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Essay / Research Paper Abstract
Considerations An 11 page overview of advanced directives in the medical arena. The author reviews the history of advanced directives utilizing such historic cases as the Karen Ann Quinlan case and the recent high profile case of Terri Schiavo to emphasize their importance. The provisions of the 1991 Patient Self Determination Act are explored and recommendations made regarding their implementation on both a personal and organizational level. Statistics are provided regarding the popularity of such directives. A copy of a generic durable power of attorney form is included as supplementary material. Bibliography lists 10 sources.
Page Count:
11 pages (~225 words per page)
File: AM2_PPmedAdD.rtf
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Unformatted sample text from the term paper:
The importance of advance directives has once again reached a heightened level of awareness with the Terri Schiavo case, the case of the Florida woman whose life
recently came to the forefront of national attention when her husband fought to have her feeding tube removed. Mr. Schiavos decision had not been a hasty one. Indeed,
his wifes plummet into her current state initially occurred in 1990 (McLachlin, 2003). Mrs. Schiavo had experienced a heart attack ten years previously and her brain had been destroyed
in the process by blood deprivation (Sommer, 2000). She had been in a coma for nine of the ten years following her initial heart attack (Sommer, 2000). The
terminology used to describe that state, however, has not been widely accepted by those that have seen Mrs. Schiavo in nationally broadcast footage as she smiles and follows bouncing balloons
across her hospital room. Never-the-less, doctors continue to describe her as "comatose", "brain dead", and in a "persistent vegetative state" (McLachlin, 2003). They say that the reactions that
can be observed in Mrs. Schiavo are purely reflexive in nature and that she is not cognizant of her surroundings. Although Mr. Schiavo finally was allowed the right to
have his wifes feeding tube removed, the right to allow her to die of lack of nutrients and liquids as he contended she would have desired; his victory was short
lived. The governor of Florida, Governor Jeb Bush passed a bill which allowed him to overrule the court order allowing the removal of the feeding tube. Some six
days after the withdrawal of the original tube, some six days of no food or water, another tube was reinserted, nutrients were restarted and Terri Schiavo began the process of
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