Robert Wenndland Case

Superior Essays
Is it moral to make decision to withdraw medical treatment for an incompetent patient?

Fong Tsz Yang

15002689

NUR 3002 Ethical and Legal Aspects of Health Care

Tung Wah College

Is it moral to make decision to withdraw medical treatment for an incompetent patient?

Introduction

This paper is going to evaluate the morality of making a decision to withdraw medical treatment for an incompetent patient, the case of Robert Wendland, based on ethical theories, principles in medical ethics, capacity and competency, advance directives and consent.

Robert Wendland has suffered from a car accident in 1993, which caused him to be physically and mentally disabled that the right side of his body was paralyzed and could not talk after the accident. He was not able to perform any
…show more content…
Application to other ethical issues

In this section, some variables will be changed and theories will applied to consider the ethicality of making decision for Robert.

Mentally capable and could talk

If Robert was only suffering from physical impairment instead of mentally disabled and could not talk, autonomy of Robert should be respected, while either express consent or implied consent could be made to make fully informed medical decisions. He also could have made an advance directive for the direction of future medical treatment. If he refused to be kept alive, we should accept and respect his decisions.

Addition of complication(s)/ coma/ persistent vegetative state

If Robert was suffering from complication(s), coma or in persistent vegetative state that his death was imminent and inevitable, withdrawal of ANH, based on utilitarianism and virtue ethics, was ethical and should be supported.

Different in age (Old/ young) or sex

Although being older seems to had less time left than being young before death, based

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
  • Superior Essays

    James Whitten Case Summary

    • 1428 Words
    • 6 Pages

    James Whitten will likely fail to satisfy the requirements of the affirmative defense of necessity because he should not have reasonably believed his circumstances were life-threatening or sufficiently urgent. To claim the affirmative defense of necessity in Garner, the defendant must first prove that he “was compelled to do so by threat of imminent death or serious bodily injury to himself or another,” and “[t]he urgency of the circumstances made it necessary for [him] to violate the law.” Gar. Stat. tit. 24, § 135(A)(1)-(2) (2011). The final element of the statute requires “[t]he defendant [to cease] the criminal conduct as soon as the necessity or apparent necessity for it end[s].”…

    • 1428 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Martha Rogers Case Summary

    • 1172 Words
    • 5 Pages

    A major role of practicing healthcare professionals in today’s society is their moral and ethical approaches to a patient’s overall care. In this specific case, Martha Rogers, an 85-year-old gerontology patient, was admitted to a psychiatric unit of the hospital due to confusion and increasing irritability. Following evaluation, healthcare providers found she was dehydrated which may have caused some of the symptoms that she was undergoing; Mrs. Rogers, however, became calm and cooperative with the staff after the administration of fluids. After Martha Roger’s episode was temporarily contained, it was important to identify the next steps in her medical process. A healthcare team, consisting of a registered nurse, an occupational therapist,…

    • 1172 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    The ethical dilemma here is that the patient is still lucid and not in a terminal state, should the medical staff ignore the DNR on a chart and hospitalize the patient with an intubation and ventilator or go with the patient's wishes? Since the patient is still lucid and understands the conditions, should the medical staff asks the patient's opinion if option if he/she will like to be hospitalized and incubated? Another ethical dilemma most common in the long-term care facility are the ethical dilemmas faced by the medical staff (nurses' aide, licensed practical nurses, registered nurses) in the use of restraints on dementia…

    • 105 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    It is clear that the utmost importance in any medical context is the relationship between the healthcare practitioner and the patient. The duty of a physician is to adhere to certain principles of medical ethics namely the principles of respect for autonomy, beneficence, nonmaleficence, and justice. By examining the case study involving Dr. Nancy Morrison, one can observe that these principles are often ambiguous when referring to the issue of whether she committed voluntary active euthanasia or nonvoluntary active euthanasia. Thus, the thesis will aim to exemplify that ultimately Dr. Nancy Morrison was culpable for her actions. To give some context to the issue, Paul Mills was a 65-year-old individual suffering from terminal esophageal cancer.…

    • 1467 Words
    • 6 Pages
    Superior 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
  • Great Essays

