Responsible Care In LongTerm Care Contexts

1
Responsible CareInLong-Term Care Contexts

• Some Reflections

2
Responsible Care

• Ethical Principles

3
Responsible Care

• Ethical Principles
• The Person is primary in all things

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Responsible Care

• Ethical Principles
• The Person is primary in all things
• The integration of wholeness

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Responsible Care

• Ethical Principles
• The Person is primary in all things
• The integration of wholeness
• Well-being is the integrated wholeness of the
  person

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Responsible Care

• Ethical Principles
• The Person is primary in all things
• The integration of wholeness
• Well-being is the integrated wholeness of the
  person
• Suffering is the experience of integration being
  threatened

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Responsible Care

• Ethical Principles
• The Person is primary in all things
• The integration of wholeness
• Well-being is the integrated wholeness of the
  person
• Suffering is the experience of integration being
  threatened
• Threats to wholeness and integration are
  experienced uniquely

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Responsible Care

• Ethical Principles
• Relieve of Suffering and facilitate well-being

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Responsible Care

• Ethical Principles
• Relieve of Suffering and facilitate well-being
• Imperative to assist a person to attain a level
  of well-being

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Responsible Care

• Ethical Principles
• Relieve of Suffering and facilitate well-being
• Imperative to assist a person to attain a level
  of well-being
• Elimination of Suffering in so-far-as possible

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Responsible Care

• Ethical Principles
• Relieve of Suffering and facilitate well-being
• Imperative to assist a person to attain a level
  of well-being
• Elimination of Suffering in so-far-as possible
• To assist in regaining the balance of integrity

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Responsible Care for the Terminally Ill

• Ethical Principles
• Relieve of Suffering and facilitate well-being
• Imperative to assist a person to attain a level
  of well-being
• Elimination of Suffering in so-far-as possible
• To assist in regaining the balance of integrity
• Personal integrity and well-being are greater
  goods than physical life

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Responsible Care for the Terminally Ill

• Ethical Principles
• The will of the patient is fundamental for
  well-being

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Responsible Care for the Terminally Ill

• Ethical Principles
• The will of the patient is fundamental for
  well-being
• Importance of exercising some control

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Responsible Care for the Terminally Ill

• Ethical Principles
• The will of the patient is fundamental for
  well-being
• Importance of exercising some control
• Opportunity for willful involvement in ones care

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Responsible Care for the Terminally Ill

• Ethical Principles
• The will of the patient is fundamental for
  well-being
• Importance of exercising some control
• Opportunity for willful involvement in ones care
• The patient shares responsibility for care

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Responsible Care for the Terminally Ill

• Ethical Principles
• The will of the patient is fundamental for
  well-being
• Importance of exercising some control
• Opportunity for willful involvement in ones care
• The patient shares responsibility for care
• Need to assist the patient in coping with the
  situation

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Responsible Care for the Terminally Ill

• Ethical Principles
• The will of the patient is fundamental for
  well-being
• Importance of exercising some control
• Opportunity for willful involvement in ones care
• The patient shares responsibility for care
• Need to assist the patient in coping with the
  situation
• Involvement in decisions goes beyond incompetency

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Responsible Care for the Terminally Ill

• Ethical Principles
• The patient/family is the unit of care

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Responsible Care for the Terminally Ill

• Ethical Principles
• The patient/family is the unit of care
• All persons exist in relationship

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Responsible Care for the Terminally Ill

• Ethical Principles
• The patient/family is the unit of care
• All persons exist in relationship
• When someone is ill balance needs to be restored
  to the unit of relationships

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Responsible Care for the Terminally Ill

• Ethical Principles
• The patient/family is the unit of care
• All persons exist in relationship
• When someone is ill balance needs to be restored
  to the unit of relationships
• Caring for the whole person includes
  attentiveness to family

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Responsible Care for the Terminally Ill

• Ethical Principles
• Physical death is not an absolute evil and
  physical life is not an absolute value

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Responsible Care for the Terminally Ill

• Ethical Principles
• Physical death is not an absolute evil and
  physical life is not an absolute value
• Death is part of the nature of creation

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Responsible Care for the Terminally Ill

• Ethical Principles
• Physical death is not an absolute evil and
  physical life is not an absolute value
• Death is part of the nature of creation
• Possibility of personal reconciliation with death

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Responsible Care for the Terminally Ill

• Ethical Principles
• Physical death is not an absolute evil and
  physical life is not an absolute value
• Death is part of the nature of creation
• Possibility of personal reconciliation with death
• Physical life need not be pursued at all costs

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Responsible Care for the Terminally Ill

• Ethical Principles
• Physical death is not an absolute evil and
  physical life is not an absolute value
• Death is part of the nature of creation
• Possibility of personal reconciliation with death
• Physical life need not be pursued at all costs
• Life is an exalted good but not the only good

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Responsible Care for the Terminally Ill

• Ethical Principles
• Physical death is not an absolute evil and
  physical life is not an absolute value
• Death is part of the nature of creation
• Possibility of personal reconciliation with death
• Physical life need not be pursued at all costs
• Life is an exalted good but not the only good
• Dying and death can be moments when the person
  fulfills human task

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Responsible Care for the Terminally Ill

• Ethical Principles
• Reconciliation with Death is possible

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Responsible Care for the Terminally Ill

• Ethical Principles
• Persons die in their own time

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Responsible Care for the Terminally Ill

• Ethical Principles
• Palliative care is an appropriate modality of
  care for the dying

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Responsible Care for the Terminally Ill

• Ethical Principles
• Palliative care is an appropriate modality of
  care for the dying
• The human task is to live out life

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Responsible Care for the Terminally Ill

• Ethical Principles
• Palliative care is an appropriate modality of
  care for the dying
• The human task is to live out life
• That living out of life takes different forms

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Responsible Care for the Terminally Ill

• Ethical Principles
• Palliative care is an appropriate modality of
  care for the dying
• The human task is to live out life
• That living out of life takes different forms
• Palliative care involves no deception

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Responsible Care for the Terminally Ill

• Ethical Principles
• Palliative care is an appropriate modality of
  care for the dying
• The human task is to live out life
• That living out of life takes different forms
• Palliative care involves no deception
• Palliative care as distinct from euthanasia

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Responsible Care for the Terminally Ill

• Ethical Principles
• Palliative care is an appropriate modality of
  care for the dying
• The human task is to live out life
• That living out of life takes different forms
• Palliative care involves no deception
• Palliative care as distinct from euthanasia
• Palliative care allows a person to give meaning
  to ones living and dying

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Responsible Care for the Terminally Ill

• It is part of the human task to bring physical
  life to closure so that life may come to
  fulfillment. If efforts to become once again an
  integrated and whole person succeed, even as
  he/she dies, and if the person can place or
  discover meaning in what is happening and be at
  one with him/herself as one who is dying, then
  the person can move through suffering and be well
  not healthy perhaps, but well.
• John Touhey