PCC302_Assessment_3_Brief_Essay_Module 6.1 XXXXXXXXXXPage 1 of 6 Task Summary In this assessment task, you are required to produce a written document of 2000 words (+/- 10%) where you will undertake...

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PCC302_Assessment_3_Brief_Essay_Module 6.1 Page 1 of 6 Task Summary In this assessment task, you are required to produce a written document of 2000 words (+/- 10%) where you will undertake research and critically analyse the information of one end-of-life issue. Please refer to the Task Instructions for details on how to complete this task. Context Patients (adults or children) may die under a number of different circumstances. Death may be sudden unexpected and tragic, or prolonged and protracted after the patient has lived with life limiting illness (Taylor, 2018). End-of-life care is provided by nurses and a team of other health professionals and informal carers (family or significant others), often when a person has only weeks, days or hours to live. A number of challenges may arise around end-of-life care and nurses need to understand these issues, along with what resources (including code of professional practice) and legal and ethical frameworks are in place to support their clinical practice. Reference Taylor H (2018) Legal issues in end-of-life care 1: the adult patient. Nursing Times [online]; 114: 11, 25-28. Retrieved from: https://www.nursingtimes.net/clinical-archive/end-of-life-and-palliative-care/legal-issues-in-end-of-life-care-1-the- adult-patient/7026333.article ASSESSMENT 3 BRIEF Subject Code and Title PCC302 Palliative care and life limiting conditions. Assessment Essay - critical analysis. Individual/Group Individual Length 2000 words (+/- 10%). Learning Outcomes This assessment addresses the Subject Learning Outcomes outlined at the bottom of this document. Submission Due by 11:55pm AEST Sunday end of Module 6.1 (week 11) Weighting 40% Total Marks 100 marks PCC302_Assessment_3_Brief_Essay_Module 6.1 Page 2 of 6 Instructions 1. Discuss one (1) of the following ethical/legal issues relating to end-of-life care:  Withdrawal of treatment. o Is withdrawal of treatment considered euthanasia? Why or why not?  Withholding of active treatment e.g. antibiotics. o Is withholding of treatment a form of active or passive euthanasia. Why or why not?  Withholding of assisted nutrition. o Is withholding assisted nutrition, when a person is entering the last days of their life and refuses to eat or drink a ‘failure to care’?  Administration of opioid analgesia for pain or medication to manage restlessness, when it could result not only in the resolution of the patient’s symptoms, but also hasten patient’s death (doctrine of double effect). Myth or fact; the administration of opioids at the end-of-life to relieve pain results in the hastening of death by causing respiratory depression.  What are the legal requirements of obtaining an informed patient consent for the implementation or withdrawal of treatment at the end-of-life when the patient no longer has the capacity to provide consent, and/or there is no advance care plan in place and no proxy decision maker (determining capacity)?  What are the legal and ethical perspectives surrounding the capacity of children and young people under the age of 18 to make end-of-life decisions? 2. Research and critically analyse the information available on the chosen topic. The professional nursing standard documents (NMBA, 2018) and peer-reviewed literature, examining the legal and ethical factors surrounding your chosen end-of-life issue in an Australian context, can be used to support your discussion. Remember this is not an opinion or reflective piece. This is an academic piece where you are required to draw from peer reviewed literature to support your findings. 3. Write a 2000-word summary of the work. Academic writing skills. If you would like some assistance with academic writing and determining the difference between analysis and critical analysis, some information is provided below. Referencing It is essential that you use appropriate APA style for citing and referencing research. Please see more information on referencing here http://library.laureate.net.au/research_skills/referencing http://library.laureate.net.au/research_skills/referencing PCC302_Assessment_3_Brief_Essay_Module 6.1 Page 3 of 6 Suggested Essay format Introduction (200 - 300 words). Provide background information regarding your chosen topic. Define any terms. Define your position on the challenge you have chosen and has it altered since the undertaking of research on this topic. Body (1500 – 1600 words). Using evidence based practice, policy or guidelines, discuss how you would manage a situation where your chosen issue had arisen? What are the legal and ethical frameworks that would guide your decision making? Conclusion (100 – 200 words). Provide a conclusion of your critical analysis. Submission Instructions Submit your Essay as a Word document via the Assessment link, in the main navigation menu in PCC302 Palliative Care and Life Limiting Illnesses Blackboard portal. The Learning Facilitator will provide feedback via the Grade Centre in the LMS portal. Feedback can be viewed in My Grades. PCC302_Assessment_3_Brief_Essay_Module 6.1 Page 4 of 6 Assessment Rubric Assessment Attributes Fail (Yet to achieve minimum standard) 0-49% Pass (Functional) 50-64% Credit (Proficient) 65-74% Distinction (Advanced) 75-84% High Distinction (Exceptional) 85-100% Knowledge and understanding of the ethical and legal frameworks relevant to nursing practice. Percentage for this criterion = 30% Demonstrates a partially developed understanding of the legal and ethical frameworks that are available to support nursing practice during provision of end-of-life care. Demonstrates a functional knowledge of the legal and ethical frameworks that are available to support nursing practice during provision of end-of-life care. Demonstrates proficient knowledge of the legal and ethical frameworks that are available to support nursing practice during provision of end-of-life care. Demonstrates advanced knowledge of the legal and ethical frameworks that are available to support nursing practice during provision of end-of-life care. Demonstrates exceptional knowledge of the legal and ethical frameworks that are available to support nursing practice during provision of end-of-life care. Analysis and application with synthesis of new knowledge Percentage for this criterion = 30% Limited synthesis, analysis and application of knowledge to chosen end- of-life issues. Demonstrated partial analysis and, synthesis of new knowledge with application. Shows partial e ability to interpret relevant information and literature and apply it to the chosen end-of-life issue. Well-developed analysis and synthesis with application of recommendations linked to analysis/synthesis applied to the end-of-life issue. Thoroughly developed and creative analysis and synthesis, with application of new knowledge and recommendations linked to analysis/synthesis applied to the end-of-life issue. Highly sophisticated and creative analysis, synthesis of new with existing knowledge. Recommendations are clearly justified based on the analysis/synthesis of information surround the end of life issue. Applies knowledge to new situations/other cases. PCC302_Assessment_3_Brief_Essay_Module 6.1 Page 5 of 6 Effective Communication (Written) (add/adjust/delete elements of standard descriptors as required) Percentage for this criterion = 20% Presents information. Specialised language and terminology is rarely and/or or inaccurately, employed. Meaning is obscured by errors in the communication of ideas, including errors in structure, sequence, spelling, grammar, punctuation and/or the acknowledgment of sources. Communicates in a readable manner that largely adheres to the given format. Generally, employs specialised language and terminology with accuracy. Meaning is sometimes difficult to follow. Information, arguments and evidence are structured and sequenced in a way that is not always clear and logical. Some errors are evident in spelling, grammar and/or punctuation. Communicates in a coherent and readable manner that adheres to the given format. Accurately employs specialised language and terminology. Meaning is easy to follow. Information, arguments and evidence are structured and sequenced in a way that is clear and logical. Occasional minor errors present in spelling
Answered Same DayAug 13, 2021PCC302

