Decision making is itself a very complex process of thoughts and sets up various challenges for patients and their families to make up an end-of-life care decision. Patients have a right to autonomously voice their end-of-life treatment choices and these
Decision making is itself a very complex process of thoughts and sets up various challenges for patients and their families to make up an end-of-life care decision. Patients have a right to autonomously voice their end-of-life treatment choices and these choices have to be respected ethically considering the use of advance treatments and their prognosis (Thorns, 2010). The purpose of the research was to explore Korean older adults’ concerns and preferences regarding end-of-life care and the expected role of physicians in the decision making process. The purpose was to “assist health care professionals, in particular, physicians, to better understand how to interact with Korean older adults” (Ko, Nelson-Beker, Park & Shin, 2013). A huge problem I found with this research is the fact that patients autonomy to life sustaining treatments (LST) is not taken into account. DNR options are discussed between physicians and family members, excluding patients of their right to decide and that is when conflicts and disagreement arise without knowing what patients want or prefer. Physicians and family members may incur that patients experiencing an end of life situation do not wish to pursue further treatment, therefore making a decision without consulting them, as opposed to asking patients what their wishes are. It is crucial for health care professionals not to assume the patients’ end-of-life wishes based on particular cultural values; rather, they need to inquire about individual preferences for end of life care. The hypothesis of this study suggests that while some Korean people may want their family members to make their end-of-life decision for them, being extending life or no further treatment, the majority of the people that participated in this study underscored the importance of physicians’ roles in guiding patients to make good end-of-life decisions. Many study participants viewed the quality of life as more important than extending life. I feel because this study only addressed residents of senior centers it may somehow lack validity as end-of-life decisions impact all ages. People who live with serious illness or are institutionalized might have a different perspective toward end-of-life care. Also, as stated, “this study is more than a decade old and may reflect earlier common thought about best practice for the time. For the past few decades, patient-informed consent and physician-patient communication have been emphasized as standard ethical guidelines in Korea”
Decision making is itself a very complex process of thoughts and sets up various challenges for patients and their families to make up an end-of-life care decision. Patients have a right to autonomously voice their end-of-life treatment choices and these is rated 4.8/5 based on 854 customer reviews.
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