA D’AGOSTINO Department of Psychosocial Oncology and Palliative Care, Survivorship Program, Princess Margaret Hospital, Toronto, Ontario, Canada DAVID B. NICHOLAS Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada GERALD SCHNEIDERMAN Department of Psychiatry, Hospital for Sick Children and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada The authors investigated longitudinally bereavement in mothers and fathers whose children died of cancer. Thirty-one parents were interviewed 6 and 18 months post-death. Analyses revealed parental differences and changes over time: (a) employment—fathers were more work-focused; (b) grief reactions—mothers expressed more intense grief reactions that lessened over time; (c) coping—mothers were more child-focused, fathers more task-focused; (d) relationship with bereaved siblings—mothers actively nurtured relationship with child;...
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...As an Athletic Trainer ethics play a major role. In many cases I evaluate many of the injuries sustained by my student-athletes offering varied suggestions on how we should move forward with either a Doctor Visit or in house rehabilitation. With this responsibility comes opposition from both parents and coaches as they insist I clear an athlete for play or don’t deliver the whole truth to the parents and or coach. Although not as controversial as assisted suicide it poses significant risks and eyebrow raises in the sports world. Doctors, nurses, and various medical personal have a harder role. They wager people’s lives and future and decide in some countries whether or not to permit such an act. In this essay we will explore the facts on Euthanasia: Assisted Suicide, my view, the world view and its progress. Before I begin, however, let me note what I will not try to do. I will not try to show you that Physician Assisted Suicide is a fully justifiable course of action what I will do is give you facts and statistics of this rapidly growing controversial issue.. What I will show you is the compatibility to the commitment to good end-of-life care. One of the most important public policy debates today surrounds the issues of euthanasia and assisted suicide. The outcome of that debate to whether or not it should be made available will profoundly affect family relationships, interaction between doctors and patients, and concepts of basic ethical behavior. Although not accepted widespread...
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...because terrorists are way ahead of the government. It is especially hard when there is homegrown terrorism in the U.S. Brooks mentioned, “the United States was viewed as being relatively immune to terrorism committed by its residents and citizens—what is commonly referred to as “homegrown” terrorism—because of the social status and degree of assimilation evinced by American Muslims”(1). Homegrown terrorism is usually carried out plans without anyone knowing and without guidance. The type of research design that would best work for my survey would be the electronic survey. This is because I am not worried about the representation sample of the population. I am more worried about what people think about the government changing since terrorism attacks in the United States. This survey will be more accurate because they don’t feel the need to lie because it is not a face-to-face survey/interview. Since they wouldn’t be talking to someone directly...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of...
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...EDUCATION AND TRAINING LEGAL AND EThICAL IssUEs Of EUThANAsIA: ARGUmENTATIvE EssAy Bilal S. H. Badr Naga Majd T. Mrayyan (1) Bilal S. H. Badr Naga., MSN, RN, Prince Sultan Cardiac Center in Qassim, Saudi Arabia (2) Majd T. Mrayyan., Prof, RN, The Hashemite University, Jordan Correspondence: Bilal S. H. Badr Naga., MSN, RN, Prince Sultan Cardiac Center in Qassim, Saudi Arabia Email: Bilal_badrnaga@yahoo.com Case scenario Abstract Euthanasia is one of the issues that has been the subject of intense debate over time. It has been a pertinent issue in human rights discourse as it also affects ethical and legal issues pertaining to patients and health care providers. This paper discusses the legal and ethical debates concerning both types of euthanasia. It focuses on both the supporter of euthanasia and the opponent of euthanasia. Several statements for the Euthanasia argument arediscussed: a merciful response that alleviates the suffering of patients which is sometimes wrongly perceived to be otherwise unrelievable; the autonomy in which the patient has the right to make his own choices; the regulation and legislation of existing practices of euthanasia to protect health care providers and patients. In this heated debate religious, political, ethical, legal and personal views are also included. Among all these, those who desperately want to end their lives because they simply cannot go on in any way, are the ones who suffer. Every individual or group has a different viewpoint...
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...PHYSICIAN-ASSISTED SUICIDE: LEGALITY AND MORALITY Wednesday - May 8th, 2002 By Martin Levin, 107 Irving Street, Cambridge, MA 02138 (617)-497-6828 mlevin@levinlaw.com On Sunday, June 21, 1992, Jennifer Cowart, age thirty-two, and her brother George Kowalski, age twenty-eight, traveled to Pensacola Beach, Florida, for a day of relaxation. At the end of the day, Jennifer and George were heading back to their vehicle when Jennifer noticed a go-kart track. The two entered the track, bought tickets, and began riding. Within one minute, Jennifer’s go-kart bumped into one of the side guardrails, flipped on its side, and burst into flames. Jennifer was seat-belted in the go-kart and could not get out. George tried to run into the fire to save his sister, but the flames were too intense. Bystanders attempted to use a fire extinguisher, but it did little to lessen the inferno. Jennifer was trapped in the burning go-kart for two minutes when her seat-belt finally burned through and she fell to the ground. George grabbed his sister and pulled her away from the fire. Jennifer was alive. She was lying on the asphalt alert, oriented, and coherent. She had suffered 3rd and 4th degree burns covering ninety-five percent of her body. She was suffering the worst pain imaginable. At the scene, Jennifer begged the rescue personnel to “let me die.” Instead, Jennifer was flown to a burn center in Mobile, Alabama, where she remained for one year until she was overcome by an infection...
