Ethical Issues In End Of Life Care

Dr. Malesker is part of a critical care team where patients will present to the ICU with a critical illness. The situation is further complicated when the family members of the patient cannot decide what to do for the patient. The patients will present without previously informing their families about the kind of end-of-life care they want. This is where the case becomes an ethical issue, when the patient’s autonomy and ability to make their own decisions is compromised. With the differing opinions between family members, it further complicates the ethical issue.

Dr. Malesker described situations where patients approaching end-of-life care cannot make decisions regarding their treatment. This is due to the cognitive dysfunction that these patients present with. This complicates the treatment because there is not a specific directive from the patient. They do not possess the autonomy to make their own decisions. The patients will have family members from all around the country and when they come to visit, they will have conflicting ideas about what the best treatment option for the dying patient is. Some family members could feel guilty because they did not spend enough time with the dying patient. Sometimes, the family will fight over what the best plan of action
This might include giving the patient pain medication in order to make them comfortable. Also, it is important to interact with the family and get them involved in the care of the patient. With any religious or cultural differences, the hospital has an ethics board that they can consult. It is also vital to have a private room where you can discuss the ethical issues with the patient’s family. Dr. Malesker explains how the whole situation can be rewarding if you are able to help the patient overcome their disease. However, it can be a challenge and frustrating trying to balance all of these