Answer To: PCC302_Assessment_3_Brief_Essay_Module 6.1 XXXXXXXXXXPage 1 of 6 Task Summary In this assessment...

Somashree answered on Aug 14 2021
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Withdrawal of treatment
Is withdrawal of treatment considered euthanasia? Why or why not?
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Introduction
Withdrawal treatment and euthanasia have remained a controversial topic since ages. Euthanasia is also referred to as physical-assisted killing in
order to get relief from persistent suffering. In most of the countries, euthanasia is illegal and depicts jail sentence if the law is broken. Euthanasia can be classified as voluntary and non-voluntary. Voluntary euthanasia refers to the euthanasia that is carried out with consent. This is currently legal in the Netherlands, Belgium, Switzerland and others. One the other hand, non-voluntary refers to the euthanasia carried out with the patient’s family or close relative’s consent. Besides this, there are two procedural classifications of euthanasia, namely active and passive. Active euthanasia refers to the use of lethal substances to end an individual’s life. On the contrary, passive euthanasia refers to the withdrawal of life-supporting needs. Euthanasia is confused with withdrawal treatment. Some critics state that these two are distinct whereas, some suggest that these two teams are the same. In this regard, the essay highlights a critical evaluation of the topic ‘whether withdrawal treatment is considered as euthanasia or not’.
Discussion
End-of-life situations are considered to be the most significant areas of controversy in recent years concerning modern bioethics (Sanchini et al., 2014). Until today, very few nations have implemented this progressive approach of acquiring the direct elimination of life by a healthcare professional. Most of the countries are evident to follow the traditional interdiction of active and voluntary euthanasia. It highlights the likeliness of the controversy that emphasizes the practice of withdrawing medical treatment concerning life-sustaining treatments (Aubry, 2016). Additionally, to withdraw some kinds of treatment, the easiest way is to defend the patients from unavoidable adverse outcomes of life-prolonging medical support. This specifically occurs when the quality of life of the individual decreases rapidly.
The US has developed a conventional method of legal experience with this kind of medical decision-making processes. This includes admissible standards that are widely accepted and sufficiently defined both for incompetent and competent patients. On the other hand, in Italy, for numerous cultural reasons, withdrawal treatment practice is still under judgment. Reichlin (2014) stated that decisions concerning relinquish medical treatments are taken in the ICUs of Italian hospitals; however, there is a lack of publicly declared and accepted policies for implementing them. Moreover, the evidence of a lack of agreement has given rise to a large public controversy considering two cases that have imposed questions on the public's moral sense. This controversy is related to withdrawal treatment at the end-of-life. The first case considering Piergiorgio Welby, the artificial ventilator was removed from him when he encountered a prolonged suffering phase from LAS (lateral amyotrophic sclerosis). On the other hand, the second case considering Eluana Englaro highlights that ANH (artificial nutrition and hydration) was removed from her after she suffered in this stage for more than 17-years. Both the cases triggered immense and widespread debate suggesting whether the medical killing was necessary. The public believed that medical killing could not be supported and the patients must be provided with all the life support systems to motivate and generate hope to the individual regarding the recovery time (Cohen-Almagor & Ely, 2018). The public raised concerns against the tribunals in these two cases highlighting the fact that physicians were not involved during the medical killing process.
The debate concerning Englaro case took a turn when discussion regarding ANH to be a kind of therapy sparked. Additionally, the lower courts, which had denied a grant to the removal of ANH, declared that only certain medical treatments must be counted as therapies that are judgmentally appropriate and can be legally denied by the competent patient. This can also be supported by an incompetent patient’s legal attorney (Ciliberti et al., 2018). In comparison to this, most of the opposition considering the Supreme Court's final verdict was with the acceptance of removal of ANH. This generated that this was the determinable will of the irreversibly unconscious individual. This was subjected to a confusing argument stating that it was not the case of determining the accurate utilization of medical technology but to generate food and water to an impaired individual.
On the other hand, the Welby case was not complicated by the questions raised in the...
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