Thanks for your reply back, too. I like that you are thinking aobut this, and this is something that no one else can really decide for you, what is right for you,
is right for you.
What is wrong for you,
is wrong for you. some might point out, it's not so much about us, it's about the patient. Still, since this is such a sensitive matter, it's important you do not go against your own strongly held beliefs. but, if it's just gathering various opinions, to weigh out and decide for yourself, go for it. but, it has to feel right to you.
My opinion is only my opinion. What feels right and kind in my heart, might not match what you feel in your heart. You have to follow your own heart on this. Your opinion and concerns and feelings about this, however they will shake out over time, are equally valid.
Many others would most vehemently disagree with my feelings on that, and that is fine, i don't think any nurse ought to do what s/he is not comfortable with, in every way. sooner or later, someone else will spot this thread, and write their ideas, too, it's good if you hear all sides, imo.
"acting like god"??
I don't see giving morphine as someone is dying, any more "acting like god" than i view removing a funky gallbladder (that apparently god wanted in there).
I don't see helping a dying person avoid a few days of suffering, going against the gods,
any more than i view delivering a baby from the womb a bit early for whatever health reasons that decision is being made. Apparently, the gods would have the baby stay in the womb another week,
yet, the doctors got that baby out of there. No one seems to question if that is going against the gods (who seem to want the baby to not be born yet).
I don't see helping someone who IS most definitely dying, avoid a few days of extra suffering,
any less worthy of a goal,
than when i medicate the guy getting stitches avoid useless suffering, either. some folks, like my parents, see a spiritual value in suffering. I don't.
BUT BUT BUT, each and every case can be different. Each and every paient and family involved have different needs. I recall a case, (hospice) where we were all trying hard to keep the man going a few more days til his daughter could arrive.
Maybe that was cruel to the patient, but, we all felt exact same way in that situation, that getting that last goodbye, was a VIP goal for that family.
What seems kindness to do for Mr Brown, might not feel right for Mrs Smith.
I don't have as much trouble with the "deciding he is done" part, in most cases. Usually, (not always, but usually) the patient himself is often eager for relief and peace and an end to the suffering. When a person reaches that stage, it can be detected. Many of them say it out loud, over and over.
Other patients can be confused/not very interactive/ by this point, too.
The signs of impending death, get more and more obvious to notice, and the signs the person is suffering too too much, is also hard to miss.
I've never ever seen "snowing" a patient ordered when death was not obviously approaching. Not a once.
I do not view striving for the most peaceful, least painful death possible,
as an unworthy goal, going against the gods, etc.
but, that's just me. sooner or later,
others will spot your thread, and put in their two cents.