TREATMENT Dilemma: Dialysis or Hospice


Suitable for all levels. Short, versatile format that emphasizes the “art” and ethical aspects of practice.

Help your students care and act more like a nurse with a patient who is torn between dialysis or transitioning to hospice care.


Overview of Dilemma:

Though aggressive medical management is expected with a critically ill patient, there comes a time when the paths of quality of life and quantity of life intersect and the patient must make a choice. How the nurse can practically care and support a patient with end stage heart failure who needs to choose between dialysis for the rest of his life or hospice is the essence of this dilemma.

Key Components:

1. Develop “art” of Nursing

  • By emphasizing importance of caring, compassion, and spiritual care.

2. Develop Ethical Decision Making

  • By applying ethical decision making to real-life dilemmas of practice.

3. Develop Professional Behaviors

  • By emphasizing how a nurse acts as a nursing professional.

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