Question

A middle-aged woman diagnosed with acute myelogenous leukemia has refused chemotherapy for her condition. She is educated, articulate and quite aware that she will certainly die without treatment. She is upset by her diagnosis, but is not depressed. Her close family wishes she would accept treatment because they do not want her to die, but even so, they honor her refusal. She understands that her death will likely be painful and may be prolonged and requests a supply of barbiturates that she might use to take her life when the appropriate time comes.

What is an appropriate course of action?

Answer 1

The patient refused to have the chemotherapy treatment and asked for the order for barbiturates. Barbiturates are used as the pain relief medications at the severe conditions of different illnesses.

Barbiturates are the group of drugs in the class, sedative-hypnotics, as they are known, that generally describe introducing your sleep, anxiety, and decreased performance. While barbiturate abuse is not what they were talking about, just like any other drug, there is a significant health risk. There are statistics that show that the weight of all the desire for a small difference between the cases that have been, sedation, coma and death, and what it does.

One of the tenets of modern cancer patient care is that the former is easy to move, the votes of the universe, and consistent with the values of treatment. Understanding this is no reason for patients to come to The key is that more planning is needed. Since, however, most studies focus on the decision-making process for choosing between cancer therapies and palliative care.2-4 Little attention is paid to cancer patients with intellectual problems and decide what to refuse treatment.

He denies that chemotherapy of cancer patients is uncommon in the reaction part. The first important recommendations. The treatment option would be happy if it was known exactly, cancer patients were more likely to opt for chemotherapy, even if it is only a small chance that it is better.

As for the reasons for the refusal to seek knowledge, work for a living, so that the practitioners of the constitutive principles of patients 'whether the choice can make a man resign for the sake of sick ability' . One way to deal with diversity of opinion is negative depending on the nature of it, even if the patient is competent. Oncologists can conclude that participating patients make a decision, if there is no reason, with a comparison of the pros and cons, and acting, they would do so willingly, with all the blessed. In the case of the doctor's caresses, they are able to reason according to their own definition of the choice to recover, to prolong their life, and the things that alleviate the symptoms.

In conversations with patients he demonstrated that it seemed silly what essentially the balancing process is in context with the medical patient in a personal context. And many negatives can be better understood in the context of patients, a broader worldview. In this context, values, emotions, beliefs and behavior for life, suffering, and death seemed to provide "good reasons" for patients to undergo treatment.