Removal of Mechanical Ventilator on a Patient of ALS

Purpose:

In this case, the patient with ALS in the final stages had a respiratory problem in our hospital. A tracheal intubation is performed for applying ventilation in the intensive care unit to avoid his respiratory failure. Knowing that although mechanical ventilators can prolong survival, it does not provide life quality and dignity, the patient decided to not have a tracheostomy. He requested for removing ventilation and moved into palliative care unit for ventilation removal the next day.  The removal of ventilation and the palliative hospice care during the final stages of ALS are discussed thoroughly in laws, ethics and emotions in this case report.

 To the principle of medical ethics and hospice care, be discussed in  Helping a Patient with Amyotrophic Lateral Sclerosis (ALS) in the Final Stages to Remove Mechanical Ventilation.

Methods:

 This research adopts purposive sampling and qualitative research, including deep interview method, observation method, and literature survey method . In this study, the medical ethical principle of  "The Principle of Autonomy," The Principle of Nonmaleficence "," The Principle of Beneficence", " The principle of justice", be discussed in  Helping a Patient with Amyotrophic Lateral Sclerosis (ALS) in the Final Stages to Remove Mechanical Ventilation.

Results:

Under the principle of the pursuit of patients with active hospice care, the health care workers, chaplains, social workers, family members, etc., according to law, management, emotional level to a comprehensive discussion, also sought order to many related hospice expert advice, and finally based hospice Ordinance removal the patient's respirator, respecting the wishes of the case, so the case can have the dignity of life and fulfill my wish, and Enron's gone, this is the ultimate goal of hospice care.

Conclusion:

 It is getting before a final withdrawal in patients with ventilator. After the end of the process of hospice care in the legal, ethical on all levels have reached emotional finest successful draw the sentence points, hospice medical team also learn from this case to care for a lot of valuable experience.