Nursing and Ethics

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CHAPTER


DOI :10.26650/B/CH17CH24.2024.002.16   IUP :10.26650/B/CH17CH24.2024.002.16    Full Text (PDF)

End-of-Life Care and Ethics

Ayfer Aydın

End-of-life care is the care given for the child and family to spend their last periods in a comfortable and peaceful way. Pediatric palliative care nurse experiences some ethical dilemmas while caring for the child and her/ his family in the last period of his life. In the end-of-life period, the pediatric palliative care nurses are faced with many ethical dilemmas such as as terminating care and treatment, not being able to control pain and other symptoms, not being able to participate in the decisions of the child and his family, performing unnecessary procedures, “ do not resuscitate” order, giving intensive chemotherapy treatment and discontinuation of hydration and nutrition. These ethical dilemmas can further complicate the difficult circumstances associated with the often dying sick child. The application of ethical principles is an important component of nursing practice. The role of the nurse is very important in solving ethical dilemmas. The pediatric palliative care nurse maintains the communication between the child, the family and the palliative care team. In this process, healthy communication between the sick child, family and palliative care team is very important in solving ethical dilemmas. It is important that the palliative care team works in harmony in order to minimize and easily solve ethical problems. The pediatric palliative care nurse plays an active role in every stage of the process of informing the child and family about the disease and treatment. Choosing the appropriate medical and nursing interventions, evaluating the benefits and harms to the child appropriately, and fulfilling the wishes and needs of the child patient are among the most appropriate nursing practices.


Keywords: Palliative care, nursing, ethics, ethical issues, decision-making
DOI :10.26650/B/CH17CH24.2024.002.16   IUP :10.26650/B/CH17CH24.2024.002.16    Full Text (PDF)

Yaşam Sonu Bakım ve Eti̇k

Ayfer Aydın

Yaşam sonu bakım, çocuk ve ailenin son dönemlerini rahat ve huzurlu bir şekilde geçirmesi için verilen bakımdır. Pediatrik palyatif bakım hemşiresi, yaşamının son dönemindeki çocuk ve ailesine bakım verirken bazı etik ikilimler yaşamaktadır. Yaşam sonu dönemde, pediatrik palyatif bakım hemşiresi, bakım ve tedavinin sonlandırılması, ağrı ve diğer semptomların kontrol altına alınamaması, çocuk ve ailesinin kararlara katılamaması, gereksiz işlemlerin yapılması, “resüsitasyon uygulamayın” istemi, yoğun kemoterapi tedavisinin verilmesi, hidrasyon ve beslenmenin sürdürülmesi ve kesilmesi gibi birçok etik ikilemle karşılaşmaktadır. Bu etik ikilemler, genellikle ölmek üzere olan hasta çocukla ilgili zor olan koşulları daha da karmaşık hale getirebilir. Etik ilkelerin uygulanması hemşirelik uygulamalarının önemli bir bileşenidir. Etik ikilemlerin çözümünde, hemşirenin rolü oldukça önemlidir. Pediatrik palyatif bakım hemşiresi çocuk, aile ve palyatif bakım ekibi arasındaki iletişimin sürdürülmesini sağlamaktadır. Bu süreçte hasta çocuk, aile ve palyatif bakım ekibi arasındaki sağlıklı iletişim etik ikilemlerin çözümünde çok önemlidir. Etik sorunların en aza indirilmesi ve kolayca çözülebilmesi için palyatif bakım ekibinin uyum içinde çalışması önemlidir. Pediatrik palyatif bakım hemşiresi, çocuk ve ailenin hastalık ve tedavi konusunda bilgilendirilme sürecinin her aşamasında etkin bir rol oynamaktadır. Uygun tıbbi girişimlerin ve hemşirelik girişimlerin seçilmesi, çocuğa olan yarar ve zararlarının uygun bir şekilde değerlendirilmesi, çocuk hastanın isteklerinin ve gereksinimlerinin saygın bir şekilde yerine getirilmesi en uygun hemşirelik uygulamaları arasında yer almaktadır.


Keywords: Palyatif bakım, hemşirelik, etik, etik sorunlar, karar verme

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