study guide 2 answers

Study guide 2 - 1 What is decision maiing capacity What are the three standards for surrogate decision making and how do they differ from one

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1) What is decision- maiing capacity? What are the three standards for surrogate decision making and how do they differ from one another? - Decision making capacity is when a child or a patient is mentally ill or sick and can decide for themselves they have an appointed proxy or surrogate to do the deciding for them. - You are able to decide if you can understand and communicate information, if you have some standards and judgements and the ability to reason about different outcomes, risks and chances of success. - You have patient designated proxy, family members, spouse or significant other. - There are 3 strandards for determining decision making and that is substituted judgment, best interest and reasonable treatment. - Substitued jjudgment is when the proxy is in the place of the patient that is they know exactly what the patient would have wanted either by word of mouth from the patient or they could guess that they patient would have wanted this from her moral standards and way of life. - Best interest is when they provide what will be in the best interst of the patient like what they would have wanted best - Reasonable treatment this is used when the patient is very unconscious or incapacited patient they really have no interest at that point in time. They really can’t tell what is in their best interest - Sometimes with this decision making capacity you could be limited cause you might not know what the patient wants and that makes it hard for the proxy. 2) What is dualism and how does it suggest we should think about the beginning and end of life? - It is the idea that each of us has a combination of a body and soul. - Thus life is the infusion of an immaterial rational soul in the human body and the end of life is the departure of the soul. - So we have a human body and an immaterial soul. - The soul helps us know things not of this world 3) What are two criteria for determining death in medicine and how do they differ? - The two criteria are permanent loss of cardiopulmonary functions and the permanent loss of all brain functions and function of the brain stem. - Cardiopulmonary function
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o A person is dead when the cardiopulmonary system has irreversibly cease to work o So this system provides oxygen and the cardiac system distributes blood so if they do not do both of these functions the organs will stop working and the person might die o But we also realized that patients could stay on life support machines for a long period of time eventhough they are uncounsious so this couldn’t really determine death - Brain death o This is the irreversible cessation of the functioning of the brain. o If you lose all brain functions regardless of whether youre on life support for cardiopulmonary function, you brain is not functioning so youre dead - Difference o A respirator could enable breathing and circulation in a brain dead patient. But you might lack the capacity of unassisted respiration. o
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This note was uploaded on 07/11/2011 for the course HPS 0613 taught by Professor Kennethschaffner during the Summer '09 term at Pittsburgh.

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Study guide 2 - 1 What is decision maiing capacity What are the three standards for surrogate decision making and how do they differ from one

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