Blank, Robert H. "End-of-Life Decision Making across Countries." Journal of Law, Medicine, &
Ethics 39.2 (Summer 2011): 201-14. Web. 10 July 2011.
Robert H. Blank is a Professor of Political Science at the University of Canterbury in New Zealand. Blank is a respected professor and well known writer who has been published in several textbooks, magazines, and journals. Blank stresses the need for comparative research amongst the different countries because of the increased interest in end-of-life care and to help identify what does, and does not, work across countries. He discusses the importance of end-of-life care and examines the practices and beliefs of twelve different countries. Blank compares culture, religion, family, and other social structures, and what role they play in end-of-life decision making. End-of-life policies, how the terminally ill are treated by health care workers, and costs related to dying at home versus in a hospital or nursing home within each country are also discussed. He also explains the nine different categories of euthanasia and discusses options including withholding treatment, withdrawing care, assisting death, and palliative, or hospice, care.
This article is well written and easy to follow. It is well organized, incorporates several subtopics and headings, which makes navigating to and from different topics very smooth. The material presented is easy to understand for those with medical or legal knowledge (the intended audience for this publication). Information contained in Blank’s article is not biased and provides pros and cons for each argument discussed. He discusses several country’s views, (or lack of), and the need for these countries to visit this topic and form laws. Blank includes facts from several published studies that have been conducted on this subject; his information is based on fact and not opinion. There are five tables included, four of which contain a great amount of useful information that can be viewed quickly. This article is up to date, having been published this summer. This is helpful in that all the laws and statistics mentioned are true and have not changed yet.
In contrast, Blank’s article would not be easily understood or interpreted by someone lacking medical or legal knowledge. There are several unknown abbreviations used that are not explained, so the reader may not know what he is referencing. In this case, a layman, or someone unfamiliar with the healthcare field, may not fully understand the
Unit 3 assessment Assessement and care in end of life care Section 1: Understanding the holistic approach to end of life care 1) Various needs that would be considered when planning an individuals end of life care; a) The physical needs to be considered for a person needing end of life care are likely to be pain, nausea and vomiting, breathlessness and weakness/fatigue. Some people may also need help with mobility and personal care. b) The emotional/pysychological…
Unit 81 Support Individuals at the End of Life 1 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life. 1.1 Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care. Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic…
2.2 Explain how the beliefs, religion and culture of individuals and key people influence end of life care. Social perspectives A persons social perspective is influenced by a number of different social factors. The social relationships a service user has could cause them to worry about the impact their death will have on others such as family, friends, children & colleagues. This worry & concern is often referred to as 'social pain' & a service user may include the following: .loss of relationships:…
Report on the LCP(Liverpool care pathway) This report sets out recommendations regarding the Liverpool Care Pathway and end of life care following an independent review of the LCP. The recommendations include: phasing out the LCP and replacing it with an individual end of life care plan a general principle that a patient should only be placed on the LCP or a similar approach by a senior responsible clinician in consultation with the healthcare team unless there is a very good reason, a decision…
CU4177 End of Life & Dementia Care 1.1 Dementia is a progressive disease where an individual’s brain functions deteriorate and affects their mental capabilities. This disease is incurable which is similar to another terminal illness such as cancer. Symptoms of dementia will affect an individual’s memory leading to loss and confusing, language/ communication, understanding and judgement. Medication can be prescribed to help slow down the progression of symptoms. Within the more advanced stages the…
who are at the end-of-life stages to be prepared for the comfort and care needed to make them feel at ease for their remaining time. Why fight the evitable when a person can live out their last days in a familiar environment? I’m pretty sure if everyone could choose where to receive healthcare no matter what stage of illness, the majority of the patients would agree that home is the place they’d want to be treated. No one should have to be in pain in a hospital to prolong life when the option…
needs better end of life care, which might cut costs that was published by the associated press on 17 September 2014. The author states that “ The United States needs to improve its medical care for people nearing death, a move that might cut rising healthcare costs, an Institute of Medicine (IOM) study said on Wednesday. “ According to the IOM the study that was conducted is aimed at initial a debate on how the U.S. healthcare system treats Americans approaching death and urges ample care to increase…
thing that can be done is to make sure all arrangements are put into place. An advance health care directive can ease a situation like this by taking the stress and confusion from loved ones. When people know the end is near and the patient is no longer able to make decisions then an advance directive will allow a person to make all final decisions regarding health arrangements. An Advance Health Care Directive, also known as a living will is a set of written instructions designed to legally appoint…
context of nursing care, yet many nurses lack the comfort or skills to assess and intervene in this dimension. Spirituality contains features of religiosity, but the two concepts are not interchangeable (Puchalski, Lunsford, Harris, et al., 2006). Spirituality refers to “one’s relationship with the transcendent questions”. For most people, contemplating one’s own death raises many issues, such as the meaning of existence, the purpose of suffering, and the existence of…
empowering patients to make informed health care decisions have become the cornerstones of many new health care reform initiatives. In every aspect of health care today, clinicians are taught that patients have the right to be involved in every health care decision. This is further demonstrated through the gaining momentum of legal documents such as advanced directives and living wills. These documents allow patients to exercise their right to make health care decisions at the point where they are no…