Chapter 13: Ethical Issues in End-of-Life Care Prep Exam Questions And Correct Answers.
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Course
End-of-Life Care
Institution
End-of-Life Care
End of Life Issues - Answer -Dreams of immortality
-Race to prevent & cure illness
-Advances in medicine prolong life
-Process of dying prolonged
-Artificial body organs
-Exotic machines
-Medications
Self-Determination - Significant Events - Answer -1976: NJ Supreme Ct. permission to...
-1996: Constitutional right under 14th Amendment for terminally ill person to receive help from a
physician in dying
-1997: Physician-assisted suicide, legal medical option for terminally ill in Oregon
-1998: Oregon voters reaffirm support for Death with Dignity Act
-1999: Kevorkian convicted of 2nd degree murder
-2001: District Court Judge upholds Oregon "Death with Dignity Act"
-2007: Kevorkian released from prison on good behavior. He served 8 years of a 10-25 year sentence for
second degree murder.
2008: Washington state voters approved an initiative to allow a terminally ill person to be prescribed
lethal medication.
, 2008: A Montana judge ruled that residents have a constitutional right to physician-assisted suicide.
1990: Cruzan could have feeding tube removed - Answer -Dr. Kevorkian's suicide machine
-Congress passed the Patient Self-Determination Act
1997: Physician-assisted suicide, legal medical option for terminally ill in Oregon - Answer Kevorkian
charged with murder in Michigan
1998: Oregon voters reaffirm support for Death with Dignity Act - Answer -Michigan voters defeat
ballot measure legalizing physician-assisted suicide
-Kevorkian administered a lethal injection to a man with Lou Gehrig's disease on national television.
Ethical Issues in End-of-Life Care - Answer -A caring response in end-of-life situations requires apt
attention to quality of life issues for the patient and family
-Palliative means to relieve or lessen without curing, moderate or alleviate intensity
Palliative care - Answer -Palliative care means care given to improve the quality of life of patients who
have a serious or life-threatening disease.
-The goal of palliative care is to prevent or treat as early as possible the symptoms of the disease, side
effects caused by treatment of the disease, and psychological, social, and spiritual problems related to
the disease or its treatment.
-Also called comfort care, supportive care, and symptom management
-Palliative care has many dimensions, among them is the effort of the health care professional to
decrease physical, psychological and emotional pain
Objectives of palliative care - Answer -Expect and receive skillful and supportive care not focused on
curing the patient
-Expect that health care professionals will use their knowledge to present and relieve pain and other
symptoms
-Healthcare professionals should gain an awareness of what challenges still lie ahead and what health
care cannot do
-Health care professionals should realize that the continued progression of the disease to the patient will
result in an emotional response from them and how they should deal with that response
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