Terms in this set (9)
Main Ethical Term
1. Application of Main Ethical Term
LOCUS OF AUTHORITY
1. Although her husband had the true locus of authority, Terri had no advanced directives that showed her wishes for end-of-life care. Her husband claimed she did not want to prolong her life, but her parents did not think that was enough
~Terri Schiavo entered a coma due to lethal lack of oxygen to brain--severe hypoxiz ischemic encephalopathy-- and physicians inserted feeding tube
--Possible eating disorder and potassium imbalance leading to hypoalkemia and heart attack
~There were attempts to rehabilitate her but she had "no chance of meaningful recovery"
~Husband wanted to have feeding tube to be removed, but parents wanted to keep her alive.
~Terri is in rehab center and parents try to take her home but cannot so she returns to center
~Husband flies Terri for an experimental treatment that fails.
~Neurologists and therapists try to treat her but are unsuccessful.
~Although there have been cases of regaining consciousness, all were trauma induced and not anoxia induced.
Ethical Problem Prototypes
~Locus of Authority: Husband became legal guardian and received a malpractice settlement, but parents believed they were entitled to some money. Parents wanted to change guardianship but court ruled in husband's favor.
~Ethical Dilemma: Whether to remove the feeding tube or keep her alive. There were no advanced directives. The parents could never accept removing the tube.
~Moral Distress: Husband was unable to decide what was morally right for Terri. Parents and providers were also conflicted
~Malpractice Case: Husband receives money for Terri's care and loss of companionship
~Attempt to remove husband as guardian.
~Florida state courts approval of removing the feeding tube and that she did not want to live that way.
~Florida state judge approves request for feeding tube removed--parents appeal were denied.
~Florida Supreme Court: Denies parent's appeal
~US Supreme Court: Refusal to take the case
~Florida passes "Terri's Law"
~Florida Supreme Court rules law to be unconstitutional
~Deontology: The approach taken by the parents
~Teleology: Approach taken by husband
~Nonmaleficence: Caregivers thought removing the tube would be an act of harm
~Beneficence: Husband believed removing the tube would prevent/ remove harm afflicted on her
~Autonomy: Terri's autonomy was placed on her husband, who was legal guardian. No advanced directives prevented her actual autonomy from being honored.
~fidelity: Professionals were faithful to Terri by providing her all treatments to try and help her
~Veracity: Professionals used this so that husband could make fully informed decision about Terri's medical treatment.
~Justice: Ensure that Terri had a right to life and received justice she deserved.
~Confidentiality: Terri's thoughts could not be kept private and the media obtained personal information and invaded privacy of all related to her
~Feeding tube was removed but reconnected in response to civil suit by parents saying husband was lying
~2003: Feeding tube was removed
~Attempt to pass "Terri's Law" to allow Florida governor with power to intervene, but was not approved because it was unconstitutional
~2005: Terri passes away.
1. Media and Public
1. Many were against the removal of the feeding tube and did not believe she was in a persistent vegetative state. Judge that approved and husband were viewed negatively.
2. Parents turned to US Congress for help and president signed legislation that allowed federal court to intervene in the case.
3. It was believed that mercy killings were contrary to everything physicians stood for, but later on, it was decided that physicians can withdraw life support from irreversibly comatose patients with permission from family.
Impact on Society
~National push to adopt advanced directives
~Motivation to discuss the costs and benefits of prolonging life.
~Belief that government had no place in end-of-life decisions.
~"Terri's Law": Ruled to be a violation of privacy by Florida Supreme Court.
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