They are held to the same standard of practice as clinical care providers when it comes to promoting the biomedical ethical points autonomy, beneficence, nonmaleficence, justice, and fidelity. Implications for case management practice:Ĭase managers are an instrumental and integral part of the end-of-life care team. The aging population is growing quickly, and people are living longer, which means the frail elderly in their final stages of death due to multisystem organ failure might also desire to have the option of PAD that supports dignity in dying. Not allowing the terminally ill patient the legal right to choose his or her preferences and desires at the end of life goes against the freedom of the patient to choose. When state laws do not support a terminally ill person's ability to make his or her own end-of-life decisions based on his or her own preferences and desires related to PAD and dignity in dying, there can be moral conflictions with the existing ethical principles that can contribute to additional distress and anxiety in the terminally ill patient. population continues to age at the fastest pace in history, it is vital for end-of-life patients and their family members, health care providers, and lawmakers to consider how health policy can drive legislation that supports the dying patient's right to express his or her dignity and own end-of-life desires related to aid-in-dying by allowing health care providers to legally provide physician-assisted health (PAD) and death with dignity (DD) the end-of-life care dying patients prefer. This serves to recognize the dying patient's individual rights related to self-determination of preserving his or her dignity during the end-of-life process. Each dying patient's case should be approached in an individual and patient-centered fashion while supporting the dying patient's desired preferences related to end-of-life treatment. The end-of-life needs and desires of patients, whether it is related to a terminal illness or age-related end-of-life physiological function, can vary from patient to patient. She is the founder of TCB Consulting, Newton, Mississippi. He has served as chair of numerous committees throughout his tenure, in addition to serving as state Senate president pro tempore from 2016 to 2019. Burton, is a Republican member of the Mississippi Senate, representing District 31 being first elected to the chamber in 1991. She is an adjunct professor, South University, College of Nursing and Public Health, Savannah, Georgia. Torres is now affiliated with the Mayo Clinic and teaches graduate nursing students with Chamberlain and South Universities. She was awarded a National Health Service Corps Scholarship and worked 10 years in Health Professional Shortage Area sites. 2 Lisa Torres, DNP, MSN, FNP, PNP, is a board-certified family nurse practitioner and pediatric nurse practitioner.She also drives rural health policy and advocacy for vulnerable populations on federal, state, and local government levels. 1 Mary Atkinson Smith, DNP, MSL, APRN, FAANP, is an associate professor of nursing and director of the adult-gerontology nurse practitioner track at the University of Mississippi Medical Center School of Nursing in Jackson, Mississippi.
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