Reference no: EM133848587
Capacity, Choice and Advance Directives
Margot Bentley was a long-time nurse, working mostly with patients with dementia. She was determined not to die a slow, lonely, frightful death like so many of her patients. So she planned ahead. Bentley wrote a living will, one that clearly stated that, when her time came, she did not want heroic measures taken to keep her alive. She also discussed the issue with her children, fully and openly, and they were in agreement....Yet today, the 82-year-old, who is in the final stages of dementia, is being kept "alive" against her wishes and those of her family....
....Here's what Margot Bentley wrote in her living will, when she was composed: "I direct that I be allowed to die and not be kept alive by artificial means or 'heroic measures,'" she wrote eight years before her diagnosis. She also specifically stated that her caregivers should dispense "no nourishment or liquids" if she was in a condition where it was clear there was no reasonable chance of recovery....
....Bentley, who lies in bed in a semi-vegetative state, is fed three times a day. A care worker puts a spoonful of puréed food to her lips and she eventually opens her mouth and the food is pushed in; then she swallows, often with difficulty. The family argues that she is doing so by reflex; the health-care institution caring for her argues that it is a demonstration of the will to live.
Question.
Being a Speech language pathologist, on the side of the patient in this case, and during an ethical dilemma, who assess swallowing, what's going on with the reflex, what might a speech language pathologist say if they came to the committee?
Discussions are based on ethical theories and principles.
Accurate use of a wide variety of theories and principles clearly highlights the multi dimensional aspects of the dilemma.
Evidence of a high level of critical thinking.
tell me why you are for the patient bringing in the following :
clear comprehension of ethical codes and all legal issues clearly discussed
what values can you bring to the table, what are the CNO values.?
what are the ethical framework, that can play a role here? ethical values?
does culture play a role here?
CNO values can you bring to the table.