Ethical Challenges in End of Life Care Flashcards

1
Q

Curing

A

alleviation of symptoms or the termination or suppression of a disease process through surgical, chemical, or mechanical intervention

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2
Q

Healing

A

awakening to deeper sense of self in a way that effects profound change. Comes from within and is consistent with a person’s own readiness to grow and to change

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3
Q

Euthanasia

A

clinician performs lethal intervention

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4
Q

Physician Assisted suicide

A

clinician provides the means, patient acts - legal in oregon, washington, and montana. VT and NJ have it, but with restrictions

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5
Q

Voluntary euthanasia

A

requested, killed

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6
Q

involuntary euthanasia

A

expressed wish to contrary, killed

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7
Q

nonvoluntary euthanasia

A

made no request, gave no consent, killed

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8
Q

passive euthanasia

A

erroneous term, intent is lacking
not commencing treatment that would not provide a benefit to the patient
withdrawing treatment that has been shown to be ineffective, too burdensome, or unwanted
giving high doses of pain killers that may endanger life, when they are necessary for pain management

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9
Q

Euthanasia includes the ______ that death is the result

A

intention

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10
Q

medical futility

A

unacceptable likelihood of achieving a therapeutic benefit for the patient

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11
Q

effectiveness

A

assessment of the capacity of the treatment to alter the natural history of the disease - objective determination by clinician

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12
Q

burden

A

assessment of costs, discomfort, pain, inconvenience, both subjective and objective = determined by patient and clinician

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13
Q

Due process of medical futility

A
earnest attempts
joint decision making
negotiation of disagreements
involvement of ethics committee
transfer of care
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14
Q

Palliative Care

A

focuses on relief of suffering and improving quality of life

affirms life, sees death as a personal, natural process

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15
Q

Hospice

A

philosophy of care
available wherever
disease trajectory < or = 6 month prognosis

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