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Ethics 5
Persistent Vegetative State to Refusal
25
Other
Graduate
07/24/2013

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Cards

Term
The following are characteristics of what?
- extensive brain damage
- unconscious, no purposeful activity
- wakefulness, cycles of sleeping and waking
- may open and move eyes, blink, move face, grimace, smile, yawn, and produce tears
- breathing and circulation function normally
Definition
PERSISTENT VEGETATIVE STATE (PVS)
Term
Patients in a vegetative state have no ________ function, but have preserved brainstem function
Definition
CORTICAL
Term
How long after the brain injury can we determine with a high degree of confidence the irreversibility of the patient’s vegetative state?
Definition
ANOXIC = 3 MO

TRAUMATIC = 12 MO
Term
________ is a condition of those who have brain injury but progress to show some awareness of self and environment (e.g., respond to simple questions, show purposeful behavior, etc.)
Definition
MINIMALLY CONCIOUS STATE (MCS)
Term
SOME doubt the _______of the patient in a PVS.
Definition
“personhood”
Term
True or False: Controversies over PVS are solely over technical/medical issues and do NOT pertain to personal, religious, transcendent or philosophical beliefs.
Definition
FALSE
Term
Be _______ in your communication with family members about these conditions in order to avoid confusion.
Definition
PRECISE
(consistent and accurate)
Term
True or False: Someone is determined to be dead when their cortex has irreversibly stopped functioning.
Definition
FALSE
Term
Define DEATH
Definition
cortex and brainstem death = whole brain death = DEATH
Term
Some Orthodox Jews, Native Americans and Japanese _____ the concept of brain death.
Definition
DISPUTE
Term
Which Act gives us a definition of death?
Definition
UNIFORM DETERMINATION OF DEATH ACT (UDDA)
Term
True or False: The physician needs to get permission from the family in order to declare someone dead.
Definition
FALSE
Term
The Karen Quinlan case reinforces which right?
Definition
****
RIGHT TO DECLINE OR WITHHOLD TREATMENT
*****
Term
The Karen Quinlan case motivated the development of hospital _____ _______.
Definition
ETHICS COMMITTEES
Term
With the Nancy Cruzan case, the Missouri Supreme Court was looking for a ______________ statement about the patient’s desires for treatment/non-treatment.
Definition
“clear and convincing”
Term
With the Nancy Cruzan case, the _______ supported the right of each state to establish safeguards for incompetent patients. They also acknowledged that administered nutrition and hydration is a _______ intervention that can be removed at the patient’s request/desire.
Definition
US SUPREME COURT

MEDICAL
Term
The Nancy Cruzan case resulted in: 1. The increase in state legislation regarding advance directives. 2. The emplacement (December 1991) of the ________________ Act
Definition
PATIENT SELF DETERMINATION ACT (PSDA)
Term
True or False: The US Supreme Court declared PAS (Physician Assisted Suicide) to be a fundamental and constitutional right.
Definition
FALSE
Term
The Terri Schiavo case originated in which state?
Definition
FLORIDA
Term
How long had Terri been in a vegetative state by the time the removal of medically administered nutrition and hydration had been authorized?
Definition
15 YEARS
Term
The Terri Schiavo case highlighted the importance of _____________ __________.
Definition
ADVANCE DIRECTIVES
Term
Our pluralistic/diverse society tries to respect the various viewpoints of people as much as is possible. Much importance is placed upon patient ___________. _________ is not a one way street. Healthcare providers are not machines, but persons who also deserve respect and protection.
Definition
AUTONOMY

AUTONOMY
Term
The Right of ________ protects people from participating in unethical actions.
Definition
CONSCIENCE
Term
Termination of the doctor-patient relationship is a(n)_________ ________.
Definition
ABSOLUTE LAST-RESORT
Term
Patient has the right to be Free from _______ ________.
Definition
BODILY INVASIONS
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