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Patient autonomy case
Patient autonomy case
Patient rights and autonomy
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Imagine you or one of your family members being in a persistent vegetative state, a conduction in which a medical patient is completely unresponsive to physical and psychological stimuli and shows no sign of high brain function, being kept alive only by medical intervention. That would be more than difficult to imagine, but for the Cruzan’s family it was a reality. Nancy Cruzan was in a car accident, which resulted in massive injuries. Nancy was in an unconscious state and very unresponsive in daily activities. She was in a vegetable state with an implanted feeding tube in her stomach. As years passed by the family decided they wanted the feeding tube to be removed in order for Nancy to get the peace she needed. The Supreme Court didn’t quite agree with the family’s decision of removal of the feeding tube. The Supreme Court seized the family’s upright decision to remove the feeding tube from Nancy Cruzan because her family knows what is better for her rather than someone who knows almost nothing about her.
On January 11, 1983, Nancy Cruzan was in an automobile accident. Her car flipped while driving down Elm Road in Jasper County, Missouri. Nancy was found lying in a snow ditch. She was oxygen deprived for around 12 minutes. It only half of the time she suffered from oxygen deprivation to cause permanent damage to the brain. Nancy was then taken to the hospital and said to be in Persistent Vegetative State because there was so much brain damage due to the lack of oxygen she had. Her entire body functioned only on internal controls, which maintains heartbeat, reflex activity of muscles and nerves for low-level conditional responses body temperature, as well as the digestive tract. “Although PVS is very serious, Nancy showed some...
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...anything about her other than the accident and her current conditions. Nancy was truly helpless there is nothing one could do to help her she could only lay there. The state argument about life itself mattering not the quality was shameful. But in reality if you really think about it is she living and life. She can’t speak, nor do anything a living person can, but breath. Just because she is breathing doesn’t mean she is “living”. The family should have been the ones who decide what is best for Nancy not the court especially using those arguments.
The Cruzan family had suffer a great loss when Nancy got into the car accident, and suffered a greater one by not letting her get the peace one would always hope for. At last she did pass away peacefully by getting her feeding tube removed, but it shouldn’t have taken so long for one to decide if it was right and wrong.
They found Casey Anthony, who was charged with first degree murder of her 3-year-old, not guilty. While she was not guilty of murder, she was convicted on counts four through seven for false information given to the police. The judge sentenced her to one year in county jail for each one of the four counts, but she was released 10 days after she received 1043 days credit. If I was part of the jury I would have said she was guilty of murdering her daughter. Even if she did not kill her, she is still part of the reason why she died. Casey neglected her child either way and did not report the crime to the police until someone else did. I am shocked that the visual evidence did not convince the jury that she was guilty. From the strand of hair in the trunk that matched the past child’s hair, to the extensive research on chloroform found on all web browsers, it was very evident that she did or was at least part of murdering her
Mclean, Paul C. “Texas is keeping a dead woman on life support despite her family’s wishes.” the guardian. The Guardian. 10 Jan. 2014. Web. 08 Feb. 2014.
In February of 1990 a woman named Terri Schiavo collapsed at home suffering cardiac arrest in her home in St. Petersburg, Florida. She was resuscitated but had severe brain damage because she had no oxygen going to her brain for several minutes. Terri was severely brain damaged and in a vegetative state but could still breathe and maintain a heart beat on her own. After two and a half months and no signs of improvement, impaired vision, and the inability to move her arms and legs she needed a feeding tube to sustain her life since she seemed to be in a persistent vegetative state. For 2 years doctors attempted speech and physical therapy with no success. In 1998 Schiavos husband claimed she would not want to live in that quality of life without a prospect of recovery so he tried several times over the course of many years to pull the feeding tube so she could pass. Bob and Mary Schindler challenged and fought for a
A case such as this one was the first of its kind, so the outcome of the trials was very important for setting a precedent in similar cases in the future. This is a Landmark Case for long-term comatose patients without a mandate. From then on, there would be no more legal issues when facing this type of situation. It is also important to note that American conservative groups used this case to promote their disapproval of Mr. Schiavo’s position, in a failed attempt to end the Death with Dignity Act.
In this paper, I will be arguing a that in the Please Let Me Die case, the patient did not give informed consent to rejecting treatment due to a variety of factors. In summary, the patient was a 25-year-old male named Dax Cowart who suffered severe burns over 65% of his body after a propane gas explosion. He had several fingers amputated and his right eye removed after he was stabilized. He was discharged with minimal use of his hands, totally blind, and needed assistance with daily activities. He asked that treatment be discontinued throughout his hospital stay and rehabilitation, but his request was denied because his physicians deemed him not competent. I believe he was not competent because of his injuries; as is said about many patients
... research experiment and not like a patient or with the decency she deserved. Some of the things that the doctors did to Vivian were so unethical and so inhumane that it makes one cringe just thinking about it. Fortunately for Vivian, Susie was the light at the end of the tunnel. She provided care that was compassionate, kind and professional. One hopes that in the future I can embody the qualities that Susie had and display them to my patients on a daily basis. In nursing school we are so focused on knowing the science behind everything or getting our medication out in time that we forget why we became nurses in the first place. We became nurses so we could care for others that could not care for themselves. Susie was the true definition of a nurse and provided patient centered compassionate care to Vivian allowing her to die in a dignified and meaningful way.
