Upon completion of this seminar you should be able to define and differentiate between the terms euthanasia and physicianassisted suicide Describe the laws and ethics regarding assisted suicide and the controversies surrounding the issue ID: 775132
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Slide1
Whitney Ayers
Assisted Suicide
Slide2Upon completion of this seminar you should be able to define and differentiate between the terms euthanasia, and physician-assisted suicide. Describe the laws and ethics regarding assisted suicide and the controversies surrounding the issue.Identify two of the criteria that must be meet in order for someone to qualify for assisted suicide. Identify and discuss ANA and QSEN quality and standards as they relate to assisted suicide.
Learning objectives
Slide3Aging populationPatient EducationQuality of lifeEthics Laws
Why is this important ?
Slide4http://www.youtube.com/watch?v=Srdo5UYyTiU
How to die in Oregon
Slide5Theory base
Slide6INTERPERSONAL RELATIONS THEORY
HILDEGARD PEPLAU
Slide7INTERPERSONAL RELATIONS THEORY
Slide8Stranger Teacher Resource Person Counselor Surrogate Leader
ROLES OF A NURSE
Slide9Assessment
Data collection and analysis [continuous]
May not be a felt need
Orientation
Non continuous data collection
Felt need
Define needs
Nursing diagnosis
Planning
Mutually set goals
Identification
Interdependent goal setting
Implementation
Plans initiated towards achievement of mutually set goals
May be accomplished by patient , nurse or family
Exploitation
Patient actively seeking and drawing help
Patient initiated
Evaluation
Based on mutually expected behaviors
May led to termination and initiation of new plans
Resolution
Occurs after other phases are completed successfully
Leads to termination a
Slide10STAGE THEORY
ELISABETH KUBLER-
rOSS
Slide11Slide12http://www.youtube.com/watch?v=oIbdOyhxp18
The five stages of grief
Slide13Assessment of the health care environment
Slide14According to the laws of the state of Oregon, a patient requesting a prescription for a lethal medication must be…..An adultCapable of taking medicationA resident of the state of OregonHas been determined by 2 physicians to be suffering from a terminal illnessVoluntarily expresses a wish to dieMakes written request for medication that will end life
Policy in Oregon
Slide15A person who knows that an individual intends to kill themselves, and does anything with the intent to assist the individual in killing themselves is guilty of criminal assistance to the killing of an individual, a felony punishable by imprisonment for not more than 5 years or a fine of not more than $10,000.00, or both.
Policy in Michigan
Slide16Decrease healthcare costsEasy way outDepression
AbortionAnimal EuthanasiaKilling babies with diseases
ASSUMPTIONS
COMPARED TO..
assumptions
Slide17Brea is a 28 year old nurse on a medical surgical floor. This is her second day back from a 12 week maternity leave. Two of her co-workers have called in sick, leaving the floor under staffed. All employees are stressed and are just trying to keep up. Brea has 5 patients until someone can come in to cover the open shifts. One of her patients is actively dying and is consuming a lot of her time. No one has time to help her.Opal is an 87 year old patient who was diagnosed with terminal liver cancer 3 weeks ago. When her children came to visit they found her in agony and she begged them to just put her out of her misery so she could be out of pain.Earlier in the shift the cleaning person unknowingly unplugged the patients PCA and the battery was dead. Brea was so busy with her dying patient that she missed two doses of Opal’s pain medication. Opals call light was answered but the nurse was so busy she forgot to tell Brea that she was requesting pain medication.
