Chapter 11 Text Outline - 1 2 Chapter 11 Death Medicine and...

Info icon This preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: 8/5/14 1 2 Chapter 11 Death, Medicine, and Moral Significance of Family Decision Making 3 4 We Die Differently Now… •  Contemporary medicine has made the dying process very complex. •  This causes patients and families to make many difficult choices. •  Families often play important role in end-of- life decisions. •  Therefore, families need to be considered in end-of-life decisions. 5 Romanizing Death and Demonizing Families •  The consensus is that end-of-life decisions should respect patient autonomy and the right to balance benefit with burden. •  This consensus sometimes conflicts with the autonomy of the professional. •  The main issue is the ability of the patient to make this decision. 6 Romanizing Death and Demonizing Families •  There is a need for others to convey the patient’s preferences when he/she cannot do so. •  The family is assumed to be in the best position for this decision. •  However, they may not be disinterested parties. 7 Romanizing Death and Demonizing Families •  We need to guard our judgments concerning starting or stopping life-sustaining therapy when the patient is not able to authorize this action. •  There may not be a match between what the patient wants and how the family member’s understanding matches this want. 8 Romanizing Death and Demonizing Families •  Society has generated laws to empower patients to make their own decisions about death and dying. 1 •  However, they may not be disinterested parties. 7 Romanizing Death and Demonizing Families •  We need to guard our judgments concerning starting or stopping life-sustaining therapy when the patient is not able to authorize this action. •  There may not be a match between what the patient wants and how the family member’s understanding matches this want. 8 Romanizing Death and Demonizing Families •  Society has generated laws to empower patients to make their own decisions about death and dying. •  These laws attempt to protect their ability to die in agreement with their beliefs and who they are as people. 9 Dying in Intimacy •  Previous claims about the role of families in the dying process have been overstated. •  Few people have taken advantage of advanced directives. •  The medical practice may be confused about the patient’s definition of a good death. 10 Dying in Intimacy •  Many people think of their families as advanced directives. •  However, many people are not able to express their preferences for action in a future crisis. •  Advanced directives do not consider the nuances of a romantic death. 11 Dying in Intimacy •  The ill are not excused from their obligation to family because of their illness. •  Selfishness is not the only approach to illness. •  Policies should be made to recognize the role of the family in making proxy decisions. 12 Dying in Intimacy •  Hospitals have their own agenda when it comes to the dying patient. •  Patients need to be empowered in a setting which has the power to control their autonomy. •  Patients must be able to have contact with their sources of protection and personal affirmation. 13 Solutions •  When people trust their families, they should be allowed to have them make proxy decisions. •  When they do not, non-family proxies could be appointed. •  Specific treatment directives could also be available. 8/5/14 2 •  Hospitals have their own agenda when it comes to the dying patient. •  Patients need to be empowered in a setting which has the power to control their autonomy. •  Patients must be able to have contact with their sources of protection and personal affirmation. 13 Solutions •  When people trust their families, they should be allowed to have them make proxy decisions. •  When they do not, non-family proxies could be appointed. •  Specific treatment directives could also be available. 14 Solutions •  Most people will die without advanced directives in place. •  There could be a system of proxies in descending order beginning with the spouse. •  While not perfect, this system could make a good start toward addressing the problem. 15 In Summary… 8/5/14 3 ...
View Full Document

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern