Write a 1,500 word paper in which you address the ethical and legal application in the following scenario:

Scenario: You are a hospital administrator who has been told by your ICU unit director of a patient in the unit who has suffered serious brain damage from a car accident 2 days ago and is currently intubated. The patient is 45 years old but does not currently meet the criteria for complete brain death as defined by Arizona state legislature “4-1107. Determination of Death and Status; Rules.” The spouse of the patient has consulted with the attending physician. The attending physician informed the spouse that the patient could survive but would likely require life support. Half of the family is insisting that the patient “wouldn’t want to live this way” and the other half is accusing the other family members of wanting to “kill” the patient. Some allegations have been raised about a substantial inheritance for some family members upon the patient’s death. The battle is becoming intense, and it is beginning to disrupt the medical and nursing staff.

1. Describe the medical care issues involved in this situation.


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Decisions regarding medical treatment that pose consequences for the nature and timing of an individual’s death elicit strong emotions among both the public and health professionals while raising complex legal and ethical matters for all concerned (Van den Block, 2009). According to Gorsuch (2009), the decision…

2. Explain which laws and regulations apply to this situation. How would you interpret these laws and regulations when making a decision?

In the United States, there are five states that have legalized euthanasia. However, Arizona is not one of such states and hence the decision making in the provided case scenario will have to be made carefully to avoid performing illegalities. However, the laws in the state have extensive provisions on…

3. Describe the ethical issues that may arise based on your decision as the administrator.

Modern medical practice is based on respecting the right of competent patients to refuse interventions depending on their judgment of the benefits and burdens of the said interventions. Some patients may seek that the life-sustaining treatments are withdrawn after performing a cost-benefit analysis of the…

4. Explain how you can ensure appropriate implementation of supporting policies and procedures in order to ensure ethical integrity.

As the hospital administrator, I have the duty of ensuring that the procedures guiding end-of-life situations are implemented while maintaining ethical integrity. The modern healthcare is indeed, based on collaborative…

5. What policies and procedures would you consider when making your decision? How would you ensure these procedures were followed correctly?

When making decisions in situations like the one prescribed in the case, I will use both the state, federal and organization based procedures. The state and federal policies encourage that patients are cared for as soon…

6.What resources could you use to support your decision?

In making this decision, I will rely on the federal and state laws regarding the appointment of a guardian or surrogate with the…

This assignment assesses the following programmatic competencies:

MPA 4.4: Explain how laws and regulations are interpreted and applied by health care agencies in the delivery of health care.

MBA 5.3: Evaluate ethical challenges and ensure appropriate implementation of supporting policies and procedures in order to ensure ethical integrity.


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