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Pages:
9 pages/β‰ˆ2475 words
Sources:
10 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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MS Word
Date:
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Topic:

Life-sustaining Treatment, Family Health Care Decisions Act, and The Living Will

Essay Instructions:

Week 6: Tutorial Questions
Questions: TQ 6.1: In re Conroy: Under Conroy, what are the three circumstances under which life-sustaining treatment may be withheld or withdrawn from a patient who lacks decision-making capacity? Were any of these circumstances satisfied in Claire Conroy’s situation?
TQ 6.2: The New York State Family Health Care Decisions Act: How did the Family Health Care Decisions Act change New York law? Under the Act, who has authority to be appointed the surrogate for a patient who lacks decisionmaking capacity? Under what circumstances may a surrogate refuse life-sustaining treatment? Under what circumstances may life-sustaining treatment be withheld or withdrawn from a patient who lacks decision-making capacity but does not have a surrogate?
TQ 6.3: Physician Perspectives and Compliance with Advance Directives: What kinds of reasons did physicians give for not honoring a patient’s advance directive in the three scenarios? To what extent were physicians influenced by concerns about legal liability?
Discussion Board
Week 6: Discussion Board Question 1 Week 6: Discussion Board Question 1
Questions:
DQ 6.1: Compare and contrast the living will and the health care proxy. What are the relative advantages of each document? What are the relative drawbacks? Why might someone choose to have one document but not the other? Discussion Board Week 6: Discussion Board Question 2 Week 6: Discussion Board Question 2 Questions:
DQ 6.2: Review the Near the End, It’s Best to Be ‘Friended’ article on the challenges health care providers face in making decisions about medical treatment for “unbefriended” patients– i.e., those without family members or friends who can serve as surrogate decision makers. What approach would you suggest to deal with this situation? What objections do you think your proposed approach might face?
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Activity 5: Patient and Family Guide to Healthcare Decision-Making Your hospital has hired you to write a guide for patients and family members on advance directives and surrogate decision-making. For purposes of this exercise, assume that the Uniform Health Care Decisions Act is applicable in your state.
The guide should be (3-4 double-spaced pages), and should be written in question-and-answer format.
The guide should clearly explain, in terms understandable to a layperson, the following issues:
• What is a living will?
• What is a health care durable power of attorney (also known as a health care proxy)?
• How can someone create a living will or health care proxy?
• What issues should someone consider before making a living will or health care proxy?
• How are treatment decisions made for incapacitated patients who do not have health care proxies or living wills?
• What will happen if a patient’s family members disagree about the care of an incapacitated patient?
• What will happen if a patient’s health care provider believes that the family is insisting on medically inappropriate treatment?
Feel free to add to the questions listed above. Your goal should be to create a comprehensive, user-friendly guide that will answer the kind of questions most people are likely to have.
At the end of your guide, please include a one-page list of web links or other resources where patients and family members can go to find additional information, with a brief (one-sentence) description of what each resource provides.
***(The 1-page resource list is in addition to the 3-4 page Q&A guide.)
For grading information, please see the Writing Activity rubric in the Assessment Rubrics menu.

Essay Sample Content Preview:

Tutorial Questions
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TQ 6.1: In re Conroy:
The approach to such decisions demands consciousness that issues on life and death require a high level of responsibility that is only undertaken with a profound sense of humility. Therefore, the case of Claire Convoy raises eyebrows as concerns interplay of various disciplines, especially those touching morality, social, philosophical, technological, and legal fronts (In re Conroy case). The provision of complete answers on the case seems an issue that will resonate over the years. The issue encompassing all its ramifications is surrounded by the complexity that entails interests from different quarters such as civil and criminal law, medical ethics, and social morality. However, looking at it from the legal perspective, there is an opportunity for representing various entities with interest, where each view is synthesized fairly. Such allows for every institution and individuals (Fulton, 2017).
Such people like Conroy should be treated with respect because they cannot speak for themselves on life-and-death issues, especially regarding their medical care. However, such decisions do not implicate that the patients lack the personal right to self-determination. Under major considerations, Claire Conroy was once competent enough to determine the course of her medical treatment, and this remains intact despite her present condition of inability to make her own decisions (Fulton, 2017). The law respects the aspect of testamentary dispositions irrespective of the testator's ability to view his gift's bestowing. Firstly, due to the patient's condition, a third party acting on the patient's behalf cannot steer the treatment decision confidently. In the case Cf. Smith, "In re Quinlan: Defining the Basis for Terminating Life Support Under the Right of Privacy," 12 Tulsa L.J. 150, 161 (1976), the argument was that the Act of granting permission to a guardian to make a medical decision concerning a patient interferes with their right of privacy (Week-6 video transcript).
Notwithstanding, the objective of such decision-making concerning incompetent patients should focus on effectuating as much as possible the decision that the patient could have made in the situation that she was competent (Hempton & Bhatia, 2020). Generally, in such cases, considerations should be made on all aspects by respecting the patient's right concerning bodily integrity, right to consent on medical issues, and right to refuse any intervention. Therefore, the life-sustaining treatment may also be withdrawn from the incompetent patient if the intended patient has refused the treatment under the surrounding circumstances (Week-6 video transcript).
Secondly, the other circumstances under which life-sustaining treatment may be withheld or withdrawn from a patient entails when the patient declines the treatment. Thirdly, the treatment may be withdrawn if it is clear that the patient would have denied undertaking the proposed treatment under the specific circumstance and in the clarity that such treatment may merely prolong suffering (Robertsen et al., 2019). In Conroy's case, the court reasoned that the inquiry should focus on whether such life has become perman...
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