Competency and Self-Determination in elderly patients
Competency and Self-Determination in elderly patients
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Mrs. Jane Doe is a 80-year old, retired, widowed school
teacher who has been living in an apartment at the FED Assisted Living Facility
for 4 years. She was recently diagnosed with chronic renal failure. Her doctor
is recommending dialysis. She has no family remaining but does have comfortable
resources as she has lived frugally most of her life. She refuses to go along
with this recommendation because her older sister has died while on dialysis
with horrible side effects.
Helen’s doctor insists that dialysis would improve the
remainder of her life with no side effects. Although she does not want
dialysis, she is aware that some of the staff are concerned that she may no
longer be able to make good decisions and are trying to conceive her to agree
to the dialysis.
What is your analysis of the various ethical considerations
involved in this situation? How should the competing ethical considerations be
resolved? Argue both sides of the issue, basing arguments on ethical theories
and/or principles.
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