Making tough decisions at the end of life

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dc.contributor.author McCarthy, Joan
dc.date.accessioned 2019-02-19T16:32:26Z
dc.date.available 2019-02-19T16:32:26Z
dc.date.issued 2011-05
dc.identifier.citation McCarthy J. (2011) 'Making Tough Decisions at the End of Life', FEASA: Newsletter of the All-Ireland Gerontological Nurses Association, 1(3), pp. 21-22. en
dc.identifier.volume 1 en
dc.identifier.issued 3 en
dc.identifier.startpage 21 en
dc.identifier.endpage 22 en
dc.identifier.uri http://hdl.handle.net/10468/7524
dc.description.abstract In end-of-life situations, health professionals, patients and families must often make difficult decisions in tense, demanding, emotionally fraught and constrained circumstances. Every day, caring for dying patients, nurses and doctors find themselves faced with moral questions and challenges: What is good care in this case? How can I be a good nurse or doctor? What do I say if this patient asks “Am I dying?” Should we start or stop treatments such as dialysis, ventilation or nutrition and hydration? Will treatment prolong life or hasten death? Should I document a Do Not Attempt Resuscitation Order (DNAR)? What should I do if there is no DNAR order? How much involvement should this patient and/or family have? How far do my professional and legal responsibilities extend? With medical technology we gain greater control over how and when we die. With greater control comes greater responsibility for the range of complex decisions medical technology makes available. The recently launched Ethical Framework for End-of-Life Care (McCarthy, Donnelly, Dooley, Campbell, Smith [2010] Dublin: Irish Hospice Foundation) is a set of educational resources that offers a constructive response to the challenges of such decision-making. The overall aim of the Framework is to foster and support ethically and legally sound clinical practice in end-of-life treatment and care in Irish hospitals and healthcare settings. It has emerged as part of a larger initiative, the Hospice Friendly Hospitals Programme (HfHP), of the Irish Hospice Foundation in collaboration with the Health Services Executive and with the support of The Atlantic Philanthropies. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher AIGNA en
dc.rights © 2011 The Author en
dc.subject End-of-life en
dc.subject End-of-life care en
dc.subject Ethical Framework for End-of-Life Care en
dc.subject Healthcare ethics en
dc.title Making tough decisions at the end of life en
dc.type Article (non peer-reviewed) en
dc.internal.authorcontactother Joan McCarthy, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: j.mccarthy@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2019-02-19T12:02:51Z
dc.description.version Published Version en
dc.internal.rssid 90777358
dc.description.status Not peer reviewed en
dc.identifier.journaltitle FEASA: Newsletter of the All-Ireland Gerontological Nurses Association en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress j.mccarthy@ucc.ie en


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