26 Jun ETHICAL ISSUES RELATED TO END OF LIFE CARE.
4000 word case history review(60%)involving theories and principles of loss, grief and bereavement including attitudes to dying, death and bereavement, cultural and social diversity related to dying and death.
2) Ethical issues related to end of life care.
Only student number put on top of page to the left which is 201120645 and page numbers to the left bottom of page.a full binding margin with a minimum of 40mm must be allowed on left hand side and all other margins a minimum of 25mm. Quotations may be indented. I’ve focused this on a young 20 year old Buddhist Vietnamese girl who we shall call Miss Jones. has Acute myeloid Leukeamia and has been told that she has relapsed, despite several courses of chemotherapy. Family had asked if they could take her home but at this point she was too unwell. Do not attempt resuscitation was put into place after discussion with family. Miss Jones was again discussed at multi disciplinary team meeting (MDT). The plan was yet for more chemo and a planned bone marrow transplant. Miss Jones who had a good relationship with healthcare professions was now inconsolable refusing to acknowledge staff members, only liaising with doctors through an interpreter. Miss Jones would cry out continuously, banging her head on the sink which was present in her room. We later found out the reason for banging her head was due to pain.She constantly wanted to be disconnected from her IV chemotherapy, when we explained this wasn’t possible at present as it was too dangerous. Miss Jones would cry out and pull away from her family making her way to the shower room.Her family were distraught. Her brother confided in myself that his sister, Miss Jones , was angry and refused to eat. I asked Miss Jones if this was true and despite turning away from me, she nodded her head. Palliative care became involved for symptom control, a syringe driver was put in place with Oxycodone, Midazolam and ondansetron. I’ve focussed this essay on anger understanding of the management of physical, psychological, spiritual and social issues encountered at the end of life. although I’ve put in 14 references you can use as many as you want as long as you critically appraise the evidence of management of complex issues at end of life. This is a part masters.
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