Category: Ethics
Articles about end-of-life ethical issues including ethical dilemmas
Doctors Ignoring Family Concerns in Dementia Care
Welcome to our discussion on a topic close to many hearts: the care of our loved ones with dementia. When a family member is diagnosed with dementia, it feels like a part of them slowly fades away. But as they lose parts of themselves, your role in their life becomes even more crucial. This article isn’t just words on a page; it’s a beacon of hope and understanding, shining a light on why your voice, as a family member, is vital in the care of your loved one.
Read MoreDoctors Ignoring Family Concerns in Dementia CareHospice Access for Undocumented Immigrants
Welcome to our guide on hospice care for undocumented immigrants. This article is crafted with the utmost empathy to support family members and caregivers as they navigate the complexities of end-of-life care. Our goal is to provide a clear understanding of hospice services and the unique challenges faced by undocumented immigrants during these tender moments.
Read MoreHospice Access for Undocumented ImmigrantsAdvocating for your loved one on Hospice Services
When someone you love is extremely sick and needs hospice care, you may feel scared, sad, or angry. You may not know what to do or how to help them. You are not alone. Many people go through this challenging time.
As a hospice nurse, I have met many families who have loved ones in hospice. Some of them are continually active and involved in their care. They ask questions, make decisions, and speak up for their needs. Others are more passive and trusting. They let the doctors, nurses, and staff do whatever they think is best. They don’t say much or ask for anything.
Who do you think gets better care for their loved ones? The active ones or the passive ones?
Read MoreAdvocating for your loved one on Hospice ServicesOptimizing Hospice Respite Care: A Comprehensive Guide for Families
Caring for a loved one who has a terminal illness can be extremely rewarding but also particularly challenging. You may feel exhausted, overwhelmed, or isolated by the demands of caregiving. You may also feel guilty or anxious about taking a break from your loved one. But you deserve time to rest, recharge, and care for yourself. That is why hospice respite care can be a great option for you and your loved one.
Hospice respite care is a service that allows you to temporarily place your loved one in a facility, such as a hospital, nursing home, or hospice house, where they can receive professional care and support. You can use this time to do whatever you need or want, such as sleeping, working, running errands, visiting friends, or enjoying a hobby. Respite care can last up to five days at a time.
Read MoreOptimizing Hospice Respite Care: A Comprehensive Guide for FamiliesSupporting a Loved One’s Decision to Stop Eating and Drinking Voluntarily
Explore how to support a loved one's decision to stop eating voluntarily and drinking (VSED) in hospice care. Learn about the ethical, emotional, and practical aspects of VSED, including its impact on patients and families, and how to provide compassionate care during this challenging end-of-life journey.
Read MoreSupporting a Loved One’s Decision to Stop Eating and Drinking VoluntarilyTo Wake or Not to Wake: A Dilemma for Caregivers of Dementia Patients in the Final Stage
Caregivers of dementia patients in the final stage face a challenging dilemma: whether to wake their loved ones or let them sleep. This article explores the pros and cons of each approach, offering guidance on making this difficult decision while prioritizing comfort and dignity in end-of-life care.
Read MoreTo Wake or Not to Wake: A Dilemma for Caregivers of Dementia Patients in the Final StageStatins Increase the Risk of Dementia or Worsening Dementia
Pharmaceutical advertisements often highlight the benefits of a particular drug, including its ability to reduce the risk of various health conditions. However, the actual risk reduction these drugs provide may differ from what is portrayed in the advertisements. It is the opinion of the author that if cardiologists and other providers told their patients the absolute risk reduction of statins is 0.8% for all-cause mortality, 1.3% for myocardial infarction and 0.4% for stroke and the side effects of going on a statin include dementia, worsening dementia, confusion, muscle problems, such as aches, pains, weakness, muscle breakdown, falls, nausea, constipation, diarrhea, and increase the risk of type 2 diabetes, would you or anyone else ever agree to take a statin?
Read MoreStatins Increase the Risk of Dementia or Worsening DementiaFailure to Decline in Hospice – The Good and The Ugly
If your loved one is facing a discharge from hospice due to failure to decline, it's crucial to comprehend the situation clearly. This discharge indicates that the healthcare team believes your loved one's condition has stabilized and no longer requires hospice care. While this might be a positive sign, it's important to weigh the pros and cons before making decisions. Let's delve into both the positive and negative aspects of this situation to help you navigate it effectively.
Read MoreFailure to Decline in Hospice – The Good and The UglyAdvocating for Your Terminally Ill Loved One in a Facility
As a family member of a terminally ill loved one receiving care in a facility, you play a vital role in ensuring they receive the best possible care and support during their journey towards a good death. Advocating for your loved one involves understanding their needs, communicating effectively with the facility staff, and staying informed about their care plan. This article aims to guide you on being an effective advocate, asking the right questions, and ensuring your loved one's comfort and well-being.
Read MoreAdvocating for Your Terminally Ill Loved One in a FacilityEye-Opening Lessons on Trusting Nursing Facilities: Advocating for Comfort in End-of-Life Care
As an experienced hospice visiting registered nurse, today offered me profound insights from two interconnected perspectives. The first highlights the blind trust we often place in facility nurses and doctors when caring for our loved ones. The second involves the challenges I encountered while advocating for proper end-of-life care for a patient with Alzheimer's.
Read MoreEye-Opening Lessons on Trusting Nursing Facilities: Advocating for Comfort in End-of-Life CareTwo days…. until…
There is a spiritual connection in hospice, dealing with death and dying forty-plus hours per week. We who are in the field see it often, but there are times when we hear it firmly from the patients and families whom we serve. Let me share the most recent event on Memorial Day, 5/29/2023, week.
Read MoreTwo days…. until…Ethical Dilemmas in Hospice
As a hospice RN case manager, I have seen many ethical dilemmas arise in end-of-life situations. Hospice care is unique because it focuses on providing comfort care to patients no longer seeking curative treatment for their illnesses. As a result, the ethical concerns in hospice care differ from those in other healthcare settings. This article will explore some ethical dilemmas that can arise in hospice care and how they can be addressed.
Before I review several case studies gathered from the sources in the resource section below, please allow me to share a current one of mine that is ongoing as this article is being published.
Read MoreEthical Dilemmas in HospiceThe Dark Side of Physical Therapy for Geriatric Patients with Dementia
Explore the ethical dilemma of physical therapy for terminally ill dementia patients. This article examines the potential harm of aggressive interventions, highlighting the importance of comfort-focused care. Learn why hospice professionals often advocate for gentler approaches in end-of-life dementia care.
Read MoreThe Dark Side of Physical Therapy for Geriatric Patients with DementiaFaith stories — yes, faith can be a part of nursing life
Faith and religion in the workplace: Yes, faith has a place in work, and when utilized to direct how one works and interacts with one's patients and families, it can result in a blessing that does not disrespect others.
This article came to be partly a response to one of my favorite YouTube nursing channels, where Nurse Katherine provides educational videos for new and experienced nurses. Her most recent episode at https://www.youtube.com/watch?v=N_lE9O1I3LQ asks the valid question relating to the place of “Religion, Beliefs, and the practice of Medicine | should & can they be combined?”
Read MoreFaith stories — yes, faith can be a part of nursing lifeThe first waves of COVID-19 in a nursing home — sharing memories, from heroes to dirty, filthy…
Personal stories from the frontlines of Covid-19 in a nursing home, highlighting the bravery of heroes and the harsh realities faced by residents and staff.
Read MoreThe first waves of COVID-19 in a nursing home — sharing memories, from heroes to dirty, filthy…