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Ethical Position Paper on Advance Directives, Ethical Decision-Making and Utilitarianism

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Essay / Research Paper Abstract

In eight pages this customer supplied scenario considers the ethical decision-making process associated with a 91-year-old patient who is currently on a respirator after a bout with pneumonia, despite her relatives/caregivers’ wish that she be removed from the ventilator altogether because they believe there is no hope for her recovery, despite the fact the patient never expressed her end-of-life wishes and no healthcare proxy exists. Four sources are listed in the bibliography.

Page Count:

8 pages (~225 words per page)

File: TG15_TGethicpos.rtf

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Unformatted sample text from the term paper:

tract infection. Some months earlier, she had also received treatment for facial injuries she suffered as the result of a fall. However, despite her age, prior to her injuries and subsequent bout of illness, the patient had been living independently in an apartment, in which her sister resided downstairs. The patients present status in the nursing facility was that she was on a respirator but responding well to antibiotic treatment. She was capable of answering questions by either nodding or smile, but seems to lack any information retention capacity. Her next of kin - her sister and niece - have also served as the patients caregivers. They have expressed their desire to have the patient removed from the ventilator to the Ethics Committee, fearing her quality of life will be increasingly diminished. However, her physician, who had previously treated the patient at the nursing home, claims that the woman is a fighter who never articulated any desire to end her life. There is currently no advance directive or healthcare proxy (HCP) in place, and so it was recommended that until the patients mental capacity improves and there can be a more concise understanding of her wishes, she would remain on life support. This scenario has several ethical implications from the nursing or medical professional standpoint. A complete assessment should consist of data collection and assessment of data (situational, health team, and organizational considerations), problem identification (ethical and non-ethical considerations), considerations of possible actions (utilitarian and deontological thinking), decision and selection of course of action (contributions of internal/external factors, quality of decision, and course of action), and reflection of decision. I. DATA COLLECTION AND ASSESSMENT OF DATA A. Situational Considerations 1. What situational factors contribute to the ethical dilemma or issue? ...

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