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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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A Patient's Final Freedom.

Laura Istanboulian1

  • 1Laura Istanboulian is an NP at a Toronto-based hospital. Contact author: laura.istanboulian@utoronto.ca. Reflections is coordinated by Madeleine Mysko, MA, RN: mmysko@comcast.net. Illustration by Pat Kinsella. Editor's note: Medical assistance in dying (MAiD) is legal in Canada. A podcast of this essay is available at www.ajnonline.com.

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This summary is machine-generated.

This case study highlights a patient with end-stage Chronic Obstructive Pulmonary Disease (COPD) who achieved a peaceful death. It emphasizes patient autonomy in end-of-life care decisions for severe respiratory conditions.

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Area of Science:

  • Medical Case Study
  • Pulmonology
  • Palliative Care

Background:

  • Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease.
  • End-stage COPD presents significant challenges for patients and healthcare providers.
  • Patient-centered care is crucial in managing terminal illness.

Purpose of the Study:

  • To illustrate a case of a patient with end-stage COPD.
  • To demonstrate the possibility of a dignified end-of-life experience.
  • To highlight the importance of patient autonomy in terminal care.

Main Methods:

  • Case report of a single patient.
  • Focus on the patient's wishes and care decisions.
  • Palliative care and support provided.

Main Results:

  • The patient successfully achieved a peaceful death.
  • The patient's end-of-life wishes were respected.
  • A "graceful final exit" was facilitated.

Conclusions:

  • Patient autonomy can be upheld even in advanced COPD.
  • Palliative and end-of-life care can facilitate a dignified death.
  • Respecting patient choices is paramount in terminal care settings.