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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
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Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Related Experiment Video

Updated: Oct 18, 2025

The Establishment and Utilization of Patient Derived Xenograft Models of Central Nervous System Metastasis
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Palliative care and euthanasia: A Nepalese scenario.

Alok Atreya1, Anuska Khadka2, Rakshya Arun Kandel2

  • 1Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal.

The Medico-Legal Journal
|October 4, 2021
PubMed
Summary

Palliative care in Nepal is hindered by the lack of oral morphine, leading to inadequate pain relief for incurable diseases. Legalizing euthanasia and improving palliative care access are crucial considerations for terminally ill patients.

Keywords:
EuthanasiaNepalpalliative care

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Area of Science:

  • Medical Ethics
  • Palliative Care Research
  • Public Health Policy

Background:

  • Palliative care, focused on pain relief, is a priority for incurable diseases in Nepal.
  • Inadequate pain management exists due to the unavailability of oral morphine.
  • Euthanasia is legally prohibited but presents a potential alternative in specific cases.

Purpose of the Study:

  • To evaluate the current state of palliative care in Nepal.
  • To explore the ethical and legal considerations of euthanasia in the Nepalese context.
  • To assess the impact of palliative care accessibility on the demand for euthanasia.

Main Methods:

  • Literature review on palliative care and euthanasia laws.
  • Analysis of the availability and cost-effectiveness of pain management options.
  • Comparative study with developed countries regarding euthanasia understanding.

Main Results:

  • Oral morphine, a key palliative care drug, is unavailable in Nepal.
  • Current pain control is frequently insufficient for terminally ill patients.
  • Euthanasia, though illegal, is discussed as a potential solution, with a need for patient and physician understanding.

Conclusions:

  • Improving access to affordable and effective palliative care is essential.
  • Legalizing and understanding euthanasia may be necessary if palliative care remains inadequate.
  • Sufficient palliative care could reduce the perceived need for euthanasia among terminally ill Nepalese patients.