LECTURE V Flashcards
CHECK ON LEARNING
damage to cerebral cortex, brainstem intact
patient awake with cycles of eye opening and closing (simulate sleep and wakefulness) but unaware
spontaneous respiration continues
persistent vegetative state
brainstem lesion
damage to ascending reticular activating system:deep coma
damage to respiratory centers, loss of faculties, patient in need of life sustaining treatment
brainstem death
a woman in an irreversible persistent vegetative state. The husband and legal guardian argued that she, the patient, would not have wanted prolonged artificial life support without the prospect of recovery, and elected to remove her feeding tube.
a right-to-die, legal case
Terry Schaivo case
these types of means are all the medicines, treatments, and operations that offers a reasonable hope of benefit and that can be obtained without excessive expense, pain or other inconvience?
ordinary means
these types are all medicines, treatments, and operations that cannot be obtained or used without excessive expense, pain or other inconveniences or that if used, would not offer a reasonable hope of benefit?
extraordinary means
name the case:
established that surrogates had the moral and legal right to decide if life sustaining ventilators should be removed from a patient
feeding tube was provided
Karen Ann Quinlan case
name the case:
established that neither the state nor surrogates can decide whether to remove life support-only the patient can decide this
indirectly this meant that a person could decide this for him/herself, either through written directives or verbal communication
Nancy Cruzan Case
living will, death with dignity, right to die statutes passed by most states
no uniformity for the documents required to ensure a person isn’t kept in PVS
Durable power of attorney for Health
Advanced Directives
what are these examples of?
living will
durable power of attorney
surrogate decision maker
guardianship
health care proxy
advanced directive
what are examples of proxy decision making standards?
best interest standard
substituted judgement standard
what type of proxy decision making standard is this?
takes into account tangible factors as harms and benefits, physical, psychological and fiscal risks
best interest standard
what type of proxy decision making standard is this?
the decision is made based on what the patient would have wanted or prior to incompetence indicated he/she would want in such a situation
substituted judgement standard
name this case?
established that patients have the right to refuse treatments, even if they are not terminally ill
Bartling/Bouvia case
what type of euthanasia is this?
the allowance of a deadly process to proceed without intervention
when treatment is futile
no possibility of patient benefit
Example: DNR, disconnecting respirators, removing IV lines, canceling surgeries
The AMA distinguishes between letting die and assisting with a patients suicide or aid in dying
passive euthanasia
what type of euthanasia is this?
requires actions that speed the death of a patient
i.e.providing a patients access to drugs that bring about death instantly
not like passive euthanasia which doesn’t really guarantee painlessness or quickness
active euthanasia
