End-of-Life Care Ethics and Law
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Questions and Answers

What is one of the rights patients have regarding their treatment?

  • The right to demand any treatment regardless of medical advice
  • The right to be treated only by specific healthcare providers
  • The right to refuse treatment that leads to their death (correct)
  • The right to receive treatment even if deemed futile

    • Which document serves as a person's decision-maker when they lose capacity?

  • A power of attorney document
  • A hospital consent form
  • A living will
  • An advance health directive (AHD) (correct)

    • What is required before making a decision to withdraw life-sustaining treatment?

  • Providing a rationale based on emotional arguments
  • Following the wishes of the healthcare team
  • Documenting the decision-making pathway (correct)
  • Obtaining consent from all family members

    • In which situation is it acceptable to make unilateral decisions regarding life-sustaining treatment?

    <p>In emergency situations where consent is not required</p> Signup and view all the answers

    What ethical guideline is mentioned regarding the provision of treatment?

    <p>There is no obligation to provide treatment that is considered futile</p> Signup and view all the answers

    What is emphasized as essential in end-of-life care according to the session's aim?

    <p>Empathy</p> Signup and view all the answers

    What challenges are highlighted in the context of discussing death and treatment options?

    <p>Fear and common barriers</p> Signup and view all the answers

    Which aspect is NOT mentioned as a factor that influences healthcare decisions regarding life and death?

    <p>Family income level</p> Signup and view all the answers

    What is one of the goals related to end-of-life care practices mentioned in the content?

    <p>Understand futile treatments</p> Signup and view all the answers

    What commitment does the University of Queensland make in its approach to workplace culture?

    <p>Enhancing cultural safety</p> Signup and view all the answers

    Which of the following is a component of showcasing kindness and compassion in clinical encounters?

    <p>Demonstrating empathy</p> Signup and view all the answers

    What does UQ acknowledge in relation to the Traditional Owners of the land?

    <p>Their historical governance of the land</p> Signup and view all the answers

    What is a key understanding to be developed in relation to patient values and healthcare?

    <p>Respecting diverse patient values</p> Signup and view all the answers

    What is the primary function of an acute resuscitation plan?

    <p>To outline treatment in case of a foreseeable acute event.</p> Signup and view all the answers

    Who has the authority to make decisions if an adult has an Advanced Health Directive (AHD)?

    <p>The appointed attorney as per the AHD.</p> Signup and view all the answers

    What happens if there is no Advanced Health Directive or appointed guardian for an adult?

    <p>The statutory health attorney can make the decision.</p> Signup and view all the answers

    What condition must be met for a consent to withdraw life-sustaining measures to be valid?

    <p>The health provider must find it inconsistent with good medical practice.</p> Signup and view all the answers

    What is the legal status of common law directives in Queensland?

    <p>They are non-binding and issued as directives only.</p> Signup and view all the answers

    What is the primary focus in healthcare when it comes to end of life decision-making?

    <p>Patient autonomy</p> Signup and view all the answers

    In the context of beneficence, what factors should be considered to determine what is in the patient's best interests?

    <p>Personal values and cultural beliefs</p> Signup and view all the answers

    What could be a consequence of not following a patient's wishes at the end of life?

    <p>Psychological distress</p> Signup and view all the answers

    What should be evaluated to confirm if a patient has decision-making capacity?

    <p>Their ability to understand information and make choices</p> Signup and view all the answers

    In situations where a patient's wishes are not known, what is a critical factor in determining their best interests?

    <p>Considering known values and preferences of the patient</p> Signup and view all the answers

    Which ethical principle considers the act of ensuring that no harm comes to the patient during end of life care?

    <p>Non-maleficence</p> Signup and view all the answers

    What might be a reason for a patient to prioritize dying with dignity in their end of life care?

    <p>Cultural perspectives on death</p> Signup and view all the answers

    When making end of life decisions for an incapacitated patient, what should be the primary consideration?

    <p>Patient's previously expressed wishes</p> Signup and view all the answers

    Which of the following is NOT considered a life sustaining measure?

    <p>Blood transfusion</p> Signup and view all the answers

    What is required for an Advance Health Directive (AHD) to be legally recognized under guardianship laws?

    <p>It must be a written document, signed, and certified.</p> Signup and view all the answers

    Which factor is NOT considered when making urgent decisions regarding patient treatment?

    <p>If the patient's family is available</p> Signup and view all the answers

    What is the main purpose of a Statement of Choices?

    <p>To indicate a person's wishes at the end of life.</p> Signup and view all the answers

    Who must sign and date the Advance Health Directive in order for it to be valid?

    <p>The patient and an eligible witness.</p> Signup and view all the answers

    Which of the following statements about Advance Health Directives is true?

    <p>They are activated when the individual loses capacity.</p> Signup and view all the answers

    Which component is NOT necessary for making an Advance Health Directive?

    <p>A verbal agreement from family members.</p> Signup and view all the answers

    What happens if a person does not have the capacity to make healthcare decisions?

    <p>An Advance Health Directive is activated if available.</p> Signup and view all the answers

    Study Notes

    End-of-Life Care Ethics and Law

    • Autonomy is the right to self-determination. Patients have the right to choose how they want to die.
    • Beneficence means acting in the patient's best interests. This includes their clinical, relational, cultural, economic, and personal values.
    • Non-maleficence considers the harm of not following the patient’s wishes. This may include physical, psychological, or cultural harm.
    • Justice ensures fairness and equality in access to end-of-life options. It also respects patient rights like having their wishes respected and being treated with dignity.
    • The Guardianship and Administration Act 2000 defines life-sustaining measures as interventions meant to sustain or prolong life that replace vital bodily functions. Examples include cardiopulmonary resuscitation, assisted ventilation, and artificial nutrition and hydration.
    • Advance Care Planning allows individuals to express their wishes regarding end-of-life care, especially if they lose capacity.
    • Advance Health Directives (AHDs) are legally recognized documents that guide medical decision-making. They must be written, signed by the individual with capacity or an "eligible signer," witnessed by an "eligible witness," and signed by a doctor.
    • Statement of Choices is not legally binding but can guide discussions regarding end-of-life care.
    • Common Law Directives are not legally binding in Queensland.
    • Acute Resuscitation Plans are medical orders that specify treatment in case of acute events.
    • The Guardianship Act outlines a hierarchy of decision-makers in the absence of an AHD or capacity: appointed guardians, attorneys, statutory health attorney, and health provider.
    • A consent to withhold or withdraw life-sustaining treatment requires reasonable consideration of the "good medical practice" principle.

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    Related Documents

    Dealing With Patient Death: Ethical & Legal Considerations (PDF)

    Description

    Explore the ethical principles and legal frameworks surrounding end-of-life care. This quiz addresses key concepts like autonomy, beneficence, non-maleficence, and justice, along with relevant legal statutes such as the Guardianship and Administration Act 2000. Test your knowledge on how these principles apply in real-world situations.

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