The present practice at the SFGH to provide ventilator support for these patients in the ED instead of the ICU while tests of brainstem function are being carried out, is frequently met with severe criticisms from relatives and loved Death dying and other ethical dilemmas who claim that the best is not being, and cannot be, done for such patients in the ED as opposed to the ICU.
But intensivists here in Trinidad face an ethical dilemma because forty-five percent of the population consists of people of East Indian descent who, because of their religious and cultural background, do not readily agree to the discontinuation of ventilator support from their loved ones who have been pronounced brain-dead.
The Ministry of Health which is responsible for providing the financial resources for running the health system in the twin-island republic simply does not have the money required for the provision of quality healthcare at this time. And to a certain extent, this is true bearing in mind the chronic shortage of doctors and nurses in the ED.
This is a very broad assumption. References Reflections and Dilemmas on End- of- life Dying is an essential part of life just as birth. Reflection is a process which allows practitioners to echo their thoughts and feelings on a particular situation Jones, The decision making at the end of life should be grounded on the patient choices, preferences, and personal values.
We encounter ethical dilemmas on a daily basis, based on end of life decisions. Should these patients be admitted to the ICU which has only six beds to serve a population of ,?
ICUs are expensive and as such all attempts must be made by all stakeholders involved in the ICU to ensure that monies spent in this area of the hospital are spent wisely, ethically, effectively and efficiently.
The rational choice principle assumes that we know what the patient would have chosen when competent and after having considered every relevant factor.
This model falls apart, however, when the patient loses decision-making capacity. Staff believed these to be the result of futile interventions by staff outside the ICU that then resulted in ICU staff having to manage the patient and family through the dying process.
For similar reasons, they do not readily agree to the donation of organs while the heart is still beating, a situation that has stymied the development of transplant programs here in Trinidad and Tobago.
Frequently therefore, here in Trinidad, the ICU personnel have no choice but to transfer such patients to the ICU for monitoring and cardio-respiratory support. Conclusion This administrative ethics paper took a look at various challenges faced by healthcare personnel in ICUs today as they deal with death, dying and other ethical dilemmas.
The best interests principle asks the surrogate to do what is nearly impossible—to judge what is best for another. Brainstem death The future plan for brain-dead patients whose hearts have been resuscitated by doctors in the Emergency Department ED of the SFGH following a cardiac and or respiratory arrest at home, poses an ethical dilemma for the healthcare personnel at the SFGH.
When surrogates refuse to give permission for their brain-dead loved ones to be disconnected from the ventilator, intensivists at the SFGH in Trinidad, well aware of the limitations and constraints of the situation that exists at the SFGH, choose the ethical route and not only discontinue all drug and intravenous fluid therapy but also reduce the settings on, and oxygen therapy going to, the ventilator to as low as is possible, so as to satisfy the family that the patient has not been disconnected from the ventilator.
Emergency physicians at the SFGH defend their decision to resuscitate such patients on the grounds that they cannot predict with any certainty which patients have reversible brain function and which do not.
Furthermore, it does not address the fact that the interests of the patient and the interests of the surrogate may be in conflict. Trinidad and Tobago is a twin-island republic in the West Indies, south of the archipelago with a population of 1.
Powered by Create your own unique website with customizable templates. These decisions might have complex components such as spiritual, psychological, legal or medical aspects. Trinidad and Tobago, like the rest of the world, is currently facing an economic recession and so the Government of the day has to be very prudent in its fiscal spending.
When people approach end of lives, they and the families face various simple or complex situations, responsibilities, feelings and decisions. This reflection of ideas gives us a better understanding of the situation and this will enhance us to think more realistically and purposefully to deal with a difficult situation like end of life.
How to Write a Summary of an Article? A do-not-resuscitate order DNR is not only written, but is also verbally communicated to the nurses by the doctors in the event of a cardiac arrest. Surrogacy is one means of preserving patient autonomy.
Even the dying person has to make some difficult decisions for them or for the family.
Reflections on death and the ethical dilemmas are based on the understanding of bioethics in conjunction with humility, responsibility, and competence.Death, dying and other ethical dilemmas Anand Chatoorgoon University of Phoenix Death, dying and other ethical dilemmas are issues that all Intensive Care Units (ICUs) throughout the world have to face and address.
about working with death, dying, and bereavement? Death & Dying The 2 month window only applies to death, and not other major life stressor. Treating the Dying What are the ethical dilemmas related to physician assisted suicide? Read this essay on Death, Dying and Other Ethical Dilemmas.
Come browse our large digital warehouse of free sample essays. Get the knowledge you need in order to pass your classes and more. Only at mint-body.com". Death, Dying and Other Ethical Dilemmas Death, dying and other ethical dilemmas are issues that all Intensive Care Units (ICUs) throughout the world have to.
Dying is an essential part of life just as birth. We encounter ethical dilemmas on a daily basis, based on end of life decisions. The decision making at the end of life should be grounded on the patient choices, preferences, and personal values.
Death, Dying, and the Law in America. What are the ethical dilemmas and legal considerations families and providers will be faced with? You are required to complete a term paper for this course, in which you will apply the information you have covered throughout the course.Download