CH_13 Discussion

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Schenectady County Community College, SUNY *

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Medicine

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Apr 3, 2024

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1) What is the difference between withdrawing versus withholding life-sustaining treatment? Withdrawing a treatment and withholding life-sustaining treatment are significantly different. However, many people believe that both are ethically wrong. Withdrawing life-sustaining treatment, such as artificial ventilation, means to discontinue it after it has been started. Withholding life-sustaining treatment means never starting it. Explain the statement “Healthcare practitioners often find it more difficult to withdraw treatment after it has started than to withhold treatment.” The statement describes. “The healthcare practitioners often find it more difficult in with drawing treatment after it has been started than withholding treatment.” Both withholding necessary treatment and withdrawing treatment without proper reason are ethically wrong. Starting a life-sustaining treatment, even on a temporary basis, allows the physician more time to evaluate the patient’s condition. The physician may believe that if the treatment is ineffective, it can be stopped. However, it is necessary to obtain a court order to stop treatment in some circumstances. 2) Name and discuss at least 5 reasons against the practice of euthanasia. Describe what they mean by the “Slippery Slope” of assisted suicide. Some people are supporting euthanasia because it puts an end to the suffering of a patient, relief to the family, and helps to harvest viable organs. However, many people oppose euthanasia in any form (active or passive) for several reasons, including the following.  There is no certainty regarding death. Many terminally ill patients have been known to recover.  If euthanasia is allowed, then it might be used indiscriminately.  There is value and dignity in every human life.  Judeo- Christian religious beliefs declare that only God has dominion over life.  Modern technology may find a cure for a terminal disease.  It is not good for society to have physicians kill patients or for patients to kill themselves. This “Slipper Slope” argument against permitting assisted suicide is that it would eventually lead to a diminishing of our respect for life. Their warning is that once we set our upon the climb, or slope, towards helping a patient die, we can easily slip into allowing many others persons to die who are not terminally ill, such as the elderly, disable, or unproductive. 3) What are the advantages and disadvantages of viatical settlement? The viatical settlement is an option to help patients while they are suffering from terminal illness. It will help them prevent from huge financial stress and burden. However, this option is also detrimental effects. Following are the advantages and disadvantages of viatical settlement. Advantages:  The patient can swiftly access money for treatment.  Relives from the monthly burden of premium payment.  They get a lump sum amount whenever necessary. Disadvantages:

 The insurance owner will lose 20% to 50% total amount of insurance settlement. Hence, the creditors will be benefited more than the original owner of insurance.  Some people use the viatical settlement to enjoy a vacation with family members or use for their experimental medical treatment.  Sometimes, the amount of viatical settlement is mot enough when a patient lives more than expected period with terminal illness.  The amount received by the patient is taxable. 4) Go to http:// www.nhpco.org/and describe the difference between Palliative Care and Hospice> Find an article on the subject and read and summarize here. Include your reference. The difference between hospice and palliative care is that, palliative care begins at the time of diagnosis with such illness and with such illness and continuous through the death of the patient and into the bereavement period for families, while hospice can is provided during the last 13 months of life. Unlike hospice care, palliative care is not dependent on prognosis and can be provided in the context of curative treatments, curing what can be cured but with the concurrent attempt of alleviating symptoms caused by diseases or its treatments. Below is the article I found on topic of Hospice and palliative care. Article by Grace J. Kim Oms and Leonard Goldstein of “The Effects of Religion and Spirituality on Coping Efficacy for Death and Dying “ indicated that communication offers to patients who are dying the best chance of achieving a “good death.” Also, article research has shown that religiosity and spirituality significantly contribute to psychosocial adjustment to cancer and its treatments. Religion offers hope to those suffering from cancer, and it has been found to have a positive effect on the quality of life of cancer patients. Article studies have found that religion and spirituality also provide effective coping mechanisms for patients as well as family caregivers and religion patients who relay on spiritual and religious beliefs to cope with their illness are more likely to use and active coping style in which they accept their illness and try to deal with it in a positive and purposeful way. Faith based communities also offer an essential source of social support to patients, and religious organizations can play a vital role in cancer prevention by providing screening, counseling, and educational programs, especially in communities. https://www.practicalpainmanagement.com/resources/hospice/effects-religion-spirituality- coping-efficacy-death-dying Conclusion Physicians need to be mindful of research showing that

religious beliefs and spiritual practices can be useful to many patients and their caregivers coping with the impact of can- cer. Medicine needs to further integrate these scientific find- ings into clinical practice to promote better patient care. Physicians need to be mindful of research showing that religious beliefs and spiritual practices can be useful to many patients and their caregivers coping with the impact of can- cer. Medicine needs to further integrate these scientific find-

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ings into clinical practice to promote better patient care Physicians need to be mindful of research showing that religious beliefs and spiritual practices can be useful to many patients and their caregivers coping with the impact of can- cer. Medicine needs to further integrate these scientific find- ings into clinical practice to promote better patient care Conclusion Physicians need to be mindful of research showing that

CH_13 Discussion

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