1. Based on Quinlan and Cruzan cases, examine the importance of end of life issu


1. Based on Quinlan and Cruzan cases, examine the importance of end of life issues. What documents should one prepare and keep ready and why?
Your answer should be around 400 words. After posting your answers you are to enter into a discussion.
This are 2 examples of my peers
The case of Quinlan and Cruzan had some similarities in that both involved the end-of-life issues. The two cases involved persons who had reached a stage of their lives where their continuity of life was through life-sustaining treatment such as life support machines and feeding tubes. Quinlan had mixed alcohol with other drugs, which led to her brain being pronounced dead. She was also in a coma and would need support to breathe, eat and move. In both cases, the patients’ families decided it was time the patients were removed from support machines after some time. Quinlan’s family decided that the supporting machine be switched off. He took it to court to appeal for the right to decide as to the legal guardian and express power. His petition was denied, but he took it to the Supreme Court, where he was granted the right to switch off the machine as it violated Quinlan’s privacy.
In the case of Cruzan, the family members had accepted that Nancy Cruzan could never gain back consciousness and that being in the machine would be her wish. They took it to court, where the local court refused to give them the right to remove feeding tubes. The court refused by saying that no one had the right to end life and it was the duty of the health care to provide continuity of life. An appeal led to the family winning the case as the US Supreme Court ruled that the incompetent person had no right to decide for themselves; hence the family could decide.
The two cases are clear evidence of the importance of end-of-life issues. The end-of-life issues are that the treatment should be able to consider the patient and the family of the patient. The end of life should be to improve the quality of the person dying, and if that is not possible, the family has the legal right to make decisions on behalf of the incompetent patient. For Quinlan, her family was given the rights as her privacy was being invaded. Her quality of life was not sustained. There were no signs of improvement for Nancy, and it was also affecting the family involved. This was reason enough to allow the family to remove the life support.
These cases have proved that documents are needed and that a person should keep helping solve cases when they are in a position not to make a decision. Documents are living will that help understand the desire for life, last will that helps in allocation of wealth, medical power of attorney that appoints a person to make healthcare decisions, and power of attorney gives the appointed person rights to make financial decisions the patient.
Both cases involve being incompetent and unable to make decisions of their own. Both Quinlan’s and Cruzan’s parents had to argue with medical professionals and courts of what they believed was best for their daughters while they were laying in a hospital bed awaiting death. parents don’t always agree with medical advice and procedures, and it is left to the courts to determine the best outcome for the victim. Parents feel that they know their child best and believe they know what their child would have wanted, as in Cruzan’s case, her parents wanted a feeding tube to be removed, knowing it was keeping her alive. They believed she would have wanted to die a dignified death. The courts eventually decided that Cruzan had the right to die if there was clear and convincing evidence that she would have wanted to die rather than continue living in the condition she was in. The tubes were removed, and she died two weeks later. Quinlan was placed on a ventilator and feeding tube after she mixed alcohol with pills. Her parents wanted the ventilator removed because they believed it was only prolonging her life and causing her pain. The courts declared it would be considered murder if the hospital disconnected her from life support. Once again, someone’s life was being determined for them. Her ventilator was removed, and she survived up to 9 years later. These two cases have taught us the importance to having a living will made in order to proclaim what our dying wish would be. With a living will documented, our final wishes and treatments, use of ventilators, feeding tubes, etc. will be followed medically. No parent or medical professional will be able to decide our fate if it is not our wish. Unfortunate events can happen at at point in our lives. We will never know when it is important for these documents to have ready, but having these documents will leave doctors, and family members to have little to no say in how we are treated if we are unable to speak for ourselves. These documents can include notice if we were to be placed on life support to do so or refuse; or if there is need to resuscitate or to not resuscitate. These documents are important because in a situation like this, everyone wants to do what they feel is best, regardless to what we would want done. These documents will be our determining factor.


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