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I have uploaded all the homework requirements, including the grading criteria fo

by | Jul 31, 2021 | Health Care | 0 comments

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I have uploaded all the homework requirements, including the grading criteria for the homework.
part one,finish case analysis part, Please remember that I have completed the annotated bibliography part. Please complete the next case analysis according to my draft.
In the second part, you need to complete Review at least TWO of your classmates’ case study analysis
NOTE ****Therefore, the discussion grade for this week is based ONLY on your responses to your classmates, so be sure each response is thorough (at least 125 words) and represents a thoughtful review of your peer’s efforts.
The Case Study Analysis assignment is graded separately when you submit it as a word document unto the Case Study Analysis Link and this counts for 15% of your total grade.
first classmates post:Hello Prof. A and classmates
My annotated bibliography is based on our own intolerable suffering life when inevitably we reach similar end of life circumstances and having someone decide your fate knowing the statistics of death and dying.
This is about putting yourself in Nancy Cruzan’s place when she is unable to speak for herself and what can possibly happen to your loved ones when they must decide your fate and knowing similar end of life and death statistics. I picked the below annotations because they all dealt with dying and the decision, we must make for someone who is dying. This is not an easy decision to make and there is no right or wrong answers. We all know that we will not live for a thousand years, therefore, there is a date with death. But when and at what cost? We know when we were born but we do not know our death day. The following I have chosen.
Crigger, B., Wolf, S. M., Bopp, J., Scofield, G., & Ellanman, I. M. (1990).
The hasting center report, Science Database.
This journal is about Nancy Cruzan, who got into a car accident and became unresponsive and in a comatose state when the Paramedics took her to the hospital. She instructed her biological mother that if she ever become “half-dead” she would not like to live a life in a vegetative condition.
Put yourself in this sad predicament that Nancy had to endure. Imagine doctors doing the right thing but the wrong thing for the family which was Nancy’s voice, who spoke for her. Imagine the doctors getting involved against Nancy’s wishes and the courts getting involved and going against what she communicated to her biological mother. No one wants to go though this.
My second annotation is as bellow.
Onwuteako-philipsen, B. D., van der Heide, A., Koper, D., Keij-Deerenberg, I., Rietjens, J.A.,Rurup, M. L., Vrakking, A. M., van der Wol, G. & Maas, P. J. (1990-2001). Euthenasia and other end-of-life decisions in the Netherlands in 1990, 1995, & 2001. Science Database.
These are some statistics of certain patients near death or about to die. What are the ages? What is their preference in dying? When is a right or a wrong time to die? These and many more questions must be answered to get as close as possible for a definite answer because there is no right or wrong answers.
The family more likely would not want the loved one to die but on the medical perspective, is to go by the best interest of the patient. But what does that mean? Does it mean to end the life of a patient because they know better than the average Joe? Or does it mean to keep a patient alive with long suffering?
My last annotation is about choosing to end life as the patient see fit. It is not the doctor’s decision nor his place to decide what is the best interest of the patient’s death. It is up to the patient to know their rights as a patient and decide what to do with their own body.
second classmates post:Hello Professor & Class,
Case Study Assignment
The Baby Doe Regulation
Berkeley College
Bioethics: SCI4405-OL
July 26, 2021
SCI 4405- OL Bioethics
Case Study Assignment: Baby Doe Regulation
Case Study Assignment
Baby Doe Law
In 1982 in Bloomington Indiana, a male baby (infant) with term Down’s Syndrome and a tracheoesophageal fistula was born. The baby was denied medical treatment by the parents and allowed to die. To protect the parents, the courts sealed the medical records to hide anonymity. The case caused changes in the law of the state of Indiana and at the federal level, because of the hysteria and noise it caused at the local and national level . In order to place the often heated and partisan discussion on a factual basis, the medical circumstances are here offered for public scrutiny (The story of baby doe: [letter]. (1983). The New England Journal of Medicine, 309 (11), 664.
The 31-year-old mother (para II, gravida III) had two young children, went into labor early (six days). The membranes ruptured spontaneously, revealing polyhydramnios with greentinged amniotic fluid. During the two-hour labor, fetal distress was present and the infant was limp and cyanotic when delivered from the vertex position, with a heart rate of less than 100 (Apgar 2). Baby doe’s scores of 5 and 7, respectively, or the one minute and five-minute Apgar. The birth weight was 2722 g, and the length 50.8 cm from crown to heel.
SCI 4405- OL Bioethics
Case Study Assignment: Baby Doe Regulation
The presence of Down’s Syndrome was readily apparent from the flat nasal bridge. Broad epicanthal folds, upward-slanting eyes, and rounded calvarium. A catheter could not be passed into the stomach, suggesting tracheoesophageal fistula, and chest x-ray films revealed a somewhat enlarged heart, which – together with decreased pulses in the lower extremities—led to the diagnosis of possible aortic coarctation (The story of baby doe: [letter]. (1983). The New England Journal of Medicine, 309 (11), 664.).
The family chose to disregard all the medical advice that was provided to them and chose against approving surgery for baby doe. The baby was prescribed morphine (2.5 mg) and phenobarbital (5 mg) as needed for pain and restlessness. The parents comforted the child until its death (six days).
