Answer To: As nurses you are faced with many difficult scenarios the recent changes in voluntary assisted dying...
Somashree answered on Oct 20 2021
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Voluntary Assisted Dying
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Introduction
Voluntary assisted dying is getting legalized in some developed countries. In the eyes of the law, voluntary assisted dying can be provided to the patients who have advanced disease and may not survive for more than 6 months. Thus, the decision is to provide relief to the patient concerning his pains and sufferings. Thus, the study highlights the emotional state of the nurses who are provided with the responsibility to assist in the voluntary assisted dying. The study explores the ethical and legal dilemmas during this process along with effective strategies to solve it.
Clear definition of voluntary assisted dying
Voluntary assisted dying highlights the law designed to allow an individual to take medications prescribed by the physician in the late stages of an advanced disease that can bring death at a time the person has selected (Beardsley et al., 2018, p. 956). The individuals who met with all the criteria and follow the methods set out by the law can acquire voluntary assisted dying medication. Additionally, an individual’s decision to ask for this process must be voluntary. This means that the individual must be aware of the process and is willing to take that. Moreover, the process must be consistent, highlighting the fact that the individual can make three different and separate requests for the method (Karapetis et al., 2018, p. 774). On the other hand, the person must be fully informed about the procedure of voluntary assisted dying along with the treatment and palliative care policies.
As per the law designed for voluntary assisted dying, a person can only access the procedure if he or she meets all the criteria for carrying out the procedure (Victoria State Government, 2020). The individual must have an advanced disease that is likely to cause death in the coming few months. Death can occur within six months. Additionally, for neurodegenerative diseases such as motor neuron disease, death can occur within 12 months. Voluntary assisted dying is usually carried out to help the person who is unable to accept further pain and sufferings caused by advanced disease (Blaschke et al., p. 562). Besides this, the person must have the competency to develop and communicate any decision related to voluntary assisted dying considering a formal request process. Moreover, the person must also be more than 18 years of age and must be living in the country for a significant period of time highlighting the fact that they need to be permanent citizen of the county.
On the other hand, individuals with a disability or certain mental health issues who meet the voluntary assisted dying criteria can ask for the same from the law. On the contrary, having a mental health issue or disability is not only an adequate reason for the individual to receive quality access to such medications (Yoong et al., 2018, p. 770). Only those individuals who have an advanced disease along with disability or mental illness and will die within six months can get access to voluntary assisted dying. Additionally, the person must be competent to carry forth formal request throughout the process of voluntary assisted dying.
However, a person having issues to communicate efficiently with healthcare professionals during this process can use assistance or interpreter to communicate and convey their wishes (Government of Western Australia, 2020). Moreover, advanced care guidelines are developed by the medical system that can guide medical treatment decisions for individuals if they are unable to make their medical decisions. However, such a person cannot make a request for voluntary assisted dying as it is stated before that an individual requesting for such process must be competent to have decision-making ability (O’Connor et al., 2018, p. 621). Only a specialist doctor or general practitioners can help an individual through voluntary assisted dying. Nurses can only provide information to the patent regarding the process but cannot prescribe medications.
Critical analysis of the ethical dilemmas of a nurse in the scenario of voluntary assisted dying
The legalization of voluntary assisted dying has presented nurses with a complicated array of moral and ethical dilemmas as they are involved with a new care option. At one side of the spectrum is significant conscientious objection where the nurses select to be relieved of all care for reasons concerning preserving ethical and moral integrity (Beuthin et al., 2018, p. 511). On the other end of the spectrum is significant involvement in the voluntary assisted dying process. In between this, there is a level of involvement concerning the care that may or may not is directly interlinked with the actual provision of voluntary assisted dying. For instance, this includes ongoing care for the person receiving voluntary assisted dying and grief support for the patient’s family. Health-related policies may require nurses to...