Case Study: The Legal And Ethical Dilemma

Great Essays
In the case study “ The Legal and Ethical Dilemma” pertains to a patient 89 years old, widow Mary Evelyn Greene was abled body, during the time of her husband passing away to maintain and function independently; before showing advance signs of memory impairment. The patient’s son, David Greene a successful Attorney, carried the burden of supporting his mother with allowing her to have private assistant living (CNA) and a housekeeper. The son lives about twenty-miles away from Shady Brooks Nursing facility, where the patient for 18 months resides. David has begun to show signs of emotional distress and adjustment disorder seeing his mother’s health declining, due to aging and mild dementia. Mrs. Green, eventually showed signs being frustrated, …show more content…
These include the following:
1. The strategy should be realistic and practical:
2. Food and fluids by death in cessation is relatively comfortable for the patient from withholding food or water in accordance with clear knowledge (verbal or written), with persistent in advance directives, is arguably legal. Both these claims can be sustained (Cramer & Menzel, 2014).
It’s critical for Shady Brooks to pay careful attention in the progression of dementia, these methods help in addressing the ethical “then-self”, versus “now-self”, the dilemma which become the most fundamental challenges with the difficulties, to applying any form of life-ending directive for patient with dementia. For example, it’s possible when a patient has a clear informed directive, such as Mrs. Greene that withheld water and food, now she reaches a certain point in her life that she wishes to consume food and appreciate life
…show more content…
A person (caregiver), such as Mr. David Greene may think that it’s valuable that people decide about other people lives, rather than the love ones is their midst get better, versus the consequence of the patient having the option to decide about their own health. People that are competent to make decisions (Kleinlugtenbelt, Molewijk, & Widdershoven, 2011).
According to the article, ROLE OF EMOTIONS IN MORAL CASE DELIBERATION: THEORY, PRACTICE, AND METHODOLOGY (2011), stated policies based on a control-related autonomy ideal should be reasonable, because to interfere with patients’ decisions, even regarding those individuals that base their information obtained. In most instances, retaining a patients’ information upon their decisions, probably best for the interest of the client in order to restrict from doing less harm, than good (Kleinlugtenbelt, Molewijk, & Widdershoven, 2011).
Emotions play an integral part of virtue ethics, according to Aristotle’s philosophy (Helgesson, 2014). Aristotle’s view on moral reasoning inherent part of our sense in being. Therefore, examine the nature of emotions and address the situations through moral

Related Documents

  • Improved Essays

    This short case study has a significant range of legal and ethical principles which contribute to the outcome of the outcome if Marion will continue or abandon treatment. The team who is treating Marion must refer to the Advance Care Directive and ensure they follow this carefully to ensure Marion’s best wishes. This is because an Advance Care Directive is a legal form for adults over the age of 18, in scenarios in which a person has impaired decision-making capacity, the Advance Care Directive will have instructions, vales and wishes for future health care. (http://www.sahealth.sa.gov.au/wps/wcm/connect/045059804459d8048921ab76d172935c/ACD+Fact+Sheet+PC+20140613.pdf?MOD=AJPERES&CACHEID=045059804459d8048921ab76d172935c) Marion’s parents state…

    • 894 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Terrance Ackerman, in his article Why Doctors Should Intervene, presents some of the complicated affective influences that enter into the doctor – patient relationship when a patient is facing a life threatening situation. Patient autonomy has been the watchword of the medical community. Serving as the Magna Charta by which doctors have operated in their associations with terminal patients, honoring patient autonomy has been the guidelines by which doctors set limits on their involvement in patients lives. However, Ackerman makes a significant argument regarding conditions under which patient autonomy and a policy of non-interference are not sufficiently broad enough to address the real needs of the patient. The effects of the illness,…

    • 1266 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Such decisions regarding patients with severe and deteriorating illness should be processed with respect to the patient’s condition becoming worse with time. Having an ethics board or a medical community to alleviate the pressure of a single doctor making a decision for a patient who is not able to act autonomously would allow for a treatment plan to be determined earlier. In Mary’s case, the court ruling prevented the doctor’s from acting to save her…

    • 815 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    According to Paula Span’s article, “Complexities of Choosing an End Game for Dementia” analyze her idea of voluntarily stop eating and drinking (VSED), she uses of advance directives to withhold food and water as way of avoiding living along with dementia. The author mentioned that many people who diagnosed Dementia or Alzheimer has a right to make a decision; whether they want to end their lives by VSED or continue with the disease. She described the efforts of a retired lawyer, Jerome Medalie, to craft his own advance directive to allow his health care to withhold food and drink if he develops dementia. She used an example of Medalie that’s determination to allow for death with dignity, especially if patients are trying to kill their Alzheimer’s…

    • 261 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Legal Case Study

    • 295 Words
    • 2 Pages

    2. That on or about April 2nd, 2013 the Plaintiff was asked by Defendant James Dwight Coombs to Transport Household Appliances and Items, with the Plaintiff’s Truck and Trailer only, a Conditional reasonable agreement was made with Defendant James Dwight Coombs over the phone, the morning of said incident. Defendant Benny Hans Sorensen Communicated with the Plaintiff later in the day asking the Plaintiff to make another trip, to move more said Items. The Plaintiff communicated with the Defendant Benny Hans Sorensen that he could not lift, and was disabled, the Plaintiff would only be there with for the Truck and Trailer to Transport any Household said items.…

