Preview

Life Support Ethical Issues

Good Essays
Open Document
Open Document
1010 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Life Support Ethical Issues
Legal/Ethical issue 1 Life support, a 72 year old woman, was admitted to the Neurological Intensive Care Unit following a cerebral hemorrhage that left her with severe brain damage and ventilator.1 The husband disregarded the patients’ rights by refusing to abide by his wife’s wishes as stated in her living will The patient’s living will specified that she did not want to be on a ventilator support or other artificial life support in the event of a permanent unconscious condition or terminal condition.1 The doctors told the husband, who is the next of kin and surrogate decision-making authority, that his wife had suffered, “A cerebral hemorrhage that left her with severe brain damage and ventilator dependent”1. This represents a legal/ethical issue because the husband is not acting in the wife’s best interest and honoring her living will. His plan is to keep her on life support because he does not consider her situation as imminently terminal. The living will is a valid document. This …show more content…
The husband still believes she can miraculously recover from this state of unconscious condition, “the living will states she does not want artificial support to live.”1 Sometime during a life crisis we tend to focus more on selective hearing, only hearing the things that we want to hear. Even in the scenario in the face of adversity when he is confronted about the condition of his wife, he has a hard time grasping about the condition of the “living will” it is hard for him to make the adjustment. When the living will is discussed with him, he insisted that the patient had not intended for the document to be used in a situation like the present situation.”1 Not only that she is on a ventilator that is breathing for her, as well as she cannot breathe on her own, she is also a permanent unconscious condition due to severe brain damage, cause by a cerebral

You May Also Find These Documents Helpful

  • Satisfactory Essays

    The case study goes as such: Mr. Martinez was a seventy-five year old COPD (chronic obstructive pulmonary disease) patient. He was in the hospital because of an upper respiratory tract infection. He and his wife had already requested that CPR should not be performed if he required it and a DNR is placed in his charts. While in his room on third floor, being maintained with antibiotics, fluids, and oxygen and seemed to be doing better. However, Mr. Martinez’s oxygen was inadvertently turned up, causing him to go into respiratory failure. This scenario in my opinion causes for drastic measures and I personally feel like his wishes should be overthrown by what the caring physician sees ethically and morally right. The doctor should look at all the circumstances in front of themselves and make an ethical decision. Mr. Martinez was previously being treated and had been improving. Although some may argue that he already has a disease that could be terminal. Looking at the bigger picture of the situation that he was being treated for the upper respiratory infection and he was progressing. I believe he should be transferred to intensive care so that his oxygen level can be monitored and his respiratory failure be treated by a ventilator.…

    • 541 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    It troubled him that the Judge Teel described Nancy’s condition as “unresponsive and hopeless” with “no cognitive purpose for her except sound and perhaps pain.” If Nancy feels pain then she is not in a persistent vegetative state (PVS). We did not know what was going on behind the scenes, but later it would all come to light. Our case bypassed the appellate court of Missouri and headed straight to the Missouri Supreme Court, with a little assistance. Our case was scheduled for review in September, along with a case that has opposite opinions as ours. In other words, the parents of a young man named Phillip Radar, that was diagnosed as being brain dead, did not want to let their child go, but the hospital caring for him did. Phillip’s heart was beating even though he was brain dead. Both of the cases were scheduled to be heard on the same morning in September, but on August 31st Phillip’s heart stopped and the effort to revive him was unsuccessful. His death left our case as the only one to be…

    • 772 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Hsm 542 week 2 you decide

    • 785 Words
    • 4 Pages

    The morals involved here is the patient’s right to refuse care if she chooses and also the right to die. The moral principles of ethics involved also in this case are: Beneficence- act of doing good, demonstrating kindness, showing compassion, and helping others; Non-maleficence- avoiding the infliction of harm; Justice- the duty to be fair in the distribution of risks and benefits, and; Autonomy- recognizing an individual’s right to make his or her own decisions.…

