School of Nursing and Midwifery, Pakistan
Every living being has to die. Respecting a dying individual's personal values and preferences is a challenge. We live in a culture where family decisions are given priority over individual's wish. To overcome this challenge, a concept of palliative or comfort care is newly introduced in Pakistan.
This paper is based on a scenario of a 30-year old young man with end-stage lymphoma. The mother wanted to do all possible interventions to treat his son. The medical team concluded that there is no further treatment option available. The physician wanted to send the patient home to spend time with his family and to prevent hospital induced complications, whereas the mother was not willing to take him home.
In such situation, what would be the possible best decision for the patient who has a short expected survival time?
The analysis of the above case study highlighted different ethical issues like Patient's autonomy vs. institutionalized decision, Paternalism vs. ethics of care and No maleficence and justice.
In the above analysis, all aspects are important, respect for patient's autonomous decision, family members' care for the patient and the medical team's professional obligations. So, in a tug of war between the medical team and the family, the patient should not suffer. I, as a nurse, would like to create a universal familiarity and awareness about comfort care at home. In short, a dying patient encounters care in different ethical concerns; all can be addressed by one single concept of home based palliative care.
Journal of Clinical Research and Bioethics
Mulji, N. P.,
(2017). Palliative care: an alien concept in Pakistan.. Journal of Clinical Research and Bioethics, 8(2), 1-2.
Available at: https://ecommons.aku.edu/pakistan_fhs_son/294
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