In the Clarfield reading, it discussed the three major Abrahamic monotheistic religions, Judaism, Christianity (its Catholic variant), and Islam. The reading has three different scenarios and it goes over how each religion would handle the different ethical situation. Scenario one is an 86 year old woman who has coronary artery disease and atrial fibrillation presents with a massive stroke. She remains unconscious for two months now, and then she gets diagnosed with pneumonia. The family request a permanent feeding tube, and the children request that the doctors don’t tell the poor husband his wife 's conditions. They believe the news will just kill him. Scenario two, an 84 year old women with mild dementia and compensated congestive heart failure is admitted to a nursing home. The husband gives the physician a signed AD that states that under no circumstances does the 84 year old women want resuscitation. Scenario three, 87-year-old man with advanced metastatic lung carcinoma admitted to an acute hospital is fed a gastrostomy …show more content…
In case one, the feeding tube is understandable. Pneumonia requires treatment right away so in the Jewish religion they will start treatment right away. When it comes to the request that the father should not be told, they respect that because they don’t want to jeopardize the father 's health. In case two, the staff’s opinion is way less important than the surrogate. If the AD believes that the request seem valid for his wife, then they would continue the request. Although Halacha will probably favor treatment if there were a chance of survival, the patient/surrogate may refuse such an approach if the prognosis of the treatment is unfavorable. In case three, intubation would be reasonable, but after the kids told the doctor their father’s wishes they have to respect that. This is only okay because the father had a terminal
"I just told them they could do a topsy. Nothing else, Them doctors never said nuthin about keeping her alive in no tubes or growin no cells. All they told
Recommendation-hospice to evaluate. Palliative care will continue to
If such a person, while capable, had implemented the document written living or mercy will, that will would be credible evidence of that inept person 's purpose and it would be given countless weight by the person who substitute their decision on behalf of the lethally ill
Nothing else. Them doctors never said nuthin about keepin her alive in no tubes or growin no cells. All they told me was they wanted to do a topsy see if they could help my children. And I've always just knowed this much: they is the doctor, and you got to go by what they say. I don't know as much as they do.
In Kevin t. Keith’s article “doctors should stop treatment that is futile” He addresses his argument on why doctors should should stop futile treatment in a persistent tone.which is addressed to the healthcare network and the families of terminally ill patients. He presented a fair argument with questionable facts, ok anecdotes, and substandard credibility. The facts he uses are questionable at best due to the fact that he has no backing to the facts in his argument. Such as when he states that ”most hospitals and nursing homes have tried not to refuse care...because it leads to bad publicity.”
One of the main objections to autonomy-based justifications of physician-assisted suicide (PAS) that Gill talks about is that many people believe it does not promote autonomy, but instead is actually taking it away (366). First, it is important to clarify what autonomy means. According to Gill, it is the ability of a person to make big decisions regarding their own life (369). Opponents of PAS argue that it takes away a person’s ability to make these big decisions and so it is intrinsically wrong for them to choose to take their own life.
In order for a patient to receive the prescription for medication, a physician must declare the patient to be terminally ill, which means they have an incurable and irreversible illness, and they must have no more than six months to live. Also, a second doctor must agree with the first doctor. In addition, the terminally ill patient has to be mentally competent and able to administer the medication themself (“Threat” A12). These rules act as safeguards to ensure that the patient requesting aid in dying is making an informed decision and is acting voluntarily (Gopal
Stephanie remained on ventilator support for six weeks while Fairfax searched for another hospital to transfer her to, but no other hospital would accept her. After the baby was weaned off constant ventilator support, the mother agreed to move the child to a nursing facility, but the baby returned to the hospital many times for respiratory problems. Legal proceedings When baby Keene was admitted to the hospital at six months of age for severe respiratory problems, the hospital filed a legal motion to appoint a guardian for the child 's care and sought a court order that the hospital did not need to provide any services beyond palliative care. At trial, several experts testified that providing ventilator support to an anencephalic infant went beyond the accepted standard of medical care. In
Fifty eight percent of the citizens asked, said that they do not support aid-in-dying and that it can break the patient-doctor trust, twenty percent support aid-in-dying and said that no relationships were affected negatively, and twenty two percent of those asked claimed to be neutral about the topic. (Hall) The U.S Supreme Court would have to
But in Donald’s case it was the total opposite. He went to the hospital with his mind already made up to die, which goes against what the doctors have being taught to do, and the principle of beneficence. The doctors decided to reject his autonomy because they knew he had an immense possibility of having a happy live and not just simply acting in a paternalistic way. In the end the doctors decisions was the right choice, when Donald stated, “I am enjoying life now, and I’m glad to be alive” (Munson6).
The documentary, A Death of One’s Own, explores the end of life complexities that many terminal disease patients have to undergo in deciding on dying and dignity. It features three patients, their families, and caregivers debating the issue of physician-assisted suicide or pain relief than may speed up death. One character, Jim Witcher has ALS and knows the kind of death he is facing and wants to control its timing. Kitty Rayl is suffering from terminal cancer and wants to take advantage of her state’s Death with Dignity Act and take medication to terminate her life. Ricky Tackett, on the other hand, has liver failure and together with his family and caregiver agrees on terminal sedation to relieve his delirium and pain.
Atul Gawande in his article “Whose body is it, anyway?” introduced couple of cases, which discussed a controversial topic, doctors dealing with patients and making important medical decisions. These are difficult decisions in which people might have life or death choices. Who should make the important decisions, patients or doctors? Patients don’t usually know what is better for their health and while making their decisions, they might ignore or don’t know the possible side effects and consequences of these decisions.
Relevant legal and ethical considerations, focusing on the 4 main ethical principles and how each of these apply to this case using research evidence. Focusing on the ethical theory of Beauchamp and Childress, it is considered one of the most fundamental elements for beginning a discussion in the Not for resuscitation (NFR) debate. (Fornari, 2015). The four main ethical principles, autonomy, non-maleficence, beneficence and justice hold the grounding block for issues of this nature. End of life care is an imperative characteristic of acute stroke nursing, as stroke mortality rates remain high, regardless of enhancements in the health care industry.
The dying patient no longer has quality of life, they have lost their independence, are lonely, are forced to endure inevitable pain, are publicly humiliated, are suffering immensely, and are forced to watch their loved ones grieve because of them. It is an innate Constitutional Right to choose how to die, since we all will die. There comes a point when the poking and prodding becomes too much, when the patient wants to just die in silence in the loving arms of their
This critical incident involved a first time mother who gave birth at pre temp- 35weeks. Baby stayed in hospital for two weeks before being discharged home. After about two days of being home, mother called her health visitor, the student‘s practice teacher to inform her that baby was having breathing difficulties. Health visitor advised Lilly take the baby to A&E straight away which she did. Baby stayed in hospital for a further 7days before being discharged.