    • 785 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Terri Schiavo Case

    • 913 Words
    • 4 Pages

    Therefore, one function of caregiver is to prevent and, if possible, end suffering. Hence, to achieve such a goal, actions involving assisted suicide and euthanasia would be permissible (Corr, 2013). Not to many of us, especially those who are younger, have a will or power of attorney. Living wills and advance directives are important components of patients’ medical records, which all too often do not indicate the appropriate palliative care measures the patient desires. A review of the current literature indicates that approximately 85% to 95% of the population does not have adequate advance directives or palliative care measures written in their medical record. Furthermore, these orders may not follow the patient when he or she is transferred to other facilities for intermittent care. Unwanted tracheal intubations can be both costly to the facility and distressing to the patient and family members. By instituting a change in policy, organizations can ensure that patients’ wishes for end-of-life care are met appropriately (Alfonso, 2009). It is very important to meet the needs of the patient as well as the family. However it can be troubling when the patient and family’s do not…

    • 913 Words
    • 4 Pages
    Good Essays
  • Better Essays

    The advantage of a living will is the relinquishment of the burden to take someone’s life. A living will gives the instruction as to when to continue to fight for life, or when to let it go. Some people want everything possible to be done to keep them alive as long as possible. More informed individuals who understand there are circumstances where there is no hope for recovery will direct that they do not wish to be kept alive through artificial measures. This includes not only a ventilator, but also feeding tubes. Because the part of your brain that controls breathing is in the brainstem away from the part of your brain that makes you conscious and alert, a person can continue breathing and their heart will continue to pump, but their cognitive function can be dead. In this instance, they are no longer going to recuperate. An…

    • 1689 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    The team should be knowledgeable to give proactive care, understand the patient's preferences and forgive conflicts. The process of truth telling in advanced cancer or any other terminal illness can be a difficult task. Whenever a patient is too moribund and not in a suitable mental stage, the family carers are required to give informed consent. The doctor and nurse in the palliative care team have to build the communication with a responsible family carer so that confidentiality and dignity for patient's last stage are maintained.[1,2] Communication is meant to deal with ethical questions regarding two fundamental aspects of Palliative Care: To explain the concept of a good death and to resolve the conflicting needs of patient vis-à-vis family.[8]…

    • 183 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    In this situation, the hospital believes they are doing the right thing even though Mary had requested not to live artificially. In the times that Mary was alive before the accident, she made a conscious decision about the life support system and how that is not something she wants for herself. Mary made that decision and I feel that the hospital would be denying her rights and her requests by keeping her alive. The opposition could argue that perhaps Mary made that decision before she was pregnant. However, my counter argument to that would be that Mary did not change her decision or tell John that she would want life support now that she was pregnant. There is a possibility that she made that decision after getting pregnant. Since that was not clearly stated, it would be wrong to deny Mary’s right and request to be taken off support. To deny her request would be to deny a formerly living individual’s right to life. At this point in time, even though Mary can’t speak for herself anymore, her husband John is able to make these decisions for her and the…

    • 1163 Words
    • 5 Pages
    Better Essays
  • Better Essays

    The ANA Nursing Code of Ethics applies to this case study in that it addresses ethical responsibilities and the nurse’s role in advocating for the patient. Section 1.4 of The Code of Ethics for nurses is the right to self-determination and applies to this scenario. This code should impact the nurse in his or her profession decision when caring for this patient. The code of ethics should serve as a guide to the nurse in this scenario empowering the nurse to use the knowledge that the patient had previously set forth in legal documents to discuss with the physician, the legal and moral obligations of the healthcare team in regards to this patient’s treatment plan. The Code of Ethics provides a basis for the nurse to guide his or her practice and support of the patient. It would be unethical for the doctor to place this patient on a ventilator. The patient took steps to ensure that future healthcare decisions would be addressed in the event that he could not make his own decisions. This legal document not only specified Mr. E’s wishes, but also included a durable power of attorney to make decisions for him in the event that he was unable to do so himself. By placing Mr. E on a ventilator,…

    • 978 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Living Will Research Paper

    • 1793 Words
    • 8 Pages

    The “Living Will” provides advanced directives towards what you want to have happened to you if you go on life support. It is not the hospital’s choice, on the contrary it is the individual choice whether to be resuscitated, kept alive by artificial means, and if you want to be an organ donor. In my detailed instructions, it would state that I would want to be resuscitated because, honestly, you never know what could happen. It is better to give yourself a fighting chance as opposed to giving up, when no one knows if you could have been saved. Next, I would want to by kept alive by artificial means, but for only a short amount of time, like 3 days. After 3 days, in my opinion, your chance of survival is extremely low, as the first day you go on the machine, the clock is ticking for you to get better. Also, I would not want to stay on the machine forever because that gives your loved ones false hope that you will wake up. I would want to be an organ donor because if I cannot use my organs anymore, than why not give them to someone who can live if they can get a healthy replacement. “Living Will’s” must be detailed because any confusion will cause a dispute as to what should be…

