Karen Ann Quinlan Case Study

This is an individual assignment to be completed before class. Must be submitted into the text box below. The purpose of this assignment is to help you prepare for the activity that will take place in class by asking you to think critically about the Karen Leary Case.

After declaring Jahi McMath brain dead, the doctors at the Children’s Hospital ordered her to be taken off mechanical ventilation. Her mother, Latasha Winkfield, refused to accept that her daughter was dead and incapable of recovering (du Toit & Miller, 2016). Winkfield believed her daughter was still alive because McMath was breathing and her heart was still beating (du Toit & Miller, 2016). McMath’s family disagreed with the doctors’ report and filed a lawsuit to prevent life support from being discontinued (Paola, 2014).

The case of Karen Leary illustrates the implications cultural conflict can have on business organizations and office culture. A common mistake managers make is undermining the power of cultural constraints at the organizational level. After six years as a financial consultant at Merrill Lynch, Karen Leary was promoted to general manager at the Elmville branch in Chicago. Leary wanted to achieve success at the branch office by building high-producing, successful group of professionals who work together to provide clients with complete service in meeting long-term financial goals.

When Nancy was in a coma they were assigned as her legal guardians until she got better. They argued that if the hospital needed to get their permission, as legal guardians, to insert the tube to Nancy, their request, as legal guardians, to take the tube out should be respected. They also argued that the huge cost of Nancy's treatment "could be better spent on medical procedures for children facing death." (Cruzan v. Director, Missouri Dept. of Health (1990). (n.d.). Retrieved

Chung has been operating under what he feels are the established norms for his culture. Ted's relationship with the Taiwanese client exhibits the Chinese management principles of paternalism, particularism, and insecurity. The patron-client relationship is based in a sense of mutual obligation, where the client is expected to defer to Ted's expertise and Ted is expected to trade the account responsibly. (Moorhouse, 2005) Ted also used social networking to establish himself in the community which is expected in the Chinese culture. By attending events Ted increases his “visibility and prestige” which contributes to the face that is needed to be considered a trustworthy business partner

Both Karen and Nancy where in situations that caused them to go unconscious. The doctors in Nancy’s case restarted her heart whereas in Karen’s case she was still breathing. Both sets of doctors placed the girls on feeding and antibiotics. Our text does not explain if Karen’s family tried to appeal the courts or try to remove her from life support, but we do know she lived on it for ten years without recovering in any way before she died. Nancy’s

(Pozzuolo, Lassoff, & Valentine, 2005). The decision to grant the family the right to remove the feeding tube was a favorable decision because it left the final decision to the family’s discretion. The court could have refrained from requesting the family to provide clear and convincing evidence for this case. As the legal guardian of the family member, it should be solely left up to the family the precautions that will need to be taken in regards to the incompetent family member. The parents should have been able to make the decision for their daughter without any higher powers getting involved. Because Cruzan was physically incompetent to consent, the next person who would be empowered to consent would be her parents. Cruzan’s parents as next of kin were her Guardian. (Pozgar, G., 2016), According to the law they were invested with the power and charged with the duty of taking care of their daughter first by protecting her rights to die in dignity (p. 406). Family members should be able to make the necessary decisions for their family members directives without the courts getting involve. I am sure the decision Cruzan’s family had to make was not an easy one. The time spent on court battles made an already tragic situation worse. That time should have been spent with family members saying their final goodbyes.

Debra Kaylene McKee related she related she worked at Grillsmith at Brookstone, 2000 Piazza Avenue #100, Wesley Chapel, Florida 33543, from 1110-1500 hours. McKee said she then went home and then went to Ybor city about 1730 hours and went to the Bad Monkey Pub at 1717 E 7th Avenue, where she had one “Johnny Vegas” on the rocks. McKee related around 1800 hours, she went to the Carne Chophouse at 1536 E 7th Avenue, where she had dinner and one “Johnny Vegas” to drink. After diner at Carne, McKee related she went back to the Bad Monkey around 1930 hours and had one “Fireball” to drink. McKee said she left the Bad Monkey about 2030 hours and drove to Chipotle at 12827 N Dale Mabry Highway. Mckee related she left the Chipotle about 2215 hours

In the year of 1990 on February 25, a presumably healthy young women by the name of Theresa Marie Schiavo better known as Terri suffered a massive heart attack in her Florida home which left her with serve brain damage. At the age of 26 she found herself unable to speak, or move, and unfortunately without a living will in place. How can she have told them what she really wanted if unable to talk in a vegetative state? Terri, although able to breathe on her own, found herself unable to eat or use the bathroom without the aid of a machine or person she was literally a prisoner in her own body. By law her husband Michael Schiavo was in charge of making treatment decisions for her , and after two years of therapy he wanted to disconnect the feeding tubes that helped keep her alive.

