End of life care decision making carries paramount importance due to the advancements in medical sciences since medical science has evolved over the time and now has a potentiality to reshape the circumstances during death and in turn prolong lives various ethical issues surround end of life care. There are often ethical issues that can arise in the context of end of life care particularly when patients and families make decisions regarding the care they will accept or not accept as nurses sometimes our morals and values are in conflict with those that our patients have and this can cause some distress for the nurse. Ethical dilemmas at the end of life an important role of the nurse is to help patients complete advance care plans to guide their eol care by listening and offering necessary information cancer care raises complex and often troubling issues for patients families and the nurses who care for them. End of life nursing encompasses many aspects of care pain and symptom management culturally sensitive practices assisting patients and their families through the death and dying process and ethical decisionmaking advocacy has been identified as a key core competency for the professional nurse . Ethical and legal issues in end of life care andrew thorns with choice being such a popular drive behind healthcare policy today this distinction is key in end of life decision making a belief often shared by patients and their families
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