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...Unethical Financial Penalties Deborah A. Reynolds Chamberlain School of Nursing Life is full of choices. A nurse who has been named nurse of the year twice in her career, has her masters in science, and has her certification in critical care also weighs three hundred pounds. A computer engineer who has designed a patented accounts payable program also goes home nightly and relaxes with a six pack of beer. A cashier at the local Wegmans has the record for scanning more products per hour than anyone else in the organization also smokes a pack of cigarettes a day. An accountant who has never missed a day’s work also races in dirt bike tournaments. An African American father adds salt to everything he eats. A farmer sprays his fields with fertilizer, but never wears a mask. A fifty-year old man working in a factory never sees a doctor also has a strong family history of cancer. Lifestyle choices carry health risks. Who is ultimately responsible for the costs of unhealthy lifestyle choices? Healthcare in America is threatened by rising health care costs and the increasing incidence and financial burden of chronic diseases. As employers, insurance companies, and the government seek to decrease these escalating costs, there is a concentration on individual health behavioral choices and the personal obligation of the individual to adopt healthy lifestyle choices. Within the framework of health care reform, there is a growing initiative by employers to impose financial...
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...THE LAW ON ASSISTED SUICIDE On July 26, 1997, the U.S. Supreme Court unanimously upheld decisions in New York and Washington state that criminalized assisted suicide. These decisions overturned rulings in the 2nd and 9th Circuit Courts of Appeal which struck down state statutes banning physician-assisted suicide. Those courts had found that the statutes, which prohibited doctors from prescribing lethal medication to competent, terminally ill adults, violated the 14th Amendment. In striking the appellate decisions, the U.S. Supreme Court found that there was no constitutional "right to die," but left it to individual states to enact legislation permitting or prohibiting physician-assisted suicide. (The full text of these decisions, plus reports and commentary, can be found at the Washinton Post web site.) As of April 1999, physician-assisted suicide is illegal in all but a handful of states. Over thirty states have enacted statutes prohibiting assisted suicide, and of those that do not have statutes, a number of them arguably prohibit it through common law. In Michigan, Jack Kevorkian was initially charged with violating the state statute, in addition to first-degree murder and delivering a controlled substance without a license. The assisted suicide charge was dropped, however, and he was eventually convicted of second degree murder and delivering a controlled substance without a license. Only one state, Oregon, has legalized assisted suicide. The Oregon statute...
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...Joshua Westcott Kohlberg’s Moral Development April 30, 2012 As children’s cognitive abilities mature and expand, so does their ability to reason about moral issues. If we can begin to understand the ways children reason about moral issues, it might help parents and therapists better attune themselves to each child, so as to help each child develop in a positive direction. By attuning to children, the parent or therapist will be better equipped to reason with children at ‘their’ level of development; otherwise, what the adult is trying to communicate will get lost in translation. If we can learn to speak the child’s language, than we can help each child use his or her ‘logic/reasoning’ to effect change in his or her world. Who are the major theorists in the area of moral development? A few of the major theorists in the field of moral development are John Piaget, Lawrence Kohlberg, Elliot Turiel, and Carol Gilligan. Gilligan is a brilliant feminist psychologist who is best known for her 1982 work, “In a Different Voice” (see http://www.amazon.com/In-Different-Voice-Psychological-Development/dp/0674445449/ref=lp_B000APQF3Q_1_1?ie=UTF8&qid=1335926229&sr=1-1). Turiel is best known for developing his ‘domain theory’, which is discussed in his exceptional work, “The Development of Social Knowledge: Morality and Convention” (see http://www.amazon.com/The-Development-Social-Knowledge-Convention/dp/0521273056/ref=lp_B001HD1YF4_1_2?ie=UTF8&qid=1335926449&sr=1-2)...
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...additional works at: http://repository.usfca.edu/dnp Part of the Nursing Commons Recommended Citation Gifford, Elizabeth Joy, "The Experience of African American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care" (2009). Doctor of Nursing Practice (DNP) Projects. Paper 14. This Project is brought to you for free and open access by the Theses and Dissertations at USF Scholarship Repository. It has been accepted for inclusion in Doctor of Nursing Practice (DNP) Projects by an authorized administrator of USF Scholarship Repository. For more information, please contact zjlu@usfca.edu. COMPREHENSIVE EXAM 2 Section I: Introduction Statement of the Problem Although 60% of African Americans in the United States have stated that they would want hospice care when they are dying (AARP, 2003), they only comprise 8% of all hospice enrollees (NHPCO, 2007), despite the fact that they represent 13% of the total population in this country (U.S. Census Bureau, 2008). In fact, hospice care in this nation has always been underutilized by African Americans (Connor, Elwert, Spence, & Christakis, 2008). In the San Francisco Bay Area, among Medicare-certified hospice agencies that submit data to the State of California, only 2% of all the hospice enrollees in 2007 were African American (OSHPD, 2008). In the Oakland Bay Area, African Americans represent 36% of the general population, yet only 15% of the patients of Pathways Hospice, which serves the...
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