MODULE 6
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Philosophy
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Apr 3, 2024
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xlsx
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15
Uploaded by amandaaniicolee
MHA 703
Healthcare Law & Ethics
Spring 2024 AP 1
Name
Amanda Sangermano
Date3/18/24 7:01 AM
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MODULE
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Question
What is the difference between clinical death and actual death?
How does organ donation allocation work?
What is the ORDER used under the law of intestacy in your state? What is an Advance Directive? What is the difference between a healthcare proxy and a living will?
What happens when a doctor writes a DNR order? What is hospice care? What are the four different types of euthanasia?
List the stages of grief as identified by Dr. Kübler-Ross.
What is an ETHNIC
group, what is a CULTURAL
group?
Identify the unique healthcare needs of a particular ethnic group
. Give an EXAMPLE.
Describe some of the unique healthcare considerations of ethnic groups
related to pregnancy and childbirth. Give an example of some of the philosophies concerning death and dying for particular ethnic groups
.
Identify the unique healthcare needs of a particular cultural group
. Identify a unique healthcare need of a
religious group
.
Describe some of the unique healthcare considerations of different cultural groups
related to pregnancy and childbirth. Give an example of some of the philosophies concerning death and dying for a particular cultural groups
. Give an example of a unique healthcare considerations of different religions
.
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Your Answer HERE No guarantee of an organ & Criteria based on established factors (Blood type, Size of organ/recipient, Medical urgency, Time o
Provides directives (directions) in advance (Living will, Healthcare proxy, DNR order)
Do Not Resuscitate, Do Not Treat, Person Identifies what they do not want, Usually includes comfort measures/pain medicatio
Terminally ill, Provide care for patients and family, Only provide palliative care
1 Active- Requires specific action
2 Passive- No action when action required
3 Voluntary- Consent of patient
4 Involuntary- No Patient consent
Hispanic medical treatment may be different- Adherence to treatment and Perception of health provider.
Hispanics believe medical care not required and Pregnant women remain active
Hispanics are very spiritual time,Some prefer to die at home,Body treated with respect.May view autopsies as intruding on res
Clinical Death is when your heart stops pumping blood. Without CPR, Biological Death begins to set in about 4-6 minutes later
and cells in the victim's heart, brain and other organs die from a lack of oxygen
Under the laws of intestacy, the entire estate goes to the surviving spouse and the deceased's descendants. Spouse, Children,
Living Will
- What medical treatments will/will not be performed, Extent of treatments allowed, Designation of healthcare pro
Acts for the person if questions arise, Trumps the law of intestacy
Denial
- Tries to block the stressor Anger-
Deals with stressor externally, May get stuck in this stage Bargaining
- Give somethin
Depression-
Realization stressor will not go away, Concerns for suicide & Acceptance
Ethnic
- Native Americans, Hispanic, Asian, Romani/Gypsies, Amish & Cultural-
Social groups, Part of every ethnic group, LGTB
LGBTQ-- legality of relationships
Christian Scientists- May prefer prayer over medical treatment
LGBTQ- artificial insemination, surrogacy
LGBTQ- Legality of relationships and Law of intestacy does not apply
Jehvoah Witness most do not receive blood transfusions,May refuse even if it means death and are knowledgeable about alte
MODULE
Case
Elodie Irvine v. Regents of the University of California Terri Schiavo Lujan v. Life Care Centers of America People v. Gregory Messenger Department of Indian Health Services and Forced Sterilization Lisa McPherson Lofton v. Secretary of the Department of Children and Family Services Lirjie Juseinoski v. New York Hospital Medical Center of Queens
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2
6
Summary
Irvine suffered from kidney disease, polycystic liver, and end-stage liver disease. Irvine received admission to the UCI Division o
second assessment, it was determined that the four-year delay was "unacceptable" and that internal issues might be to blame
lawsuit against UCI and its doctors in the liver and kidney programs, claiming they failed to help her get the necessary transpla
essential information; if she had known, she would not have taken the $50,000. Following the appeal, Irvine showed good rea
In 1990, 26-year-old Terri Schiavo fell into a persistent vegetative state after suffering cardiac arrest. A fierce highly public batt
wanted to disconnect her feeding tube. Terri's husband argued that his wife would not have wanted her life artificially prolong
