Terri Schiavo Ethical Dilemmas

If I had to make the decision on what to do in Terri Schaivo’s case I would do what Michael Schiavo had done, I would fight to have the feeding tube removed. I believe that if a person has no quality of life and is in a PVS state, they have no feelings, they feel no pain, and they are not aware of their surroundings. According to the article Terri Schiavo and End-of-Life Decisions “Terri could not continue both to be alive and be free from invasive medical procedures” (Mathes, 2005) I feel keeping them alive is unfair to them and to their loved ones. I also believe that the surrogate decision maker should follow the “best interest” standard, which is, given the medical facts and prognosis, make decisions that would be in the best interests of the patient. (Hook & Mueller, 2005) There was a lot of evidence and proof from the doctors in regards to the fact that Terri was not going to get better, there were no medical interventions left that could help her. Prolonging treatment for Terri would not have changed her quality of life or made it better. In my opinion, Michael Schiavo acted properly as a surrogate decision maker because first of all, he followed her previously spoken wishes and views and, second of all, he acted in her

Physician assisted suicide was brought to mainstream attention in the 1990’s due to Dr. Kevorkian’s “suicide machine," who claims to have assisted over 100 suicide deaths of terminally ill patients with Alzheimer’s disease (Dickinson, p. 8). In the early 1990’s, for the first time in United States history the issue was brought to the voting polls in California, Washington, and Oregon (Dickinson, p. 9). The bill was passed in Oregon; legally allowing physicians to facilitate death of the terminally ill, but voters fails to pass the bill in Washington and California (Dickinson, p. 9). In 2008 voters in Washington State passed the Washington Death with Dignity Act (Dickinson, p. 277). Today

A philosophy of an organization helps differentiate themselves from their competitors and set a foundation for future success. It also helps shape an organization by presenting the goals they want to accomplish with specific activities. To improve this, many organizations understand the important of sharing values and goals and realize employee recognition. This helps staff from moving forward toward success of the organizations. Chapter 4 introduces “Codes of Ethics in Health Services.” Code of ethics is a guideline for healthcare professionals to accomplish and serve as a member of a society. Similar to other professions, managers have their own code of ethics in maintaining their duties and responsibilities. They also use the codes for ethical decision-making in dealing with ethical issues. Chapter 5 deals with “Organizational Responses to Ethical Issues.” It provides assistance for managers and organizations in their decision making. It is manager’s duty to figure out the problem and resolve it (Darr, 2011,

Physician-assisted suicide is controversial in healthcare and political realms alike. Currently, this end-of-life option is practiced in five states within the United States. Social concerns regarding assisted suicide revolve around ethical quandaries; providing the means to a patient’s death is contradictory to ethical principles of healthcare providers. Political concerns surrounding the legalization of assisted suicide include disparities in healthcare that may lead to certain populations choosing assisted suicide and the stagnation of current care options. While there is no succinct manner in which to declare assisted suicide right or wrong, each individual must address the social and political concerns surrounding the issue when voting for legislation to legalize assisted suicide or pursuing the option for themselves.

Brittany Maynard was one of the people to use the Death with Dignity Act in Organ and once said,“To have control of my own mind…to go with dignity is less terrifying. When I look at both options I have to die, I feel this is far more humane” (Sandeen, 2014). No matter what, we will all eventually die, but we should have the right to die as humanely as possible. The Death with Dignity Act is an end-of-life choice possibility for terminally ill patients to be given the freedom to decide for themselves what it means to die with dignity. This act allows them to die with dignity by providing them with lethal medications prescribed by a physician (The Oregon Department of Human Services, 2006). The Death with Dignity Act started to allow people with six months or less to live, the right to die in a manner and at the time of their own choosing. Also, even though modern medicine has benefited humanity greatly, it cannot completely resolve the suffering and distress that comes with the dying process, so Death with Dignity can provide a painless end-of-life choice for suffering individuals (Humphry, 2009). Although Death with Dignity is a controversial topic I feel it can be very beneficial especially since people go through a long process just to try to get the medication and the ones that get it really need it. I chose this topic because death always has been interesting to me and I one day hope to have a career

Is physician assisted suicide ethically justified? Physician-assisted suicide (PAS) is defined as ending one’s own life by taking a fatal dosage of a substance with the direct or indirect assistance of a physician (MedicineNET.com, 2015). PAS is a very sensitive and controversial topic that raises many moral and ethical questions. While some feel that a person should be able to die with dignity and under their own terms, others feel that this is not a choice we can ethically make. PAS recently made national headlines when Brittany Maynard, a twenty-nine year old woman diagnosed with stage IV glioblastoma, went public with her plan to end her own life under Oregon’s Death with Dignity Act that was passed in 1997. Maynard legally received a prescription from her physician for a lethal dose of barbiturates and decided to end her life own life instead of suffering the painful death that loomed in her near future. She ended her own life on November, 3, 2014 with her family by her side (Durando, 2014). There are many moral issues that surrounded Maynard’s decision and whether or not PAS is ethical, however it is important to understand both sides of the debate to truly get the entire picture of the complexity of this issue before making the determination if physician-assisted suicide is ethically justified.

