Question

Case study 4 Alana’s husband and sons are now in her room. They are speaking very loudly and crying. They insist that Mai ‘do something’ quickly. They direct their anger towards her. Mai listens patiently and speaks calmly. The doctor arrives accompanied by an interpreter. He suggests that Alana take a dose of morphine orally at regular intervals to help settle her pain and make her last hours comfortable Alana’s family are worried that increasing the dose of morphine will hasten Alana’s death. Shortly after, Alana’s breathing becomes irregular and Alana is not able to be roused. Alana’s husband notices that Alana’s legs are mottled and her finger feel cool to the touch. He requests that Alana be given more blankets. Although the family members know Alana is dying, it is still a shock when it happens. They are pleased that Alana’s wishes were respected. Alana’s family starts to wail, a traditional Italian expression of open grief. Mai had developed a caring relationship with Alana during her time caring for her. She is sad, as she thought Alana would have lived a little longer; however, she has often thought about death and dying and is comforted by her own beliefs. She follows the organisation’s protocols for maintaining Alana’s dignity after death and comforts Alana’s family members and makes sure her sadness doesn’t affect anyone else. The team leader is impressed by how Mai handles her grief, especially as she is a new worker. He asks Mai to prepare five helpful hints about handling personal grief, which the organisation can provide to new workers in the future.

1. With whom should Mai raise any concerns or ethical issues?

in response to the comment that all there is for the question? maybe thats why it got me confused dont know how to answer it, give it a shot will take anything as i am blank

Answer 1

1. Mai can raise the concerns or ethical issues to her team leader. Ethical issues are common in the work place for a Healthcare worker, especially when she is dealing with the care for dying patients and their greaving families. Ethical issues are the situations or Problems that requires the organisation to choose between the options or alternatives , that must be evaluated on the basis of ethical principles, wheather it is right or wrong. During the time of confronting an Ethical issue, Mai can consult her manager or the team leader for advice or seek the guidance according to organizational policies.  

5 Helpful Hints for handling Personal grief:

* Know the process of Grief and its stages: DABDA: Denial, Anger , Bargaining, Depression, Acceptance: Understanding about grirf process and symptoms of each stage can better help healthcare professionals to understand the emotions of themselves' and others'.

* Be aware that these Grief stages may not be same in ever one. It may differ from person to person.

* Don't internalize the emotions, Be open with others how you feel: Healthcare professionals can share their emotions with close friends or to family members.

* Take time for selfcare : Healthcare workers have spend some time for their physical, emotional and spiritual wellbeing.  

* Be assertive with the patient's family members and to colleagues : Instead of being passive or agressive , you can be assertive in your conversation.