    • 1793 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Debate Hcs 478

    • 1020 Words
    • 5 Pages

    Decisions about LSTs are taken away from the family only if it is unclear as to who should be the family surrogate or if the appointed family surrogate has a conflict of interest and may be unable to act in the patient 's behalf. So when Michael Schiavo was received the million dollars from the malpractice suit, he was unable to act in Terri’s best interests. When this happens, a guardian ad litem is appointed by the court. Normally, these decisions are kept in the clinical area and out of the courts hands. During the malpractice suit in 1992, Michael made no mention of his wife’s alleged wish to die and conversely pleaded for the opportunity to personally take care of his wife at home for the rest of his life. He sought $20 million to cover the cost of her future medical and neurological care, estimating her life expectancy to be 50 years. (Lynne, 2005). This life ending debate was a decision based purely on greed and money. Michael did not take Terri’s wishes into consideration, her ability to breathe and smile on her own, nor her religious beliefs. He simply ended her life based upon his desire to move on with someone else and the money he won off of Terri’s misfortune.…

    • 1020 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Because there are so many complicated situations, there will always be a varying factor in the matter. The Uniform Declaration of Death Act makes a generally acceptable definition for death in which the medical system strictly abides. However, because of advances in medical technology, patients in a vegetable state can be kept alive by the use of ventilation and feeding tubes. The legal system is constantly challenged by the definition of death because they must still pay for medical treatments even though the individual has permanent termination of all functions of the entire brain, including the brain stem. Lia’s situation perfectly highlights this battle between legal and medical systems. The issue on describing a perceptible definition for death will continuously exist as long as new advances in medicine…

    • 979 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Life support refers to the emergency treatments and techniques performed in an emergency situation in order to support life after the failure of one or more vital organs. A patient requires life support when one or more vital organs fail, due to causes such as trauma, infection, cancer, heart attack, or chronic disease. Among the purposes of life support are: establishing and maintaining the ABC's of resuscitation (airway, breathing, and circulation), restoring the patient's homeostasis (the internal chemical and physiological balance of the body), and protecting the patient from complications of the underlying disease and its treatment (Morris, Stacey). Treatments of life support include: oxygen, intravenous (IV) fluids with sugar and salts,…

    • 145 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    There should be a consideration on several ethical issues in the allocation of resources for health care to the aging population an end of life care. The ethical considerations ensure equitable and proper allocation of resources towards the care of the aging and those near the end of their lives, Craig (2010). The first standard worth consideration in the sanctity of human life, this is because of the tendency some practitioners to hold a low opinion on the lives of the elderly, human live is as paramount in the aging population as it is in the young population, Crippen & Barnato (2011).…

    • 568 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Assisted Dying Ethics

    • 747 Words
    • 3 Pages

    Without understanding the compassion for assisted dying, it’s a challenge to get past the stigma. Opponents assert it’s unethical, but in reality, assisted dying is the basis to having a righteous ending. When we grant people the right to die, we promise them a dignified death. By offering a choice we give way to an escape from the pain, and the unnecessary suffering that would otherwise lead to the same fate. There’s more to the surface than just life and death. The mindset that goes behind it is what it means to have a dignified death.…

    • 747 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    All things considered, it is evident that people have rather strong opinions on life support, which leads to the ceaseless ethical debate on life support. Those who are pro-life support see organ donation or pregnancy survival as positives when the topic arises, whereas those who are anti-life support see cruelty and pain to the patient or religious issues as the negative aspects of life support. However, all opinions aside, it is important for society to become more educated on the topic of life support so that we can all make well-informed decisions and comments on the topic. I do not foresee the ethical debate of life support ending anytime soon, but I think education on the topic would be beneficial. Reflecting back to the question posted…

    • 161 Words
    • 1 Page
    Satisfactory Essays