Making Medical Decisions

Improved Essays
Ms. Gorgonia Nazianzus ought to have her daughter, Philippa, as a surrogate when the time comes to make medical decisions that she will be unable to make on her own. P lives a couple of hours away and has visited her mother at least once a month unlike Nonna, who has not visited in the last two decades. Also, GN had the confidence in confiding to P that she did not want to be hooked up to machines for the rest of her life and that shows GN has a great amount of trust in P. Although the surgeon has suggested that GN be put on a ventilator, they have suggested it as a temporary treatment and have predicted in confidence that GN will eventually wake up from her coma. There is no saying what GN’s cognitive status will be but, without the feeding tube and without treatment for her pneumonia it would kill her. There is a clear difference between letting patient die and killing a patient. B and C explain that there are two cases in which a patient …show more content…
I believe that P would make decisions that the patient would have wanted and there has already been a conversation about GN’s wishes. Any other candidate being a surrogate could potentially harm GN and could also make medicals calls based on what they want. It is likely that GN will get pneumonia again and I think it would be in her best interest to assign a know surrogate when she wakes from her comatose state. P is more than capable of making medical decisions when it comes to her mother. P should continue the recommended care of the feeding tube and the aggressive pneumonia treatment. I advise this because GN is not terminal and is predicted to wake up from her coma. I strongly believe that P is the right surrogate for GN and will keep the wishes of the patient in mind when making medical decisions but, will also know the right call about things that have yet to be discussed when it comes to

Related Documents

  • Improved Essays

    In 1988 Nancy’s parents didn’t believe that their daughter would ever wake up and recover from the vegetative state and that she wouldn’t want to live this way based on previous statements so the asked that the tube be removed. The medical staff refused to do so without a court approval. The trial court decided that the statements Nancy made indicated that she wouldn’t want to continue living in the vegetative state that she was in, and that the parents wishes should be honored. However the State of Missouri appealed to the Missouri Supreme Court where they changed the lower court’s ruling and decided that she should remain on her life-sustaining treatment.…

    • 680 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    History: Theresa Marie Schindler, known to family and friends as “Terri” was born on December 3, 1963 to her parents Robert and Mary in Pennsylvania. She met her husband, Michael Schiavo while attending a community college and a few years after they married, the Schiavo’s moved to St. Petersburg, Florida. Terri had dealt with weight issues in the past and it was suspected that she struggled with bulimia. On February 25, 1990, Terri suffered a cardiac arrest as a result from a potassium imbalance (possibly caused from the bulimia). During the cardiac arrest, Terri’s brain was deprived of oxygen for a significant amount of time, leaving her in a coma throughout her hospitalization.…

    • 1853 Words
    • 8 Pages
    Superior Essays
  • Decent Essays

    1976 Quinlan Case Study

    • 179 Words
    • 1 Pages

    In regards to you post about assigning durable power of attorney and or a decision maker for the patient and fetus; it would be very important in this case due the ethical and moral complication involved. A ground breaking case in 1976 Quinlan vs New Jersey set the precedent end of life rights. “The court further extend patient autonomy by allowing surrogate decision-makers to exercise this right on behalf of incompetent patients (Halevy, 2008). In the historic case Quinlan’s father was given the right by the courts to go against the hospitals “orders” and withdraw the life support.…

    • 179 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    She is no longer able to play the piano, cook, or sometimes dress herself. She has requested for a home health aide, but it’s still in the process of completion. When she arrived to the hospital, she looks very frail and lacks energy. From observation, she looks as if she hasn’t been eating for days.…

    • 218 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Terri Schiavo Case Study

    • 763 Words
    • 4 Pages

    The interpretation of the feeding tube being the equivalent of the breathing machine or vice versa is up for debate. These are both machines that can prolong life in some fashion. It does not say she is unable to talk or unable to eat, but rather that she refuses to do both actions. I would advise that her husband and her daughter speak to her to see if she will respond to them. It is quite possible that Ann could die at her own hands because of her refusal.…

