Advanced Planning - Advanced Planning: The Impact on the...

Info iconThis preview shows pages 1–4. Sign up to view the full content.

View Full Document Right Arrow Icon
Advanced Planning: The Impact on the Terry Schiavo Case Name: Salena Booker Course: PHIL3100 Date: June 24, 2010
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
What is advanced planning? How does it affect communication among patients and the healthcare team? When is the best time to start making advanced directives? How are patient preferences and clinical obligations impacted by the presence or absence of advanced directives? By identifying, interpreting, and analyzing the circumstances of the Terry Schiavo case, we can better understand how advanced directives and patient preferences play a key role in the ethics of clinical medicine. We will reflect on key ethical principles to communicate the significance of advanced planning when progressive or sudden issues arise that impact the decisions made among the patients, surrogates, and the healthcare team. One of the most noted cases in ethics and medicine is the Terry Schiavo case. Terry Schiavo was a young woman who after a serious medical event, remained in a persistent vegetative state for several years while the decision to continue or discontinue her life support was continually debated in court. During that time period, conflicts arose that initiated a sequence of disagreements among opposing family members and those who were directly involved in the clinical decision making process. Consequently, Terry Schiavo and the clinicians involved in her care were caught between a matrix of ethical principles and legal rights that seriously prolonged and complicated the decision of whether Terry should be allowed to naturally die. The circumstances of the Terry Schiavo case directly brings into relevancy the issue of advanced planning. It illustrates the importance of advanced planning and how the presence or absence of advanced directives can positively or negatively impact the interpretations and actions of clinicians. Advanced directives and living wills clearly document in writing the preferences of a patient in the event that patient becomes physiologically unable to make decisions regarding their care and treatment. It expresses their preferences about life 2
Background image of page 2
support, what treatments to use, and how to proceed with their care in the event that a medical condition threatens their capacity to clearly express their wishes. Living wills directly express medical interventions to proceed with in correlation with patient preferences. The Terry Schiavo case allows us to illustrate the value of advanced planning and helps us to analyze how medical indications, patient preferences, quality of life, and contextual features are weighted along with the principles of beneficence, nonmaleficence, and autonomy to resolve ethical dilemmas in the clinical arena. According to Robert Fine, doctor and corresponding author for The Baylor University Medical Center Proceedings , “ Autonomy, or self-governance, is grounded in our
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 4
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 10/06/2011 for the course ENGLISH 102 taught by Professor Hopkin during the Spring '10 term at Abraham Baldwin Agricultural College.

Page1 / 7

Advanced Planning - Advanced Planning: The Impact on the...

This preview shows document pages 1 - 4. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online