Quote from Noey67
One of the most difficult aspects of our specialty is not imposing our own set of beliefs and ethics onto other. Sometimes we just have to document education and document what was offered and declined to CYA.
but what about the patient's
i too, have been in this dilemma too many times.
while i have families commanding me to not administer any pain meds, i always bend over to the pt and ask if s/he would like pain relief.
if pt says yes, i administer it.
i just CANNOT listen and watch someone writhe and scream in pain...
in spite of ferocious opposition.
i've even had docs tell me not to give if family doesn't want it.
bull****...if the doctor really means it, i suggest they dc all pain med orders.
they never do.
my focus is on the dying pt.
if pt says to just go along with family, i honor their wish.
but if they want pain relief, pt is my first priority.
i never got in trouble, either.
sure, i heard a lot of guff...
but in the end, families were relieved to have pt die quietly and in relative peace.
they realized in hindsight, that it was their anxieties that clouded objectiive decision making.
even if i did get fired, i'd rather that then letting someone die an excruciating death.
for whatever it costs, i can still live with myself.