Posted: September 18th, 2017

Surrogate decision makers and advance directives

Instructions
Assignment #4

This paper must be double spaced and be 4-6 pages in 12 point New Times Roman font. Include a cover page [not counted as a page] which should have student name and title of your paper. See more formatting requirements later in these paper instructions. No deduction if paper exceeds a page or so. But deduction of 2 points from the 25pts paper is worth if paper is less than 4 pages.  No internet research for this paper.  Nor search the journal from library except for articles furnished. 

The paper is an analysis of the legal/ethical issues involved in the below health care scenario. See questions to be answered at end of this factual scenario below. I have also provided, after the formatting requirements for the paper, an article that will aid you in your analyzing the scenario and writing the paper.

Case Scenario

A 72 year old woman was admitted to the Neurological Intensive Care Unit following a cerebral hemorrhage which left her with severe brain damage and ventilator dependent. One year before this event, the patient and her husband had drawn up “living wills” with an attorney. She was diagnosed by her treating physician as being in a permanent unconscious condition. The patient’s living will specified that the patient did not want ventilator support or other artificial life support in the event of a permanent unconscious condition or terminal condition.

The patient’s husband is her legal next of kin and the person with surrogate decision-making authority. When the living will was discussed with him, he insisted that the patient had not intended for the document to be used in a situation like the present one. Further discussion with him revealed that he understood that the patient would not be able to recover any meaningful brain function but he argued that the living will did not apply because her condition was not imminently terminal. He further indicated that he did not consider his wife to be in a permanent unconscious condition.  The immediate family members (the couple’s adult children) disagreed with their father’s refusal to withdraw life support.

The treatment team allowed a week to pass to allow the husband more time to be supported in his grief and to appreciate the gravity of his wife’s situation.  Nevertheless, at the end of this time, the husband was unwilling to authorize withdrawal of life support measures consistent with the patient’s wishes as expressed in her living will. End of scenario.

Questions to be discussed based on the facts above. You must weave into your discussion the relevant facts from above to support your discussion of discussion areas 2 and 3 below.

 

I will attached all instruction, articles and links for the paper.    

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