There was a woman named Terri Schiavo who was declared in a permanent vegetative condition by doctors for 15 years because of severe brain damage she received. Her husband, who was her legal guardian, claimed she voiced her opinion that she never desired to be kept alive on life support if anything ever happened to her. In order to keep Terri alive she was required to be nourished by force feeding her through a feeding tube, which her parents were doing to keep her alive in a vegetable condition. Her parents desired to prolong her life and keep them from having to suffer losing her by continuing to do this so the husband was not hampered with taking care of her. Terri’s parents tried to use religion as a way of keeping their daughter alive
As the defense has so diligently pointed out, it is indeed a sad day in the history of our judicial system when an innocent woman is sent to her death for a crime that she did not commit. I, for one, am not planning on having that momentous occasion take place today, and this is for one simple reason: Justine is guilty. While the defense has done nothing but parade Justine’s friends in front of you saying how much of a “nice person” she is, I, the prosecution, have presented you with cold, hard facts, all of which point to the guilt of the defendant.
In an effort to provide the standard of care for such a patient the treating physicians placed Ms. Quinlan on mechanical ventilation preserving her basic life function. Ms. Quinlan’s condition persisted in a vegetative state for an extended period of time creating the ethical dilemma of quality of life, the right to choose, the right to privacy, and the end of life decision. The Quilan family believed they had their daughter’s best interests and her own personal wishes with regard to end of life treatment. The case became complicated with regard to Karen’s long-term care from the perspective of the attending physicians, the medical community, the legal community local/state/federal case law and the catholic hospital tenants. The attending physicians believed their obligation was to preserve life but feared legal action both criminal and malpractice if they instituted end of life procedures. There was prior case law to provide guidance for legal resolution of this case. The catholic hospital in New Jersey, St. Clare’s, and Vatican stated this was going down a slippery slope to legalization of euthanasia. The case continued for 11 years and 2 months with gaining national attention. The resolution was obtained following Karen’s father being granted guardianship and ultimately made decisions on Karen’s behalf regarding future medical
1976- The New Jersey Supreme Court rules that the parents of Karen Ann Quinlan, who has been in a tranquilizer-and-alcohol-induced coma for a year, can remove her respirator. She dies nine years later.
This case is considering whether or not it is ethical to take a brain dead woman that is pregnant off of ventalation. This specific case involves a resident of Texas named Amanda. Amanda was thirty years old. Amanda was married, was mother of an 18-month old child, and worked in the healthcare industry. One day, Amanda collapsed and the doctors then later determined she had a massive pulmonary embolism. She was then declared brain dead after being taken to the hospital. Brain death is the irreversible cessation of all the functions of the entire brain, including the brain stem (Baumrucker 672).
Imagine visiting your 85-year-old mother in the hospital after she has a debilitating stroke. You find out that, in order to survive, she requires a feeding tube and antibiotics to fight an infection. She once told you that no matter what happened, she wants to live. But the doctor refuses further life-sustaining treatment. When you ask why, you are told, in effect, "The time has come for your mother to die. All we will provide is comfort care."
According the statistics from the American Heart Association (2012), when electrical impulses to the heart suddenly become uncoordinated, causing the immediate cessation of the heart to function, this is considered a cardiac arrest. Cardiac arrest that occurs outside of the hospital has an incidence of 359,400 with a survival rate of 9.5 % (American Heart Association (AHA), 2012). In absence circulation, neurological injury occurs from the lack of oxygen delivered to the brain (Deckard & Ebright, 2011). This disruption of oxygen can cause a cascade of events that include hypoxia, cellular death, the activation of the inflammatory response, and cerebral edema. The continuation
Once a person has freely made his choice, health care providers are required to respect the patient’s decision as part of the patient’s autonomy. A patient’s family might demand doctors to keep a patient alive living off of either machines or pain medication, even after doctors established such methods would not be effective anymore. Even though, the patient’s family knows that the treatment is no longer achievable, they may still expect doctors to do everything under the patient’s autonomy. However, the true reason is that the family is not ready to let go of a loved one. Therefore, they are willing to put the patient through pointless pain and suffering at the end of his or her life. In such cases, it would be easy for a doctor to obey the family’s request, but it would not be the right thing to do for the patient. Doctors must educate and instruct patients and their families about patient autonomy, and the principle of “do no harm” in
Every parent dreams of walks in the park on a perfect sunny day with their child, hearing their first words, taking their first steps, and watching them grow up and live to their full potential. No parent has ever wanted to sit in a dark hospital, clinging onto their baby’s tiny cold hand, and have the only hope they can hold onto taken away from them in a flash. A few weeks ago, I heard a story that caught my attention about a young two-year-old boy who was forcibly taken off life support against his parents’ wishes. After extensive research, it has become evident that this is not the first time this has happened. This has aroused my curiosity as to why a court would deny someone the right of life support if there was still a possibility of survival. As of September 2017, the High Court of the UK ruled that a judge’s approval is no longer needed before removing somebody from life support. In regards to this decision, hospitals should not remove someone from the aid of life support when the family disagrees without first taking it to court, and review to see if there are any possibilities of hope.