Scenario
Slide18Root cause analysis
Equipment
Environment
Nurse
Staff
Pt. in pain
PCA
unplugged
Defective back-up battery for PCA
Actively Dying
pt
2 call-ins
Lack of training
Poor communication
3 days back from maternity leave
Overworked with 5
pt
Slide19INFERENCES AND IMPLICATIONS
Slide20Nurses lack of knowledge about assisted suicideLack of EOL trainingPoor patient educationHigh potential for misinformationUnnecessary patient anxiety
Lack of training
Slide21Nurses form bonds with patientsAttitudes may be influences by personal feelingsNegative impact of the nurse-patient relationshipLoss of patient trust
Religious/world views
Slide22Less than 1/3 of Americans have a plan for end-of-lifeEven patients with chronic conditionsHard to talk about RISKS Ethical conflict Inappropriate acute hospitalization Unwanted interventions Family burden
Lack of end-of-life planning
Slide23EDUCATIONEVIDENCE-BASED PRACTICEETHICS
PATIENT-CENTERED CAREphysical comfort and emotional supportQUALITY IMPROVEMENTExplain the importance of variation and measurement in assessing quality of careINFORMATICS Identify essential information that must be available in a common database to support patient care
ANA STANDARDS
QSEN COMPETENCIES
Recommendation for quality and safety improvements
Slide24American Nurses Association. (2010). Nursing scope and standards of practice. In .Silver Spring, MD: American Nurses AssociationClymin, J., Jablonski, A., Jacobson, D., & Feldt, K. (2012). Washington state death with dignity act: A survey of nurses’ knowledge and implications for practice part 2. Journal of Hospice and Palliative Care, 14(2), 141-148. http://dx.doi.org/10.1097/NJH.0b013e31823cc77aCronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., ... Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131.Darr, K. (n.d). Physician-assisted suicide: legal and ethical considerations . Journal of Health Law, 40(1). Retrieved from http://www.healthlawyers.org/Publications/Journal/Documents/Vol%2040%20Issue%201/Physician-Assisted%20Suicide-%20Legal%20and%20Ethical%20Considerations.pdfGielen, J., Branden, S., & Broeckaert, B. (2009). Religion and nurses’ attitudes to euthanasia and physician assisted suicide. Nursing Ethics, 16(3), 303-318. http://dx.doi.org/10.1177/0969733009102692Humphry, D. (2005). Tread Carefully When You Help to Die. Retrieved from http://www.assistedsuicide.org/suicide_laws.htmlMcLeod-Sordjian, R. (2014). Death preparedness: A concept analysis. Journal of Advanced Nursing , 70(5), 1008-1019. http://dx.doi.org/10.1111/jan.12252Merritt, M., & Procter, N. (2010). Conceptualizing the functional role of mental heath-liasion nurse in multi-morbidity, Using Peplau’s Nursing Theory. Contemporary Nursing, 34(2), 158-166. http://dx.doi.org/10.5172/conu.2010.34.2.158Patricelli, K. (2014). Stages of Grief Models: Kubler-Ross. Retrieved from http://www.amhc.org/58-grief-bereavement-issues/article/8444-stage-of-grief-models-kubler-rossProCon. (2012). Michigan Laws on Assisted Suicide. Retrieved from http://euthanasia.procon.org/view.resource.php?resourceID=5076Robley, L. R. (2009). Reigniting the debate over assisted suicide. Nursing: Critical Care, 15-17. Retrieved from www.nursing2009criticalcare.com
References
Slide25QUIZ TIME!!
Slide26What are the stages (1-5) in Elisabeth Kubler-Ross’s stage theory?
Number one
Slide27According to Hildegard Peplau, what are two roles of the nurse?
Number two
Slide28If a person is charged with assistance to the killing of an individual in Michigan, what is the maximum number of years they can spend in prison?
Number three
Slide29What is three months from today?
Number four
Slide30In Oregon, what are two things that must be accomplished in order for someone to qualify for assisted suicide?
Number five
Slide31What was the name of the documentary I showed?
Number six
Slide32What is one assumption of assisted suicide?
Number seven
Slide33Name one risk of having no end-of-life planning?
Number eight
Slide34What was the name of the patient in my root cause analysis?
Number nine
Slide35What is the major difference between euthanasia and assisted suicide?
Number ten