Life or Death Who has the Right to Make the Choice
This essay Life or Death Who has the Right to Make the Choice has a total of 1343 words and 5 pages.
Life or Death Who has the Right to Make the Choice
This paper will introduce a case study that results in an ethical dilemma. The ethical dilemma will be
clearly stated including obligations and conflicts. Using the Contemporary Utilitarianism theory I will
analyze the ethical dilemma. Finally I will analyze the same case using an Egoistic approach as an
alternative course of action.
An apparent 19 year old male is brought to the emergency room by ambulance in respiratory
failure related to end stage cystic fibrosis. The patient is accompanied by his girlfriend who states that the
patient has a do not resuscitate (DNR) order. As the emergency room physician tries to contact the patients
primary care physician he finds that the patient is under the care of a pediatrician which makes him
suspicious of the DNR request. He confronts the girlfriend about the patients age because the patient is
unable to communicate due to his respiratory condition. The girlfriend breaks down and admits that the
patient is actually 17 years old. The physician immediately intubates the patient in an effort to stabilize his
respiratory condition. The patients respiratory condition is stabilized after a short time and he is extubated.
The patient relates to his nurse that he does not want to be intubated again or placed on a respirator. The
nurse relays this information to the ph!
ysician who at this point does nothing. The patients mother arrives at the emergency department and the
physician explains the patients condition and his request for a DNR order. His mother refuses to sign a
DNR order and this information is explained to the patient by the physician with the mother present. A
discussion insues between the mother and her son and she reluctantly agrees to sign the DNR order.
The physician is informed of her decision and assists the mother in signing the appropriate paperwork. The
patient soon confronts the physician and makes him promise to stick to the DNR order no matter what his
condition, the physician agrees. Shortly after the DNR is completed and all other appropriate paperwork are
in order, the patient goes into respiratory arrest. All the parties involved in this situation are present when
the respiratory arrest occurs. The physician stands by will all intentions of honoring the DNR but within 30
seconds of the arrest, the mother orders the physician to intubate. The physician looks to the patient as he
shakes his head indicating that he does not want to be intubated, the physician also is aware that the patient
will be 18 years old in three weeks.
Initially it appears as if the dilemma revolves around what the physicians next move should be.
When actually the real dilemma is who owns the rights to make this life or death decision. It is clear what
the patient wants for his course of treatment. It is equally clear what his mother will allow his treatment to
be. Each have equally selfish reasons for wanting their decision to be upheld. The mother does not want to
lose her son and will at all costs keep him alive. She feels he is romanticizing death and has no real concept
of what dying means. Her son lived with cystic fibrosis since age four and has seen many of his friends
placed on ventilators only to later die. He does not want that quality of life in his final days. The physician
is supportive of the patients request but is placed in an awkward legal position if he abides by the patients
request. The nurse who has acted as an intermediary throughout this entire process continues to acts as a
patient advocate an ensur!
e the patients rights are observed and that his wishes are acknowledged.
Ethical Analysis of Dilemma
Contemporary Utilitarianism is divided in to four basic principles, each principle will be used to
analyze this dilemma. The first principle considers which action will provide the greatest happiness for the
greatest number. As we look at the action in this case the patient should not be allowed to discontinue
treatment because his mother and girlfriend do not wish fort him dye. This action does not provide the
greatest good and it appears that the patient looses by a vote of two to one.
The second principle is
Topics Related to Life or Death Who has the Right to Make the Choice
Medical ethics, Nursing ethics, Euthanasia, Medical terminology, Cardiopulmonary resuscitation, Do not resuscitate, Patient advocacy, Medical sign, Patient, Medicine, Physician, Doctorpatient relationship
Essays Related to Life or Death Who has the Right to Make the Choice
PhilosophyPhilosophy When I was born, I did not know the difference between right and wrong. Now, I do. The word philosophy means the love of knowledge. One type of knowledge is propter quid, which ask the question why or how. In this paper, I will demonstrate how Socrates, Hume and Aristotle, three well known philosophers, would explain how I acquired this knowledge in relation to the principles of right and wrong. Socrates is the first philosopher, I will discuss. Since Socrates did not write anything d
Animal Rights ProtestsAnimal Rights Protests Over the past fifteen years a powerfully charged drama has unfolded in New York\'s Broadway venues and spread to the opera houses and ballet productions of major cities across the country. Its characters include angry college students, aging rock stars, flamboyant B-movie queens, society matrons, and sophisticated fashion designers. You can\'t buy tickets for this production, but you might catch a glimpse of it while driving in Bethesda on particular Saturday afternoons. I
Abortion: Life or Death, Who chooses?Abortion: Life or Death, Who chooses? During the past quarter century, abortion has joined race and war as one of the most debatable subject of controversy in the United States. It discusses human interaction where ethics, emotions and law come together. Abortion poses a moral, social and medical dilemma that faces many individuals to create a emotional and violent atmosphere. There are many points of view toward abortion but the only two fine distinctions are pro-choice and pro-life. A pro-
Computer EthicsComputer Ethics Abstract The computer is considered one of the most technological advances of the twentieth century. As the general public becomes increasingly ‘computer literate,\' the gap between technology and peoples\' intellect notably shrinks. The readily available computers, software, and assorted output devices have enlightened many but, in turn, have increased the using of computers for unethical activities, privacy invasion and illegal purposes. Legal sanctions against abusive use of c
Human CloningHuman Cloning Biological Aspects True human cloning involves taking a somatic cell from a person and removing its nucleus. Then the nucleus of a fertilized egg cell is removed and placed in the somatic cell. This is impossible in humans right now because the somatic cells are specialized and there are many genes that have been switched off in them that we do not know how to turn them back on. This was done with frogs however. The eggs were implanted with the nuclei from the intestinal lining of
EuthanasiaEuthanasia submitted by Ryan Ames Euthanasia, as defined in Microsoft Encarta 95\', is the act of painlessly ending the life of a person for reasons of mercy. This paper will examine the history of euthanasia and the issues surrounding assisted suicide. There are as many reasons for supporting assisted suicide as there are reasons to not support it. However one looks at this topic, we will all be confronted with this in one way or another. Medical technology has allowed life to be sustained lo
Life or Death Who has the Right to Make the Choice Life or Death Who has the Right to Make the Choice This paper will introduce a case study that results in an ethical dilemma. The ethical dilemma will be clearly stated including obligations and conflicts. Using the Contemporary Utilitarianism theory I will analyze the ethical dilemma. Finally I will analyze the same case using an Egoistic approach as an alternative course of action. Case Study An apparent 19 year old male is brought to the emergency room by ambulance in respiratory failure rel