Progressive and debilitating “end stage” disease process

 

Describe a progressive and debilitating “end stage” disease process( End stage renal failure) from CareOnPoint and apply the principles of advanced directives or living wills. Discuss how patients’ spirituality and culture may impact their decisions about their end-of-life care. Determine if it is appropriate to promote wellness and independence for your selected disease process and provide examples.

 

Sample Solution

More than 500,000 people in the United States live with end-stage renal disease (ESRD). The development of chronic kidney disease and its progression to this terminal disease remains a significant cause of reduced quality of life and premature mortality. Patients with end-stage kidney disease have a high mortality rate and disease burden. Despite this, many do not speak with health care professionals about end-of-life issues. Advance care planning is recommended in this context but is complex and challenging. End of life choices may reflect the meaning of life, unfinished business and planning for one`s final days. Palliative care patients` decision-making may be influenced by religious, spiritual and existential beliefs, expectations, values and experiences, as well as a sense of personal meaning and satisfaction in life.

lato’s vision is likewise obvious in his idea of specialization. Plato affirms that individuals ought to do what they are fit to and that’s it. He says “we should deduce that everything is delivered all the more copiously and effectively and of a superior quality when one man does one thing which is normal to him, and does it with perfect timing, and leaves different things. The individuals who rule simply rule and the people who ranch. Everybody adheres to their path. This wouldn’t work in the event that individuals were driven by the craving to get more influence and abundance as they wouldn’t be content remaining in that frame of mind without the capacity to climb. Plato expounds on an optimal society while additionally perceiving that what he accepts is the regular nature of man won’t ever permit that society to occur.

Thomas Aquinas is additionally a dreamer. That’s what aquinas expresses “Truly that the world is managed by Divine Provision… the entire local area of the universe is administered by Divine Explanation.” (ST, I-II, 91.1). He makes sense of the idea of everlasting regulation wherein power is given supernaturally. He proceeds to say “the general concept of the public authority of things in God the Leader of the universe, has the idea of a regulation. What’s more, since Divine Explanation’s origination of things isn’t liable to time however is everlasting, as per Prov. viii, 23… this sort of regulation should be called timeless.” (In the same place.). It is through timeless regulation that God can oversee his subjects. As people have unrestrained choice, they stray the ideal administration of God and keep regular regulation. Regular regulation is only the manner by which people decipher and keep everlasting regulation. This philosophy is visionary as it is ridiculous that people will adhere to the normal regulation impeccably and endeavor to accomplish something beneficial and stay away from evil. He likewise expresses that political society is made to address the issues of human instinct as opposed to by human’s own resourcefulness.

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