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Psychology (3,263)
PSYC 3570 (66)
Chapter 6

Chapter 6

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University of Guelph
PSYC 3570
Darcy Dupuis

Chapter 6 EndofLife Issues and DecisionsFrom Description to Decision MakingEach day many people face the decision either to continue with cureoriented treatment or to choose symptom relief and comfort careWho should participate in endoflife DecisionsThe idea that we ourselves should have the final say did not gather force until our society started a renewed dialogue about dying and death started by the emergence of the hospice care movementMore opportunity for us to express our wishes through informed consentIn a Mayo Clinic Study they found that despite work experience with patients who have a high mortality rate health care professionals do not adequately communicate endoflife planning decisions to their own primary care physiciansExperience with terminally ill people does not seem to encourage health care providers to work through their own thoughts and feelingsOption of donating organs or tissues has raised ethical and religious as well as scientific and technical questionsMuslims have to find their way between the high value that they place on dignity and sanctity of life and perhaps even higher value placed on salvation through obedience to divine decreesMany Muslim nations practice organ transplantation with the requirement that family offer consent without coercionEndoflife literature has been silent about the use of physical restraints in critical care settingsPossibility of physical restraints might be added to the elements of endoflife decision makingDecision to seek continuation of aggressive medical care increases the possibility that restraints might be usedIncreased emphasis on individual autonomy is hard on people who are accustomed to relying on others or discussions with family or friendsHow does one become familiar with the opportunities afforded by advance directivesThe Living Will and its ImpactAdvance directives are instructions for actions to be taken in the future if certain events occur and if we are not able to speak for ourselves at the timeThe living will was the first advance directive to receive general attention in the United StatesIntroduced in 1968 by a nonprofit organization known as the Euthanasia Educational later renamed Concerned for DyingThe Living will played a valuable role in stimulating awareness of deathrelated issues
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