Portfolio Project Paper
Legal and Ethical Dilemma
Case 6: Mary O’ Conner Outline
I. Introduction/Case Summary
a. Purpose and suggestion
b. Cultural concerns of the outcomes
II. Assessment/Ethical Perspective
a. Why decision making and ensuring is important (Capozza, 2012)
b. Legal and ethical perspective (Capozza, 2012)
1. Prevention of harm
2. Maximization of benefits (Kleespies, 2015)
3. Autonomy (Coleman, 2014)
4. Fidelity (Juth, 2012)
III. Legal
a. Legal decision process (Juth, 2012)
b. Communication of change towards treatment option availability
(Franklin, 2014)
c. Family member’s legal interest (Heide, Rietjens 2012)
d. Family and religious values (Heide, Rietjens, 2012)
IV. Regulatory Compliance
a. Family’s decision making (Wyatt, 2012)
1. Analysis of consulting trends
2. Treatment method
b. The Health Care Consent Act (Pleacher, 2010)
1. Decision and suggestions
2. The power of attorney
V. Health Reform
a. Terminally Ill Act (Pleacher, 2010)
b. Durable Power of Attorney for Health Care (Wyatt, 2012)
VI. Recommendations
a. Plan (Walsh, 2010)
b. Advance Health Care Directive
c. Personality Profile (Walsh, 2010)
VII. Action Plan For Prevention
a. Patient’s notification (Sherr, Starace, 2011)
b. Power of Attorney and Disagreement
VIII Conclusion
a. Overall summery of ethical and legal perspective plans
b. Sustaining ethical diversity in healthcare
XI References
Capozza, C. M. (2012). Decisions for life-sustaining nutrition support. Topics in Clinical Nutrition, 6(3), 76-81. doi:10.1097/00008486-199106000-00012
Coleman, C. H. (2014). Legal Oversight of End-of-Life Treatment Decisions in United States Law. Self-Determination, Dignity and End-of-Life Care, 4(3), 155-171. doi:10.1163/9789004223585_009
Franklin, C. (2014). Decisions about life support. Critical Care Medicine, 26(1), 8-9. doi:10.1097/00003246-199801000-00006
Heide, A. V., & Rietjens, J. (2012). End-of-life decisions. A Public Health Perspective on End of Life Care, 3(2), 50-59. doi:10.1093/acprof:oso/9780199599400.003.0029
Juth, N. (2012). End-of-Life Decisions and the Reinvented Rule of Double Effect: A Critical Analysis. Bioethics, 28(7), 368-377. doi:10.1111/bioe.12001
Kleespies, P. M. (2015). Ethical and legal issues in end-of-life decisions. Life and death decisions: Psychological and ethical considerations in end-of-life care, 2(1), 27-53. doi:10.1037/10661-002
Pleacher, K. (2010). Factors Influencing Decisions to Withdraw Life Support. AAP Grand Rounds, 23(3), 32-32. doi:10.1542/gr.23-3-32
Sherr, L., & Starace, F. (2011). End-of-Life Decisions in Terminal Illness. Aging: Decisions at the End of Life, 9(12), 139-154. doi:10.1007/978-94-015-9682-4_8
Walsh, P. (2010). Life Support Decisions. PsycEXTRA Dataset, 2(5), 112-127. doi:10.1037/e503132006-001
Wyatt, J. (2012). End-of-life decisions, quality of life and the newborn. Acta Paediatrica, 96(6), 790-791. doi:10.1111/j.1651-2227.2007.00349.x