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How Worldview Affects Choice to Take Part theAdvance Care Planning Dialogue
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How Worldview Affects Choice to Take Part the Advance Care Planning Dialogue
Worldview refers to a person’s ideas and assumptions that help them to derive the meaning of their experiences (Ritter & Graham, 2017). Culture has a significant influence in directing and shaping worldviews, but worldviews also have confined and formed distinct civilizations(Luquis & Pérez, 2021). Communication, social and familial structure, use of space, attitude toward time, as well as health beliefs is just a few of the areas in which worldviews of other cultures diverge (Ritter & Graham, 2017). Advance care planning allows individuals to prepare for their health and future. In the healthcare business, this approach has achieved global popularity. As the end of life approaches, individuals often encounter difficulty understanding and managing medical issues. Numerous people seeking therapy for progressive disorders cannot forecast the likelihood of recovery or predict treatment results. Consequently, during life-threatening medical conditions, effective communication by patients and clinicians is essential for making educated choices regarding treatment and lifestyle(Richards et al., 2017).
Donating an organ, receiving hospice care, or obtaining medical assistance in dying are often examples of when advance care planning is being put to use. Suppose a patient is unable to make a well-informed choice regarding treatment. In that case, they may choose to receive the therapy offered rather than endure unpleasant procedures or seek solace in hospice care. The notion of advance directives is closely connected; they are legal agreements that spell out a patient’s wishes about the use of extraordinary measures to prolong their life in the event of catastrophic brain damage from which they will not recover. If patients have an advance directive, their doctor cannot force them to receive life-sustaining care against their wishes(Craig et al., 2021). When a patient lacks mental capacity, they often ask to be treated against their will, but laws do not prevent medical practitioners from saying no.
I am a strong proponent of patient autonomy as well as patient choice, which I define as allowing the patient to make medical decisions or establish care guidelines through advance directives (ACP). Provided an individual is unable to make decisions about their care because of a medical emergency, a healthcare substitute may be able to do so for a person who has completed advance care planning plus advanced health directives (Craig et al., 2021). My worldview would heavily influence any choices I made. I will not push for artificial life support when there is no hope of improvement. Quality of life above quantity of life is a significant factor in my decision, including the life to expect in case of a miraculous recovery from the damage. Many brain injuries result in the need for a ventilator for the rest of one’s life, a loss in mental status, the inability to leave the bed, and the insertion of a peg tube to provide nourishment. So, the person may be physically present, but that is not a life I would want for myself. Also, since I have a family, I have to consider how difficult it would be for them to provide constant, round-the-clock care. I think it just makes things worse for the people left behind. It is like losing someone twice: first, when they are injured and can never be the same again, and again when they eventually die from complications related to their injury. Ritter and Graham’s (2017) presentation of the “mustard seed” in the context of Buddhist philosophy was appealing to me because it served as a reminder that death is a part of life and that no one is immune to the pain of losing a loved one.
In conclusion, individuals always retain their autonomy and autonomy over future decision-making when they make well-informed choices on life-sustaining therapies and advance care planning. Conversations on advance care planning enable loved ones to comprehend the thoughts and emotions of a gravely sick family member or friend in order to make more informed medical choices. Increased availability of such strategies promises to cut down on needless hospitalizations and deaths brought on by age-related cognitive decline. We should count our blessings for the chance to see another day because so many people have never had that privilege.
References
Craig, D. P., Ray, R., Harvey, D., & Shircore, M. (2021). Advance Care Plans and the Potentially Conflicting Interests of Bedside Patient Agents: A Thematic Analysis. Journal of Multidisciplinary Healthcare, Volume 14, 2087–2100. https://doi.org/10.2147/jmdh.s314664
Luquis, R. R., & Pérez, M. A. (2021). Cultural Competence in Health Education and Health Promotion. In Google Books. John Wiley & Sons. https://books.google.com/books?hl=en&lr=&id=l0AQEAAAQBAJ&oi=fnd&pg=PA7&dq=related:NPij_rbRDUMJ:scholar.google.com/&ots=XMhmC_EDVg&sig=rblh3YJ_p1_SwoGScFWk40HiiZ8
Richards, C. A., Starks, H., O’Connor, M. R., Bourget, E., Hays, R. M., & Doorenbos, A. Z. (2017). Physicians Perceptions of Shared Decision-Making in Neonatal and Pediatric Critical Care. American Journal of Hospice and Palliative Medicine®, 35(4), 669–676. https://doi.org/10.1177/1049909117734843
Ritter, L. A., & Graham, D. H. (2017). Multicultural health (Book, 2017) [WorldCat.org]. Worldcat.org. https://www.worldcat.org/title/multicultural-health/oclc/932587918
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