debate over quality of life, right to die, and end of life issues. Though the courts sided with her husband, the state legislature After much back and forth involving state and federal courts, Terri's feeding tube was removed, ending the long legal struggle Estella Lujan was suffering from dementia and was admitted to Life Care Facility Evergreen NH on 11/8/05. Ten days later, her
capacity. She left and was readmitted 10/18/06 at which time her son, Alvin, who acted as his mom's "legal representative", c
any court to act as a guaridan for her. Lujan died 10/21/06 (3 days later). A wrongful death claim was filed. The NH argued th
determined that signing an arbitration agreement does not fall under the specific definition of the authorities given to a HCP. Gregory Messenger, a dermatologist's son was delivered 15 weeks premature and weighed 2 lbs. Just prior to the birth, he an
suffer severely disabling medical complications. The Messengers told the hospital staff not to take any extradinary measures t
he asked that the machine be disconnected, but the PA refused. Messenger then disconnected the respirator and the baby di
In the 1960's-70's, Indian Health Service and collaborating physicians sustained a practice of performing sterilizations on Nativ
were misled to believe the sterilization procedure was reversible or the women didn't have an adequate understanding of the
consents. In Florida, homosexuals and the children they wish to adopt, sued state officials stating that they violated their fundamental r
protection challenge, there were plausible rational reasons for the disparate tx of homosexuals and hetero singles under Fla a
plaintiffs appealed but the court noted adoption is a privilege, not a right. The courts rejected, an en banc hearing was denied
Clearwater, Fla (1995). Was a member of the church of scientology who died of a P.E. while under the care of the church's flag
indicted on two felony charges, "abuse and/or neglect of a disabled adult" and "practicing medicine without a license". The ch
A Muslim died at the hospital and the widow claimed she informed hospital personel that hte decedent was Muslim and that released to the ME, where an autopsy was performed, contrary to the religious beliefs of the decedent and his family. No one
hospital released the body to the ME and therefore did not need to obtain consent for it. Plaintiff's motion for summary juege
MODULE
Key Term
advance directives DNR euthanasia grief healthcare proxy hospice intestacy living will palliative culture ethnic heritage patriarchal religion shaman
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talisman wuzho/marime yin yang 18
6
Your definition here
A written statement of a person's wishes regarding medical treatment, often including a living will, made to ensure those wish
Do not resucitate, do not treat. Patient identifies what they want. A medical order. It instructs health care providers not to do The painless killing of a patient suffering from an incurable and painful disease or in an irreversible coma. Deep sorrow, especially that caused by someone's death. (Stages- denial, anger, bargaining, depression, acceptance).
An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care de
A home providing care for the sick or terminally ill. Palliative care only
Written statement detailing a person's desires regarding their medical treatment in circumstances in which they are no longer
Relieving pain without dealing with the cause of the condition.
The customs, arts, social institutions, and achievements of a particular nation, people, or other social group.
Relating to a population subgroup (within a larger or dominant national or cultural group) with a common national or cultural Valued objects and qualities such as cultural traditions and historic buildings that have been passed down from previous gene
Relating to or characteristic of a system of society or government controlled by men.
A particular system of faith and worship. The belief and worship of a superhuman controlling power, a personal God or gods. A person regarded as having access to, and influence in, the world of good and evil spirits, especially among some peoples of n
Initially conceived for absence of a will. Used for any medical decision when person is incapacitated or no advance directives.
medical decisions need to be made with no advance directives.
An object, typically an inscribed ring or stone, that is thought to have magic powers and to bring good luck.
All things are classified as either wuzho (pure, and therefore socially acceptable) or marime (impure by nature, or once pure b
of wuzho is that things Rom are purer than alien things
Yin, Chinese for “female” or “moon,” represents darkness, femininity, passivity, and the earth. Yang (“sun” or “male”) represe
and order within an individual, society, and the entire universe.
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