On February 28, 1990, twenty six-year old Terri Schiavo suffered severe brain damage when her heart stopped for five minutes. Terri's condition was the subject of intense debate and media scrutiny over the subject of euthanasia and guardianship. Given the circumstances of Terri's vegetated condition, and no physical proof of her wishes, the last word on whether or not Terri would stay alive was given to her husband Michael Schiavo, by the state of Florida. Michael's argument was that he was carrying out her wishes to not be kept alive in that state. Terri's family challenged Michael's claims saying she is responsive and in no discomfort, that her condition does not meet the medical definition of

The U.S. Supreme Court upheld court decisions in Washington and New York states that criminalized physician-assisted suicide on July 26, 1997.12 They found that the Constitution did not provide any “right to die,” however, they allowed individual states to govern whether or not they would prohibit or permit physician-assisted suicide. Without much intervention from the states individuals have used their right to refuse medical treatment resulting in controversial passive forms of euthanasia being used by patients to die with dignity such as choosing not to be resuscitated, stopping medication, drinking, or eating, or turning off respirators.9

The principles of justice, nonmaleficence, and beneficence must be considered in this situation as the patient herself has neither voice nor living will expressing her desires. An ethical theory that applies to this situation is rule utilitarianism. This theory is a hybrid of deontological and utilitarian approaches (Purtilo & Doherty, 2012). Terri’s husband feels that he is legally honoring her wishes by allowing Terri to die as the natural consequence of her unfortunate medical condition. Using the utilitarian theory removing her feeding tube justifies the end goal of death. For her family, they feel a duty to Terri and having her feeding tube removed betrays their sense of duty and right. Conflict resolution, in this case, must consider promoting the person’s good or prevention of further harm to the patient. Ethical theories and principles can guide the best

One’s body and life are one’s own to dispose as one sees fit. Everyone is entitled to the right to die concept, in that they can decline or accept life-sustaining treatments. However, this was a dispute in the case of Terri Schiavo where all three branches of government were involved to decide on whether they should keep her on life-prolonging measures or discontinue after she was left in a comatose state. After no sign of improvement for over two months, her diagnosis was changed to a persistent vegetative state leaving her life decisions in the hands of her husband, Michael. Michael argued that his wife would not have wanted the prolonged life support and even went as far as starting a petition to remove her feeding tube, which her parents

“Americans are not entirely averse to suicide in cases of terminal illness. Currently six in ten Americans believe that a person has a right to end his or her own life if that person has an incurable disease” (Benson 267). It is obvious that most Americans can agree that assisted suicide is the final decision of the terminally ill patient. When it comes down to it, many terminal patients cannot make this decision, because they may live within a state where assisted suicide is illegal. So far, only seven states have made assisted suicide legal and one state has legal physician suicide by court ruling, while the rest still considers assisted suicide illegal. Even though some people do not approve of assisted suicide because of moral or ethical

Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.

Doctor assisted suicide is a topic that has recently become a much larger debated issue than before. A timeline put together by Michael Manning and Ian Dowbigging shows that prior to Christianity, doctor assisted suicide was something that was tolerated, and was not heavily questioned (2). Yet, in the 13th century, Thomas Aquinas had made a statement about suicide as well as doctor assisted suicide, and his words shaped the Catholic teaching on suicide into what they teach today. Beginning in the 17th century, Common Law tradition frowned upon suicide, as well as assisting in suicide, and the colonies had adopted the Common Law principles. (2) In 1828, New York passed a law completely outlawing the assistance of suicide, and made it to where whomever assisted in the suicide could be tried for murder. In 1976, California became the first state to allow patients to withdrawal themselves from life saving medicines, and this Natural Death Act was seen as a gateway to assisted suicide. (3-7) As controversy about California 's Natural Death Act increased, Pope John Paul II released a statement in 1980 which opposed to killing someone out of mercy, but allowed the increased use of painkillers (8). Although, in 1994 Oregon passed their Death with Dignity act, and with it came incredible amounts of backlash. Yet, in 2008 Washington state passed the same act to legalize doctor assisted suicide. (10-12)

Do people have the right to die? Is there, in fact, a right to die? Assisted suicide is a controversial topic in the public eye today. Individuals choose their side of the controversy based on a number of variables ranging from their religious views and moral standings to political factors. Several aspects of this issue have been examined in books, TV shows, movies, magazine articles, and other means of bringing the subject to the attention of the public. However, perhaps the best way to look at this issue in the hopes of understanding the motives behind those involved is from the perspective of those concerned: the terminally ill and the disabled.

For this assignment, I read four articles in all—two that are decidedly against what they call “assisted suicide”, and two that are decidedly supportive of what they call “death with dignity”. This has become legalized—for terminally-ill patients with prognoses of surviving no longer than six months—first in Oregon in 1998, but since then Washington, California, and Vermont. It has also been legalized in Switzerland, Netherlands, Belgium, and Luxemburg for some years now—in these countries, patients need not even be terminally ill to be granted permission to end their lives under the guidance of a physician. While both “assisted suicide” and “death with dignity” mean the same thing—physician-assisted suicide of patients who, for whatever reason, want to end their lives, the difference in terminology underlies a stark moral conflict, inspiring each side to be blinded by their respective convictions. Though some of