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Ethics Mentors: Impacting Patients and Families to Make Ethics Matter

Ethics Mentors: Impacting Patients and Families to Make Ethics Matter. Stephanie Van Slyke , BA, RN, CCRN. 60% of people say that making sure their family is not burdened by tough decisions is “extremely important” 56% have not communicated their end-of-life wishes

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Ethics Mentors: Impacting Patients and Families to Make Ethics Matter

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  1. Ethics Mentors:Impacting Patients and Families to Make Ethics Matter Stephanie Van Slyke, BA, RN, CCRN

  2. 60% of people say that making sure their family is not burdened by tough decisions is “extremely important” • 56% have not communicated their end-of-life wishes • Source: Survey of Californians by the California HealthCare Foundation (2012) • 70% of people say they prefer to die at home • 70% die in a hospital, nursing home, or long-term care facility • Source: Centers for Disease Control (2005) Consider the factsThere’s a big gap between what people say they want and what actually happens.

  3. 80% of people say that if seriously ill, they would want to talk to their doctor about end-of-life care • 7% report having had an end-of-life conversation with their doctor • Source: Survey of Californians by the California HealthCare Foundation (2012) • 82% of people say it’s important to put their wishes in writing • 23% have actually done it • Source: Survey of Californians by the California HealthCare Foundation (2012) Consider the factsThere’s a big gap between what people say they want and what actually happens.

  4. Autonomy • Non-Maleficence • Beneficence • Justice Principles of Bio-Medical Ethics

  5. Autonomy • Self Rule: The Patient decides what is done to/for him to her self • Must consider capacity The right to refuse or accept treatment

  6. Non-Maleficence • Considered a duty • Conduct based on moral or legal obligations DO NO HARM!

  7. Beneficence • Doing the most good for the most people • Can be considered subjective • Prevent harm from occurring to others State or Quality of Doing Good

  8. Justice • Distribution of Resources • Can have some application problems Equals must be treated equally

  9. Scenario: • Over several days, your pt consistently voices ambivalence re current treatments, which are painful & non-productive to the pt. • You witness a complete reversal of behavior when the physician is in the room & future tx plans are mapped out. • When the physician leaves the room, the pt confides in you that he doesn’t want to disappoint his physician but he really would rather not continue treatment. • What do you do? • What ethical principals, if any, would you cite as being in conflict? What would YOU do

  10. Break into groups Crucial Conversations!

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