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Essay / Research Paper Abstract
A 9 page research paper that offers a hypothetical example of a clinical bioethics case report, concerning Joyce, a 68-year-old woman suffering from metastasized liver cancer, who refuses pain medication. Joyce is in agony and her torturous existence, her moans and the fact that she writhes in pain, is affecting all those around her, her daughter, the healthcare professionals responsible for her care, and her fellow patients. Discussion and bioethical analysis is offered. Bibliography lists 6 sources.
Page Count:
9 pages (~225 words per page)
File: D0_khrefpan.rtf
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Unformatted sample text from the term paper:
refuses pain medication. Joyce is in agony and her torturous existence, her moans and the fact that she writhes in pain, is affecting all those around her, her daughter, the
healthcare professionals responsible for her care, and her fellow patients. Person(s) requesting the consult Nurse Green (no first name given in the scenario), who is a nurse manager,
requested this consult in order to obtain advice on handling this situation, as nursing ethics require respect for the choices of the individual, but ethics also indicate the duty of
healthcare professionals to alleviate unnecessary suffering. Narrative of the moral episode When Joyce received the diagnosis of cancer, she and her primary care physician initiated a Physicians
Order for Life-Sustaining Treatment (POLST), which was issued in Oregon, prior to Joyces move to California. The ethical dilemma in this case scenario hinges on Joyces refusal of pain medication.
While all those involved can accept Joyces Do Not Resuscitate (DNR) preference, that is, her decision to forego prolonging her life through technological or medical intervention, seeing this woman suffer
is another matter, one that is increasingly difficult. Joyces daughter finds her mothers decision to be incomprehensible. Joyces daughter indicates that Joyce lost pregnancy roughly twenty years ago and that
this incident may have contributed to her divorce. It is also true that her mother has had a problem with alcoholism for over twenty years, and that this also coincides
with when Joyce stopped attending church. Joyce has indicated to a oncology resident at the hospital in Oregon that was previously providing for her care that she feels her
pain is penance for her sin and is deserved. When this doctor asked why she had not pursued the option of Physician-Assisted Suicide, which is legal in Oregon, Joyce replied,
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