On April 15, 1975, Karen Ann Quinlan, unexpectedly fell to the ground, unconscious, and then slipped into a coma. The doctors could do nothing about her unhealthy state and after a long year Karen’s family decide that they should remove her feeding tubes, a breathing mechanical device, and medical help. The doctors refused to do this because they would get arrested without court permission thus sending the family to court. The family fought over it at court and finally won. Surprisingly, Karen did not die but 10 years later she passed away naturally. The fact that she survived led to many acts of controversy. Was it a good idea to let Karen ann go or should they have kept her on the machines to see what would happen? Through evidence and research,

Terri Schiavo suffered a heart attack which caused severe brain damage due to lack of oxygen to the brain. According to doctors, she was in an irreversible persistent vegetative state. Terri was on life support and unresponsive for years. Terri’s husband believed Terri wouldn’t have wanted to be on life support if there were no chances of her recovering so he ordered for them to remove her feeding tubes. Unfortunately, her parents weren’t on the same page. They believed there was a possible chance of recovering even though she showed absolutely no signs of recovery. Terri’s husband later petitioned the Sixth Circuit Court of Florida to remove her feeding tubes. The court then determined that Terri wouldn’t have wanted to pro-long her life under

Reporting party (RP) stated that when resident Nancy Leonard (DOB: 1/14/26) moved in the facility on 7/28/14. Resident's husband, Dick Leonard, was told that the facility that the facility was in the process of "deep cleaning" and that the facility would possibly be fumigated. Facility accepted resident and placed her clothing in a bag and sealed it. RP stated that the facility had an outbreak of scabies. Resident was visited by her primary care physician, Dr. Rudich, who prescribed cream for the resident. RP stated that the facility failed to quarantine the residents and allowed visitors to enter the facility. RP stated that the family was not notified that there was an outbreak of scabies. RP stated that the facility had another outbreak

I was after a while to rationalize that because these patients had no quality of life and were clinically brain dead, we were not causing any harm. Then we had a patient with Amyotrophic Lateral Sclerosis (ALS). This patient was on ventilator support, unable to move his extremities, he was able to talk and make his needs known, and was able to eat. Then one day the doctors advised the patient related to the fact he was silently aspirating he was no longer going to be able to eat, and would require a feeding tube. The patient refused a feeding tube and then terminally weaned himself off the vent. It was my duty to take care of this patient on the day of the terminal wean, which was difficult for me, because I felt as though he was committing suicide and we were assisting his efforts. For me this was no different than the hospital being a Dr. Kevorkian. I do not believe in suicide and it was very difficult to maintain and preserve his wishes even though they were totally against my beliefs and values. I had to take care of him no matter what his decision was, whether right or wrong his values led him to remove his life support. During my years as working as a floor nurse I have now developed my own sense of what I feel is ethical and humane. I believe that if a patient has already

When her doctors refused, Karen’s parents took the case to court—in what became one of the first "right to die" cases in the United States . Based on the right to privacy, the court ruled that "no compelling interest of the state could compel Karen to endure the unendurable" and on March 31, 1976, allowed her to be taken off life support . Her story made headlines and provided the groundwork for numerous similar cases . However, Quinlan's story didn't end there: weaned from the respirator, she survived for nearly 10 more years, eventually dying of pulmonary failure on June 11, 1985, in a New Jersey nursing home

The autonomy of a competent patient is an issue not often debated in medical ethics. Refusal of unwanted treatment is a basic right, likened to the common law of battery, available to all people capable of a competent choice. These fundamental rules of medical ethics entered a completely new forum as medical technology developed highly effective life-sustaining care during the 20th century. Several watershed cases elucidated these emerging issues in the 1960’s and 70’s, none more effectively than that of Karen Ann Quinlan. Fundamentally, this case established that a once-competent patient without the possibility of recovery could have their autonomy exercised by a surrogate in regard to the