Ethical Issues In Surrogates

Improved Essays
Who decides what to do when it comes to someone else’s life? A multitude of people in the world have a problem deciding whether or not to “pull the plug” for their loved ones. “Pulling the plug” comes with major ethical issues when deciding the best interests of the patient, so policies, procedures, and principles have been put in place to help physicians and the family/surrogates to make the right decision (Thompson). Two main principles justify the legality of this issue which are informed consent and informed refusal.
Informed refusal comes with a variety of guidelines that physicians must follow. The job of a physician is to secure comfort when it comes to withdrawing life support. Major questions come into play for example, if you remove
…show more content…
Futility is used by physicians to withdraw life support to convey a message to the surrogate of the patient. If the patient or surrogate is not properly informed of the situation before the removal of life support, physicians can be held responsible for euthanasia. Problems do arise when the surrogate(s) want to further life-sustaining treatment and the Physicians oppose it. For instant when a Physician does not want to provide treatment because it is inappropriate. The legal rule states that a malpractice test must be performed. This test looks at the Physicians “treatment decisions against the appropriate standard of medical care” which determines if any patients had injury due to treatment given by the Physician (Luce and Alpers). If the Physician has given adequate treatment the Court is obligated to favor the decisions of the Physician to remove any life support and treat for comfort. This leaves the hospital and the Physician with no liability after the removal of life-support which leads to negotiation on what is to come …show more content…
To do this the physician must first tell the patient or surrogate the prognosis. Following a variety of options that the patient has in the end-of-life. The patient/surrogate must be told the benefits of each of the options presented. Legal right must then be stated so when using medications to treat pain it is understood that it is only for the symptoms of pain and not to speed the process of death. If a physician is not able to provide this information, then he/she must assign another physician to do so (Department of

Related Documents

  • Improved Essays

    The Merriam-Webster Dictionary defines euthanasia as the act or practice of killing someone who is very sick or injured in order to prevent any more suffering. There are many different types of euthanasia: voluntary, non-voluntary, and involuntary; euthanasia by action or by omission; and assisted suicide. This essay will focus solely on physician assisted suicide. Medicinenet.com defines assisted suicide as the voluntary termination of one's life by administration of lethal substance with the direct or indirect assistance. Dr. Brian Pollard discusses in the article, “Human Rights and Euthanasia” the case of physician assisted suicide and the autonomy of both the patient and the physician.…

    • 770 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The dying topic, the decision that families or designated surrogates are left to make when a loved one is in a vegetative state and is being kept alive on life support. This decision is made after considering discussions with the attending physician, priest, and family or friend. There is also the consideration of a physician-assisted suicide, which provides a mean for the terminally ill patients to take their own life. Some may argue this physician-assisted suicide is a form of killing and is wrong in the eyes of many people, (Kaebnick, G. 2017). Physician-assisted suicide is legal in some state such as Oregon and Washington.…

    • 204 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    A conflict between a physician and patient on the course of treatment is a common topic that arises in bioethical conversation. This case explores the topic of paternalistic choices dealing with patient autonomy and when it is ethically reasonable for a physician to intervene and decide as to whether an individual is competent to make decisions about their own care. The patient in the case, Mr. Howe was asked to make a lifesaving medical decision while in duress and not fully understanding the procedure and the potential outcome if he refused. In this case I believe the physician made the correct decision to intubate Mr. Howe against his explicit instructions not to. The physician made a determination that the patient was not accurately expressing his wishes as if he was of sound mind.…

    • 834 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    This is the refusal of any techniques of resuscitation (Understanding Advance Directives, 2006). Artificial nutrition and hydration are getting nutritious to the body through tubes because the person can no longer use their mouth to eat and drink enough to sustain their life. All of these decisions are important to know when it comes to end-of-life…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    I. Physician-assisted suicide, under various names and colloquial definitions, has been a documented ethical issue for centuries – not to mention an undocumented ethical issue since the hypothetical dawn of life. By common understanding, physician-assisted suicide is death either directly or indirectly permitted or carried out by a physician. In simple terms, an “out” is provided. For this reason, it is often associated with chronic pain or terminal illness. Suicide where the doctor in charge is directly involved is perhaps the first situation which comes to mind when one thinks of euthanasia.…

    • 2007 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    Euthanasia has first been introduced during the time period of the Ancient Greeks and Ancient Romans. Many physicians have supported the thought of a quick and easy death instead of having the patient suffer an illness. Although physicians in this time period are supposed to follow the Hippocratic Oath,- an oath written by Hippocrates to treat the ill to the best of their ability, to give a patient their privacy, to teach their secrets of medicine to the future generations, and to forbid from giving out any type of deadly medicine to anyone even when asked- only a few physicians have tended to follow this oath while others respected the patient’s orders, and have given them the medicine that they have requested. Many countries in the past…

