Posted: December 1st, 2022

Advance directives address a number of issues concerning the directions if a patient wants to receive artificial respiration

Advance directives address a number of issues concerning the directions if a patient wants to receive artificial respiration, dialysis, or any extraordinary measures in a situation that could result in death. Advance directives tend to help in avoiding disputes between family members regarding the treatment of a relative by giving direction to healthcare providers concerting the care to be provided to the patient (Advance Directives: Making Crucial Healthcare Decisions Before an Emergency, n.d.). As a health administrator it would be important that I follow through with the wishes of the patient, to make them feel satisfied and comfortable.

In the Quinlan and Schiavo cases, the 22 year old woman is highly unlikely to even think about an advance directive. I personally have never thought of creating an advance directive. If Karen Quinlan did have an advance directive, then her parents and medical professionals would not have gone through the courts to make a decision in regard to the patients life because her wishes would have been pursued prior to her brain injury. With the Schiavo case, I feel and think the same as the Quinlan case. If she had her wishes done then possibly living her last 15 years in an unconsciousness state would have not happened. Again, they were both young and did not think of an advance directive.

When a patient is not able to make their own wishes known, the immediate family members such as parents, siblings, husbands or wives normally make the decision involving healthcare. If the patient does not have any family members then I believe it is the physicians who chose the proper course of action of treatment to the patients. If the patient is not able to make their own decisions about their care, I believe it is patient self-determination. Self-determination encourages all people to make choices and decision about the type and extent of medical care one wants to accept or refuse should they become unable to make those decision due to illness (Gapna, 2013).

References:

Advance Directives: Making Crucial Healthcare Decisions Before an Emergency. (n.d.). Retrieved from https://www.heart.org/en/health-topics/consumer-healthcare/doctor-appointments-questions-to-ask-your-doctor/advance-directives-making-crucial-healthcare-decisions-before-an-emergency

Gapna. (2013, April 12). Patient Self-Determination Act (PSDA). Retrieved from https://www.gapna.org/patient-self-determination-act-psda

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