Terry Schiavo Case. Management Research Paper Assignment
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The Terri Schiavo Case
Terri Schindler Schiavo died on 2005 after her feeding tube was removed. Her death came early 15years after she suffered cardiac and respiratory arrest and followed an ugly court battle between her parents and her husband. Essentially, the argument was over what the patient would have wanted and the spouse’s right as guardian to make that decision for her and became more complicated when her parents challenges the diagnosis of persistent vegetative state.
The Schiavo case arose 15 years after passage of the Patient Self-Determination Act, a federal statute providing patients with the right to accept or refuse life-sustaining treatment and the means to communicate these preferences should they be unable to speak for themselves.
Discussion Points
As in the Schiavo case, any situation has the potential to increase in complexity if family members disagree among themselves as to what constitutes appropriate treatment, especially if that disagreement involves the withdrawal of life-sustaining support.
Consider which of the six realms of healthcare risk management reviewed in this chapter (loss prevention and reduction; claims management; risk financing; regulatory and accreditation compliance; risk management operations; and bioethics) might be affected by this kind of case.
Discuss which of the seven types of healthcare settings reviewed in this chapter (acute care hospital or medical center; academic medical center; ambulatory care organization; integrated delivery system; long term care facility; multi-facility healthcare system; or physician practices and groups) might be subjected to similar cases.
Terry Schiavo Case
Student's Name
Institutional Affiliation
Terry Schiavo Case
Introduction
In a healthcare setting, medical practitioners often encounter ethical dilemmas in the process of providing care to patients. For instance, it becomes a challenge to decide on whether to stop a specific type of treatment that does not improve patients' symptoms, although it supports their lives. As such, Terry's case is discussed herein. Terry Schindler Schiavo's died in 2005. Her death was caused by the removal of a feeding tube while in hospital. For 15 years, Terry had suffered respiratory and cardiac arrest, which had caused conflict between her husband and her parents. The argument was mainly based on Terry's preferences and the right of her husband to decide on a valid form of treatment. However, the patient's parents challenged the diagnosis of a continued vegetative state. Terry Schiavo's case was initiated 15 years after the Patient Self-Determination Act was passed. The Act was a federal order that provided patients with the right to reject or accept life-prolonging medications and the approaches to communicate their decisions when they were unable to speak for themselves.
Schiavo's case indicates that any illness condition is capable of increasing complexity, mostly when family members do not agree on the appropriate medication for the patient and when the disagreement comprises the removal of a life-supporting medicine. As a result, the paper considers the six categories of healthcare risk management, such as bioethics, risk financing, risk management operations, claims management, accreditation and regulatory compliance, and loss reduction and prevention. The category that is affected by Schiavo's case is further discussed. Furthermore, the paper discusses the type of healthcare setting that is subjected to Schiavo's case. The different types of healthcare settings include physician practices and groups, medical center or acute care hospital, multi-facility healthcare system, academic medical center, long-term care facility, integrated delivery system, and ambulatory care organization.
Bioethics as a Realm of Healthcare Management that is affected by Schiavo's Case
Preston & Kelly (2006) indicate that the political, legitimate, and social dialogue about the resolution to terminate hydration and feeding for Terry Schiavo did not have bioethics evaluation. Bioethics is a realm of healthcare management based on the principles of life quality, treatment suggestions, relative features, and patient choices. Terry's case portrayed a fault line in the approaches of bioethics. The removal of her tube was not regarded as a medication, but a cessation of medication with nutrition and hydration. According to Koch (2005), Terry was unable to detect when food was in her mouth and therefore lacked the swallowing reflex. Her inability to swallow meant that the healthcare providers could not feed her through her mouth because of the increased probability of choking to death. As a result, the tube used for feeding was the primary approach that sustained her life. Therefore, the primary medication analyzed in Terry's case is the cessation of nutrients and fluids through her feeding tube.
The central question in analyzing...
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