    • 295 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    In the debate between Dax Cowart and Robert Burt, each of these men agree that competent patients have this privilege; however, they do not agree on when the patient has the right to use this privilege. Cowart’s argument favors healthcare professionals allowing patients to use their free will at any given moment regardless of the positive or negative outcomes of his or her decision. I agree with Cowart’s argument pertaining to the rights of patients. Cowart discusses how patient autonomy…

    • 843 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    This short case study has a significant range of legal and ethical principles which contribute to the outcome of the outcome if Marion will continue or abandon treatment. The team who is treating Marion must refer to the Advance Care Directive and ensure they follow this carefully to ensure Marion’s best wishes. This is because an Advance Care Directive is a legal form for adults over the age of 18, in scenarios in which a person has impaired decision-making capacity, the Advance Care Directive will have instructions, vales and wishes for future health care (Advance Care Directives 2014). Marion’s parents state that she has an Advance Care Directive however, the treating team are unable to take their word and must obtain a copy to ensure the information is correct.…

    • 1110 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    NMC Code Analysis

    • 1148 Words
    • 5 Pages

    The new NMC Code is a guide for nurses to reflect and reinforce their knowledge and skills they hold to ensure they practice effectively and safely to provide excellent care. The code is the core of the NMC standards and which nurses and midwives are required to follow. (Goldsmith, 2011) The NMC Code is separated into four main areas; Prioritise people; Practice effectively; Preserve safety; Promote professionalism and trust. Person centred care is based upon forming trusting relationships between nurses, patients and families.…

    • 1148 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Dr. Rest: A Case Study

    • 291 Words
    • 2 Pages

    The principle of autonomy would oppose Dr. Rest decision to keep her patients in the dark about an illness. In concluding that the patients should not be informed that they are at risk of developing Alzheimer would take away their right to be self-determining. In not informing them Dr. Rest hinders a humans’ unique qualification to decide what is in their best interest. She predicts that informing the patients that they could suffer from Alzheimer would “cause them distress and unhappiness”. Hence she is choosing for her patients what she believes is right and in the process lessening their position as a person.…

    • 291 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Healthcare professionals have certain ethical and legal standards that they must uphold while practicing their profession to ensure their patients are adequately and safely cared for. They also need to understand that every patient has a right to their own healthcare decision and this can be through written consent, voicing their opinion or through an advance care directive. This essay will concentrate on how a valid and legal ACD must be completed, the importance of valid consent, ethical issues relating to the patient having their on opinion, how to advocate for a patient and lastly, comparing the legal and ethical standards nurses and paramedics abide by everyday to ensure morally safe practice. An advance care directive (ACD) is a legal…

    • 228 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    In an excerpt from Moral Hazards by Kate Jennings, Cath and her husband Bailey face a difficult decision as Bailey’s condition worsens in his battle with Alzheimer’s. The disease has taken away what Bailey values in life, leaving him with a sense of failure. Before the final stage of the disease descends upon him, Bailey, afraid of the future he knows will befall him, asks Cath to end his life for him, knowing that he will not be able to himself. Bailey does not want to live life suffering, unable to enjoy life, and wants to ‘die with dignity’. One evening, Bailey hemorrhages and Cath fully expects this to be Bailey’s end, however the doctors at the nearby ER do not respect Bailey’s DNR.…

    • 1463 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Personal autonomy is a right that people can self-govern themselves. The fact that no one other than the ill patient can determine if death would be better than their own personal suffering means that they alone should be able to make that decision. A survey was taken by terminally ill patients from the beginning to end of their illnesses. It was revealed that only four percent wanted to end their life at the beginning stage, but at the point of being bed ridden the percentage rose to thirty-seven. () It is evident that some patient’s suffering is too much to tolerate.…

    • 1086 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    1. The ethical issue is whether or not the waiter at a restaurant should keep the extra $100 which an intoxicated man gave to him on his way out of the establishment in addition to the 25-30% tip that he had already given him with the check. In this podcast a waiter received a huge tip from an intoxicated person who had happened to pay the check.…

    • 1094 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Ethical Case Review

    • 1260 Words
    • 6 Pages

    Ethical Case Review: The Case of Bryan Bryan has been a Licensed Professional Counselor for 5 years. During that time, the pastor at his church has referred clients dealing with various issues to Bryan. The latest referral is John. John initially presented with problems managing anger in relationships. In the fourth session, John reveals that he is dealing with issues regarding his sexual orientation.…

    • 1260 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Ethical Case Dilemma

    • 573 Words
    • 3 Pages

    The ethical case dilemma begins with Mr. Rodriguez at the Elm Elementary school and the placement of Sally, a student. Due to the lack of one child he needs to get additional help, (with 31 students and a need for 32 students), and according to the district of Elm Elementary, the school does not meet the necessary requirements to gain one additional ESE teacher he would like to have. The school has 31 students in special education, a fairly considerable quantity of students but not enough for “extra help”, and according to this case Sally may be possibly be identified too early for an emotional and/or behavioral EBD label to fill the place to attain the 32nd student. Since there seems to be policy and resource limitations, Sally’s situation…

    • 573 Words
    • 3 Pages
    Improved Essays