ASSESSING END OF LIFE SUPPORT

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KAZEMI ABDOLHASSAN; KAZEMI MOSTAFA; ABBASI MAHMOOD; KIYANI MEHRZAD; FEYZOLLAHI NEJAT; ATALOO SADYAR; MASSODINIYA MAHMMOOD

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Journal: Iranian Journal of Medical Ethics and History of Medicine Year:2012 | Volume:5 | Issue:2 Page(s): 41-52

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Title

ASSESSING END OF LIFE SUPPORT

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Keywords

END OF LIFE SUPPORTQ3

MEDICAL ETHICSQ3

END STAGE PATIENTSQ3

Abstract

End stage patient control and autonomy are core principles in human bio-medical ethics and key components of end-of-life (EOL) care. Albeit, according to modem MEDICAL ETHICS principles the centrality of the patient as decision maker may not be relevant to culturally diverse groups of end stage people. The purpose of this article is to present results of a literature review of end stage patient control and their family position within the context of END OF LIFE SUPPORT.The review revealed that the interaction between medical control and ethical values in END OF LIFE SUPPORT is multifaceted and unpredictable.According to the recommendations of American College of Physicians/American Society of Internal Medicine End-of-Life Consensus Panel and some other world class medical and ethical societies, culturally effective END OF LIFE SUPPORT includes the following essential elements;• acceptance of and respect for cultural differences among all END STAGE PATIENTS• willingness to negotiate and compromise when world views differ• understanding of one's own values and biases• contact and communication skills that enhance empathy• information of the cultural practices of patient groups should be seen on a regular basis; and• attention that all patients are individuals and may not share the same views as others within their own ethnic group According to the above description, applicants identified five domains of quality END OF LIFE SUPPORT: 1. receiving adequate pain control; 2. avoiding inappropriate prolongation of the dying process; 3. achieving a sense of control; 4. relieving burden on loved ones; and 5. strengthening relationships We emphasize that, despite above mentioned points and advices maintaining a sense of control is an essential element in the END OF LIFE SUPPORT for some individuals, further study of the interplay between ethnicity, desire for control, and achieving a good death is needed.

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APA: Copy

KAZEMI, ABDOLHASSAN, KAZEMI, MOSTAFA, ABBASI, MAHMOOD, KIYANI, MEHRZAD, FEYZOLLAHI, NEJAT, ATALOO, SADYAR, & MASSODINIYA, MAHMMOOD. (2012). ASSESSING END OF LIFE SUPPORT. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, 5(2), 41-52. SID. https://sid.ir/paper/135498/en

Vancouver: Copy

KAZEMI ABDOLHASSAN, KAZEMI MOSTAFA, ABBASI MAHMOOD, KIYANI MEHRZAD, FEYZOLLAHI NEJAT, ATALOO SADYAR, MASSODINIYA MAHMMOOD. ASSESSING END OF LIFE SUPPORT. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE[Internet]. 2012;5(2):41-52. Available from: https://sid.ir/paper/135498/en

IEEE: Copy

ABDOLHASSAN KAZEMI, MOSTAFA KAZEMI, MAHMOOD ABBASI, MEHRZAD KIYANI, NEJAT FEYZOLLAHI, SADYAR ATALOO, and MAHMMOOD MASSODINIYA, “ASSESSING END OF LIFE SUPPORT,” JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, vol. 5, no. 2, pp. 41–52, 2012, [Online]. Available: https://sid.ir/paper/135498/en

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