    • 763 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The importance of patient participation in healthcare decision making is extremely important it keeps patients involved with the care they are receiving, it empowers them, and improves services and health outcomes. Health care professionals such as doctor-patient relationship, recognition of patient’s knowledge, allocation of sufficient time for participation, and also factors related to patients such as having knowledge, physical and cognitive ability, and emotional connections, beliefs, values and their experiences in relation to health services. Shared decision making aims to support patients to articulate their understanding of their condition and what they want to achieve from treatment, inform patients about their condition and the pros…

    • 215 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
  • Superior Essays

    Medical Ethical Paper. Physician Assisted Suicide. For me as a future nurse, it is very important to care for and maintain the health of people. It is my responsibility to do it well, and to protect the highest values that are the life, health, and rights of the people in my care.…

    • 1004 Words
    • 5 Pages
    Superior Essays
  • Decent Essays

    a) catastrophic failures. If the computer system fails, stored information may be unavailable for an indeterminate time. Paper records fail one chart at a time. On the other hand, if the average paper chart is unavailable up to 10 percent of the time,f that would be equivalent to a 10 % downtime for the average patient. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270933/ b) increased medical errors.…

    • 276 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    The long-term goals for John are to see improvements in his renal function and to prevent further deterioration through improved self-care. This will be achieved by quitting smoking and introducing healthier foods into his diet. The student nurse calls the doctor to have the patient reviewed. John is prescribed ACE Inhibitor medication to lower his blood pressure and diuretics to help maintain the balance of fluids in the body, which he will now take on a daily basis.…

    • 1104 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Ethical Issues In Unwind

    • 754 Words
    • 4 Pages

    In his novel Unwind, Neal Shusterman offers a unique perspective on the possible outcome of our society’s disagreement on ethical issues, specifically directed towards the debate on abortion. Shusterman portrays the aftermath of a second civil war, in which the process of unwinding, a term disguising the harsh reality of dismembering children, is born. This form of retroactive abortion proved to be the only measure that would restore peace to the nation, however flawed and drastic it seemed to both the public and the authorities. The process of unwinding presented in the novel is an unjust and unrealistic solution to the problems prevalent in today’s society, serving only to further exacerbate the tension and issues throughout the country;…

    • 754 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In reference to Goldman’s article, “The Refutation of Medical Paternalism”, for the doctors to make a decision without Monica’s consent would not be a form of justified paternalism. Although physicians have an understanding of the option that is best for Monica, she still has the right to be aware of her illness. The harm that will be done to the patient by waking her is not “irreversible”; even if she will be in emotional distress, it is a normal feeling to have when coming to terms with death. Doctors should provide the best possible care without shielding their patients from the reality of the…

    • 807 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Introduction It is fundamentally important for nurses to develop and appreciate the process of integrating evidence and research conclusions into their clinical decision-making. Evidence-based practice (EBP) is one reliable process that assists in efficient clinical decision-making (Wong & Myers, 2015). This process has emerged as a means of improving clinical practice from a culture of nursing guidelines derived from authoritarian traditions, to practice developed upon the current evidence-based research (Aitken et al., 2011). EBP has five systematic steps which enable nurses to make clinical decisions; devising an answerable clinical question, detect the relevant evidence to answer the clinical question, critically appraise the evidence,…

    • 1571 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Standards of care are the legal requirements for nursing practice that describe minimum acceptable nursing care (Potter, Perry, Stockert and Hall, 2013). Nurses took an oath to take care of the ill in any way they can to fulfill their responsibilities. I have high respect for caregivers because of their passion of doing their duties and not just a job. This tragic case was very unfortunate for that patient to experience such things, that I would have done the same thing that the author of this article did, to intervene and help those patients who receive poor-quality care. Today, I believe that these kind of scenarios does not happen frequently.…

    • 702 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    According to the College of Registered Nurses of British Columbia (CRNBC, 2014) nurses make a clinical decision every 30 seconds, or approximately 1500 per shift. What is a clinical decision? The answer to that question varies among the experts and practitioners but the terms clinical judgment, reasoning, and decision making have been used interchangeably in attempt to better articulate the process of clinical decision making (CRNBC, 2014).…

    • 1389 Words
    • 6 Pages
    Improved Essays