Reference no: EM133689811
Ethics of law
A study on euthanasia and critical care nurses was performed by Dr. David A. Asch, M.D., MBA. The study and its results were published in the New England Journal of Medicine. Dr. Ash mailed 1,600 anonymous surveys to critical care nurses asking them questions about euthanasia; 852 responded.
- 141 reported that they had received requests from patients to perform euthanasia.
- 129 reported that they had participated in some form of active euthanasia.
- 35 reported that they had hastened a patient's death by only pretending to provide life saving measures (passive euthanasia).
Questions:
a. What was your reaction to finding that 129 nurses reported that they had participated in some form of active euthanasia? Explain your answer.
b. Why do you think the surveys were anonymous? Explain your answer.
Question 1: Christina is a 57-year-old with multiple medical problems. She received a kidney transplant 4 years ago, but now is in need of a liver. Should she be able to receive a liver before patients who haven't had a transplant yet? Explain your answer.
Question 2: Robert got a job working for a large corporation right out of college. Among his job perks were free legal services. He completed a living will as part of an insurance package, naming his parents as his healthcare proxy. Five years later, he married Phyllis, but never got around to changing his advance directives. After being married for 25 years, Robert is involved in a car accident. His parents and wife disagree on whether life support should be continued. Who do you think the courts will rule in favor of; his wife or his parents? Explain your answer.
Question 3: Some states have established automatic organ donation laws that say all people are organ donors unless they specifically indicate otherwise. What do you think? Explain your answer.
Question 4: Initially hospice organizations were non-profit organizations funded by volunteers. But Medicare started to reimburse for hospice services creating for-profit hospice. What do you think about for-profit end-of-life services? Explain your answer.
Question 5: One of the requirements for Death With Dignity laws is that a person must be a resident of that state for at least 6 months. Why do you think that would be a criterion? Explain your answer.
Case Analysis: Robert is a 42-year-old who was diagnosed with HIV several years ago. He has been taking his medication and his viral load is undetectable. Because of the medication he is taking, his kidneys have started to fail. Under normal circumstances he would be placed on the transplant list, but being HIV positive precludes him from doing so.
Question 1: Robert has a friend who is also HIV positive and is willing to donate a kidney. Should the transplant team go ahead with the organ donation? Explain your answer.
Question 2: Without a kidney transplant, Robert's condition has deteriorated and he is currently in the hospital. When you go into Robert's room to give him his medication, he asks you to leave it and says he'll take it later. Do you have any concerns about Robert's request? Explain your answer.
Question 3: Robert slipped into a coma and is now on life support. Robert's partner of 20 years wants to withdraw life support. However, Robert's sister doesn't. Who should be able to decide Robert's course of treatment? Explain your answer.