Question

Health Ethics presentation:

Brittany Lauren Maynard (November 19, 1984 – November 1, 2014) was an American activist with terminal cancer who decided that she would end her own life "when the time seemed right." She was an advocate for the legalization of assisted death

The physician brings Brittany’s case to you in a state without a Death with Dignity law. How will you guide the physician?
I need answers to the following steps:

1) Steps to complete the action

2) Evaluate the process and outcome

Answer 1

FEBRUARY 2017 M T W T F S SMTWTFSS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 WK 01 (007-358) JANUARY SATURDAY process and outcome 2) Evaluate the : with a teaminal illness that will kill the patient within sine. Months may request in weiting room het physician, a peesceiption for alethed dose of medication 10.20 the -puspose of ending the patient's life. - Exercise of the option under this law is voluntary and the patient must ? intiale the request. the request must be confirmed by a two witnesses, at least one of whomis nod related to the patient is not entitled to any poddion of the patient's estate s is not the patient's physician and is not employed by a health care facitity caring for the patient Affes the request is made canganes Physician mest examine the Dalleret médical seconds and confirm the diagnosis. o the patient must be determined to be free of csc menfiel condidion impaising Judgment. dont CamScanner' The mind acts like an enemy for those who do not dodtrol it.

9 10 11 12 13 14 15 16 17 18 19 20 21 109 JANUARY 23 24 25 26 27 28 29 30 31 JANUARY JUI MONDAY MONDAY If the request I's_authodized, the I padient must won't at least fixteen days and make a second oral reque e before the prescription may be white 10. The patient has a right to rescind the request at any time. Should eithe " physician have concerns abont the patient's ability to make an infurma 12 decision, or feel the patient's reana may e motitceted by depression out coedcion, the patient must be referred for a psychological evaluation . If the patient after meeting the 3 above requirements. Still wishes to proceed. then the physician is required do injoem the patient about alternatives such as palliadive care (comforet). hospics, and pain control... The physician is also required to request the patient to injoem hes next of kin of the prescription requer in the end stages of the proceeding it the padient Still wishes to peoceed with ending her life then the patient alone musto Noluntarily consume the prescribed medications.

27 28 13 14 15 16 17 18 19 20 21 22 23 24 25 26 TUESDAY TUI The physician can be present at the & patient's request. . The law peoteeds doctors toem liability - joe peoviding a lethal peescription for a to deaminally ill, compedent adutt in Compliance with the Statute's restriction- " participation by physicians, Phamasists and health care provider's is voluntary. to end his or her life shall not I have an epreed upon a lifel health or accident insurance of annuity policy Scanned with CamScanner

Steps to complete the action - Nunes play an important solo in facilitating communication between and amara sannily memben and between fahnily members and the health care team. The strategies nunc use to enact this sole are presented in thacre categories: give information to physicians give information to family memben and mediale. * Cive information to physicians x Grive information to family memba * Mediate * Support * Build trust * Empathy & Advocate to physicians & Advocate to family & patiqul is dying Accept that the of that decisions. of making bett better decisiones cs Scanned with a sing CamScammer
Recommendations
It is the shared responsibility of professional nursing organizations to speak for nurses collectively in
shaping health care and to promulgate change for the improvement of health and health care. Therefore, the American Nurses Association supports recommendations that nurses:
• Remain objective when discussing end-of-life options with patients who are exploring medical
aid in dying.
• Have an ethical duty to be knowledgeable about this evolving issue.
• Be aware of their personal values regarding medical aid in dying and how these values might
affect the patient-nurse relationship.
• Have the right to conscientiously object to being involved in the aid in dying process.
• Never “abandon or refuse to provide comfort and safety measures to the patient” who has
chosen medical aid in dying . Nurses who work in jurisdictions where medical
aid in dying is legal have an obligation to inform their employers that they would predictively
exercise a conscience-based objection so that appropriate assignments could be made.
• Protect the confidentiality of the patient who chooses medical aid in dying.
• Remain objective and protect the confidentiality of health care professionals who are present
during the aid in dying process, as well as the confidentiality of those who choose not to be
present.
• Be involved in end-of-life policy discussions and development on local, state, and
national levels, including advocating for palliative and hospice care services.
• Furthermore, research is needed to better understand the phenomenon.

Summary
Patients expect nurses to be able to discuss all end-of-life options .
An understanding of the ethical issues surrounding medical aid in dying is essential to support patients to make
informed end-of-life decisions. Nurses should be aware of ethical arguments that support and challenge
medical aid in dying. It is especially important that nurses are clear about the ethical foundations of their
own views on medical aid in dying. Knowledge of one’s own stance helps clarify the boundary between
nonjudgment and respect for patients’ decisions, and imposition of personal values. Clarity about personal
and professional values related to end-of-life options and care can also help nurses recognize the conditions
to which they may wish to conscientiously object. The nurs