End-of-life care becomes an issue at some point for elderly patients. Discuss the difference between palliative care and hospice care programs. Discuss what you can do as a nurse to support your patients regarding end-of-life care in accordance with their wishes. Explain the use of advance directives versus Physician Order for Life Sustaining Treatment (POLST) and their legal implications when providing care for elderly patients.

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Palliative Care vs. Hospice Care

Palliative care and hospice care are both approaches to caring for individuals with serious illnesses, but they differ in their focus and timing.  

  • Palliative Care:

    • Focus: Provides relief from symptoms and stress of a serious illness.  
    • Timing: Can begin at any stage of illness, often alongside curative treatment.  
    • Goal: Improve quality of life for both the patient and family.  
  • Hospice Care:

    • Focus: Provides comfort and support for patients with a terminal illness.  
    • Timing: Begins when curative treatment stops and focuses on comfort and quality of life.

Palliative Care vs. Hospice Care

Palliative care and hospice care are both approaches to caring for individuals with serious illnesses, but they differ in their focus and timing.  

  • Palliative Care:

    • Focus: Provides relief from symptoms and stress of a serious illness.  
    • Timing: Can begin at any stage of illness, often alongside curative treatment.  
    • Goal: Improve quality of life for both the patient and family.  
  • Hospice Care:

    • Focus: Provides comfort and support for patients with a terminal illness.  
    • Timing: Begins when curative treatment stops and focuses on comfort and quality of life.

Supporting Patients’ End-of-Life Wishes as a Nurse

As a nurse, you can support your patients’ end-of-life wishes by:

  1. Active Listening:
    • Encourage open communication with patients and their families.
    • Actively listen to their concerns, fears, and hopes.
  2. Respectful Care:
    • Treat patients with dignity and compassion.
    • Respect their cultural and spiritual beliefs.
  3. Pain Management:
    • Administer pain medication effectively and promptly.
    • Monitor for side effects and adjust medications as needed.
  4. Emotional Support:
    • Provide emotional support to both patients and their families.
    • Offer comfort and reassurance.
  5. Advocacy:
    • Advocate for your patient’s needs and wishes.
    • Work with the healthcare team to ensure optimal care.
  6. End-of-Life Planning:
    • Encourage patients and families to discuss end-of-life wishes.
    • Assist with completing advance directives or POLST forms.

Advance Directives vs. POLST

  • Advance Directives:
    • Legal documents that outline a person’s wishes for medical treatment in case they become unable to make decisions for themselves.
    • Often include a living will and a healthcare power of attorney.
  • POLST (Physician Orders for Life-Sustaining Treatment):
    • A medical order that specifies a patient’s wishes for life-sustaining treatments, such as CPR, intubation, and artificial feeding.
    • More specific than an advance directive and is a medical order that should be carried out by healthcare providers.

Legal Implications:

  • Advance Directives: These documents can provide guidance to healthcare providers about a patient’s wishes, but they are not legally binding.
  • POLST: These orders are legally binding and must be followed by healthcare providers.

By understanding the differences between palliative care and hospice care, and by actively supporting patients’ end-of-life wishes, nurses can play a crucial role in ensuring a compassionate and dignified end-of-life experience

 

This question has been answered.

Get Answer