    Ethical Dilemmas Essay I have chosen to analyze case two and this paper will outline my understanding, exploration, and final decision-making process as it applies to the ethical dilemmas presented. Understanding the Dilemmas This case has a variety of ethical dilemmas occurring across several contexts (personal, societal, and organizational). Reflecting on the theories and conceptual models presented in this course, I found the Five Faces of Oppression (Young, 2014) and the Ecological Systems Theory (Bronfenbrenner, 1979) helpful in conceptualizing these various circumstances and contexts.…

    • 1501 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The Right to Physician Assisted Suicide "The right to choose to die when in advanced terminal or hopeless illness is the ultimate civil liberty. " This is a quote by Derek Humphry, whom assisted his cancer stricken wife, Jean, in her suicide. The reasoning for the desperate act was to relieve her of her pain and indignity of inoperable bone cancer that became too much for her. There are other ill patients that want the same relief as Jean, but society is denying them their right of personal autonomy. Physician assisted suicide (PAS) would give these patients an end to the suffering they are desperately seeking.…

    • 1086 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    A patient refusing particular treatment may pose an ethical issue for a health care professional. Beneficence is an ethical theory that states action that is carried for the benefit of others and to help or prevent harms or simply improve a situation for others. As a nurse, we are expected to refrain from causing harm and have obligations to help our patients. However, if a patient refuses certain life saving treatment, a nurse may disagree with this choice but the patient has the capacity and competency to…

    • 583 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    ntroduction The Legal right to die describes in any situation of an adult who is in state of sound mind to decide about his or her treatment to be continued or not, where such voluntary, informed decision is made, should be recognized and respected. According to Lord Goff of Chieveley in 1993, at p. 864, in Airedale NHS Trust versus Bland [1993], the House of Lords held that “The principle of self-determination requires that respect must be given to the wishes of the patient. If an adult patient of sound mind refuses, however unreasonably, to consent to treatment or care by which his life would or might be prolonged, the doctors responsible for his care must give effect to his wishes, even though they do not consider it to be in his best interests to do so. […] To this extent, the principle of the sanctity of human life must yield to the principle of self-determination”.…

    • 832 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    There is a set of principles that we as nurses are obligated to follow. It is imperative that nurses are aware of legal issues so they stay within their scope of practice and comply with the state and federal regulations. Ultimately, the goal in making an ethical decision is to list all the options out and to choose between the possible treatments choices while recognizing different viewpoints. Nurses must advocate for what is the best for the patient above all else regardless if we do not agree. Coping and prevention strategies can be implemented by the nurse managers to prevent moral distress.…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    The case of Stephen Dawson raised many ethical issues. According to our course notes ethics is understanding what is right, wrong, good, and bad and also what ways of living are good, bad, right or wrong. The most significant issues in this case are firstly, that the institution for long term care and rehabilitation for physically disabled children placed Stephen in foster care because his condition was just too severe and they decided that somebody else would be more beneficial from their treatment and help. Secondly, Stephen's parents initially gave permission for the doctors to go ahead with the second shunt operation required to save Stephen's life but shortly after changed their minds because they thought it would just be better off for Steven to be allowed to die. Thirdly, The superintendent of family and child services did not agree with the parents decision and fought for custody of Stephen, eventually succeeding and approving…

    • 1484 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    In this scenario, there is a living will that clearly specifies the patient does not want ventilator support or other artificial life support in the event of a permanent unconscious condition or terminal condition, and it has been determine by the primary physician that are condition is permanent. I will advise the husband that the condition is permanent and allow him time to grief the loss of the loved one, then I will put forward the desire of the healthcare organization to follow the instructions specified in the living will and withdraw the life support. Legal/Ethical issue 3 : Due to the present condition of the patient of not been able to care for herself, I will tell the husband that he is the only person who can honor the wish of the patient by withdrawing the life support. I will also tell him that by so doing, he respects the patient and helped her reduce the suffering she will go through in the process of been placed on ventilator.…

    • 920 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
  • Improved Essays

    Despite what many might think, a patient 's right to refuse medical treatment has a very important meaning in the lives of many. People who have medical complications must learn to work with doctors and or surgeons in hospitals. With having the right to refuse medical treatment patients feel as if they have more power over their own health and future. Even though surgeons are qualified in making medical treatment decisions, patients should have the right to refuse medical treatment options. Patients should have the right to consider all medical options based on risk factors, success and effectiveness, and their living-will.…

    • 1112 Words
    • 5 Pages
    Improved Essays