    • 1460 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Before gaining access to the medication, the individual must have approval from two medical professionals and it must be determined that the disease is unable to be treated (Leeb 18). Many people believe that if the law is passed, it will be too easy for individuals to gain access to the prescription; however, the amount of precautions taken to avoid the abuse of the system disproves this idea. Both the doctor and patient are required to go through many steps before the medication is given. The Death with Dignity Act requires the physician to take the family member’s feelings into account. If the family of the affected individual strongly opposes the idea of early termination of the individual’s life, it will be more difficult for the patient to gain access to the medication.…

    • 986 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Most importantly, physicians are a part of this decision, which makes this topic a huge concern because it goes against a physician’s integrity, which is why a plethora of ethical concerns arise from physician-assisted suicide. The principle of non-maleficence and the theory of deontology demonstrates why physician-assisted suicide is unethical in the medical world. First, the principle non-maleficence states to avoid all harm. The principle understands that it might be impossible to avoid all harm, but the action taken must at least be good. Secondly, deontologists believe it goes against a doctor’s duty to assist in a patient’s suicide.…

    • 899 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The three questions asked were unique named A, B, and C. The questions were, Is there a Legal Right to Die?, Should the government be involve in patients’ End-of-life Decision –making?, and In the Absence of an Advance Directive, who makes Decisions for incapacitated patients?. Among the 9 subjects, in the status of Hospital administrator group interview conducted with one of the On Duty Administrator and Physician, a spiritual leader, a healthcare colleague, and other five of them were…

    • 832 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    If doctors are enabled the decision to terminate a life on behalf of a unconscious patient, they would be then granted a power over society that not only breaches the Hippocratic Oath, but also empowers them to “play God”. This responsibility could then reflect upon society, altering their views and their trust within doctors and medical professionals as they could then be seen as “providers of death” (Cosic, 2003. 25) In addition to this, a doctor’s decision to terminate a life may not rely on the condition and best interests of the patient, but instead of amount of hospital beds and facilities that are…

    • 2101 Words
    • 9 Pages
    Superior Essays
  • Superior Essays

    In the other hand, for the most part doctors are often thought of to be justified in withdrawing life support. This draws to a conclusion that attempts to prove that removing life support as well as physician assisted death are not forms of killing a person. Voluntary active euthanasia is in fact seen as a form of killing so it must be an unjustified cause of death for a patient. Brock argues that there are some circumstances where not all killings are unjustified. The only occasion or exception to his argument of unjustified death is that a death is unjustified is if the patient greatly values something such as their future, and it is ended…

    • 1719 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    The evolution of modern medicine has dramatically lengthened the life expectancy of human beings. In many cases, the quality of those life years are satisfactory, and elderly individuals enjoy life. However, there are also many people experience terminal diseases or tragic accidents that reduce their quality of life to the point they no longer want to live. In these cases, patients may plead with their doctor to end their life. Naturally, a physician ending the life of her patient is morally conflicting.…

    • 1590 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The Decision Maker Would you be able to “pull the plug” on a loved one? No one should be alone when making such a massive decision like this as well as when experiencing a death. When we think of children, we do not usually think about death. The article “When Living Is a Fate Worse than Death” by Christine Mitchell argues that doctor’s should have the control over deciding life or death for a patient. The author’s argument is ineffective because the text lacks in facts, is one-sided, and gives a negative tone.…

    • 798 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    As kids, we were thought to always tell the truth, a situation that seemed to be black and white. As we grow older, the reality of things becomes more complex. We are challenged in situations where telling the truth is not as easy and we have to consider how the recipient will interpret the information. We learn to outweigh the positive and negative outcomes if we tell the truth. Recipients, such as the patients, have many rights.…

    • 1091 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Janene Carey’s mother was battling a terminal illness that had spread through her whole body. Janene took care of her mother as she slowly deteriorated at the hands of cancer. As time went on the cancer got more aggressive and eventually her mother was unable to talk, eat on her own, walk, and was bedridden (Northern Daily Leader, 2014). This is not a life; this is patiently waiting for the inevitable to happen, all while a person slowly loses themselves. Unfortunately, the terminally ill are forced to live their lives out no matter how long this painful process may take.…

    • 1406 Words
    • 6 Pages
    Improved Essays