The autopsy report showed the body was 2062 g (weight). The skin was in an unhealthy condition with drooping soft fat. In a blind pouch the esophagus was blocked at the level of the fifth tracheal ring; Just below this, 5 mm just above the carina, 3 by 6 mm in cross section there was a fistulous connection, from the trachea into the lower esophagus. The lungs had areas of joining microscopically accounted for by gastric aspiration acid digestion. In the left ventricle space where there is narrow predominance the heart weighed 20 g. The foreman Ovale was closed, the aorta was not unusual, ductus arteriosus was patent. Down’s syndrome was present as it showed foreshortening of the brain as it weighted 240 g, with abbreviated frontal lobes and widely separated temporal lobes. On both sides were the superior temporal gyri attenuated. After birth baby, did not breath well, had signs of fetal distress and was with
SCI 4405- OL Bioethics
Case Study Assignment: Baby Doe Regulation
obvious Down’s syndrome and reparable esophageal atresia and tracheoesophageal fistula. The potential for mental function and social integration of this child, as of all infants with Down’s syndrome, is unknown (The story of baby doe: [letter]. (1983). The New England Journal of Medicine, 309 (11), 664.).
The legal argument: In the first attempt by the United States Government in the (Baby Doe Rules) to act for babies born with severe congenital defects neonates needing treatment, developed the baby doe regulations. The Baby Doe Rules mandate that under federal requirement for funding, that hospitals and physicians must provide maximal care for all impaired infants; except there are certain special conditions met, the hospitals are held responsible for medical neglect. President Ronald Regan signed the law on October 9th, 1984 as an amendment to the Child Abuse Prevention and Treatment Act (CAPTA) of 1974.
The impact of the Baby Doe regulations have set legal grounds for arguments that have effected the way both parents’ right to make medical decisions for their child and the way future laws can be presented to affect the treatment options in the United States of America. As noted by many neonatologist that they disagree with the baby doe regulations in that it “is biased and does not give discretion to the parents to make decisions based on providing medical care to save the child’s life or refuse care; or allows medical options that doctor’s can provide,” As published in the Federal Register: “[W]hen, in the treating physician’s (physicians’) reasonable medical judgment the infant is chronically and irreversibly comatose [or] the provision of such treatment would merely prolong dying [or] not be effective in ameliorating or
SCI 4405- OL Bioethics
Case Study Assignment- Baby Doe Regulation
correcting all…life threatening conditions, or otherwise futile…or virtually futile in terms of the survival of the infant” (Baby Doe Regulations: [letter]. (1988). The New England Journal of Medicine, 319 (11), 726.).
The court’s made it clear that it would not hear cases based on the “measure of quality of life, and patients ability to appreciate or experience life has no place in the decision” restricting what parents and doctor[s] determined qualified the infants as worthy of needing medical treatment to keep it alive. In the To the Editor, from the case [Id]. “Dr. Freeman that the portion of the so-called Baby Doe rules quoted on our questionnaires – exceptions to providing maximal treatment – indicates a strong bias against withholding treatment’ How ever he asserts, that this bias in the federal rules is mitigated because physicians may use reasonable medical judgement”. (Baby Doe Regulations: [letter]. (1988). The New England Journal of Medicine, 319 (11), 726.). Contrary to Dr. Freeman’s view of the Baby Doe rules, neonatologist disagree that the guidelines permit discretion provides discretion.
The question here is are the baby doe regulation biased to parent’s rights? Do they limit the sound reasoning and options that doctor’s and hospital’s can recommend as the appropriate treatment for infants? Does the baby doe regulations restrict when a parent can deny medical treatment to their children? As the case has provided light to those questions it has made it clear that they are there to safe guard the patients (infants) ability to get medical treatment in most cases. If the hospital neglects the patients rights they will be held liable.
SCI 4405- OL Bioethics
Case Study Assignment- Baby Doe Regulations
As was mentioned in the Baby K case: Where the controversial issue was about providing too much care and attention to a baby with a dying cause, that was diminishing health care expenses. Of course there are going to be opponents for and against the paradigm in the way that the baby doe rules are written, that are supposed to provide guidelines on when medical care is mandated for infants suffering from disabilities and life threatening conditions. But do they go far enough to say when medical care is medically necessary? Do they disregard professional discretion and parental right’s in all cases. We can agree that each case has its own distinguishing circumstances. What’s your opinion? (Glover J.J., & Rushton, C. H. (1995).
Will case law in the future change the perimeters of care as we interpret them in the future we will never know until new cases and circumstance evolve. Right now “Baby Doe” is the rule of law.
SCI 4405- OL Bioethics
Case Study Assignment: Baby Doe Regulation
Glover, J. J., & Rushton, C. H. (1995). Introduction: From baby doe to baby K: Evolving Challenges in pediatric ethics. The Journal of Law, Medicine & Ethics, 23 (1), 506. Doi: (Links to an external site.) 01322.x
The story of baby doe: [letter]. (1983). The New England Journal of Medicine, 309 (11), 664. Doi: (Links to an external site.)
The baby doe controversy: [letter]. (1986) The New England Journal of Medicine, 315 (11), 707-708. Doi: (Links to an external site.)
The baby doe regulations: [letter]. (1988). The New England Journal of Medicine, 319 (11), 726. Doi: (Links to an external site.)
Please remember that I am an international student, please do not use too difficult grammar and vocabulary
require source:
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