1. Uniform Determination of Death Act (UDDA):
o How this law was created
o Legal definition of death, describe
2. Define dying within context of faith, basic principle about human life
3. Bioethical Analysis of Pain Management – Pain Relief
4. What is the difference between Pain and suffering? Explain
5. Diagnosis / Prognosis: define both.
6. Ordinary / Extraordinary means of life support. Explain the bioethical analysis.
7. Killing or allowing to die? Define both and explain which one is ethically correct and why?
8. Catholic declaration on life and death; give a summary of this document: https://ecatholic-sites.s3.amazonaws.com/17766/documents/2018/11/CDLD.pdf (Links to an external site.)
9. What is free and informed consent from the Catholic perspective?
10. Define Proxi, Surrogate
11. Explain:
o Advance Directives
o Living Will
o PoA / Durable PoA
o DNR
State of Florida
DO NOT RESUSCITATE ORDER
(please use ink)
Patient’s Full Legal Name: ________________________________________________Date:____________________
(Print or Type Name)
PATIENT’S STATEMENT
Based upon informed consent, I, the undersigned, hereby direct that CPR be withheld or withdrawn.
(If not signed by patient, check applicable box):
q Surrogate q Proxy (both as defined in Chapter 765, F.S.)
q Court appointed guardian q Durable power of attorney (pursuant to Chapter 709, F.S.)
________________________________________________________________________________________________
(Applicable Signature) (Print or Type Name)
PHYSICIAN’S STATEMENT
I, the undersigned, a physician licensed pursuant to Chapter 458 or 459, F.S., am the physician of the
patient named above. I hereby direct the withholding or withdrawing of cardiopulmonary resuscitation
(artificial ventilation, cardiac compression, endotracheal intubation and defibrillation) from the patient
in the event of the patient’s cardiac or respiratory arrest.
________________________________________________________________________________________________
(Signature of Physician) (Date) Telephone Number (Emergency)
________________________________________________________________________________________________
(Print or Type Name) (Physician’s Medical License Number)
DH Form 1896, Revised December 2002
PHYSICIAN’S STATEMENT
I, the undersigned, a physician licensed pursuant to Chapter 458
or 459, F.S., am the physician of the patient named above.
I hereby direct the withholding or withdrawing of cardiopulmonary
resuscitation (artificial ventilation, cardiac compression,
endotracheal intubation and defibrillation) from the patient in the
event of the patient’s cardiac or respiratory arrest.
________________________________________________________
(Signature of Physician) (Date) Telephone Number (Emergency)
________________________________________________________
(Print or Type Name) (Physician’s Medical License Number)
DH Form 1896,Revised December 2002
State of Florida
DO NOT RESUSCITATE ORDER
________________________________________________________________
Patient’s Full Legal Name (Print or Type) (Date)
PATIENT’S STATEMENT
Based upon informed consent, I , the unders i g n e d ,h e r e by direct that CPR
be withheld or withdrawn. (If not signed by patient, check applicable box):
q Surrogate
q Proxy (both as defined in Chapter 765, F.S.)
q Court appointed guardian
q Durable power of attorney (pursuant to Chapter 709, F.S.)
________________________________________________________________
(Applicable Signature) (Print or Type Name)
In order to be legally valid this form MUS
CATHOLIC DECLARATION ON LIFE AND DEATH
ADVANCE DIRECTIVE
(HEALTH SURROGATE DESIGNATION/LIVING WILL) OF
_________________________________________________________
(Name)
Introduction
I am executing this Catholic Declaration on Life and Death while I am of sound mind. It is intended to
designate a surrogate and provide guidance in making medical decisions in the event I am
incapacitated or unable to express my own wishes.
Statement of Faith
I believe that I have been created for eternal life in union with God. The truth that my life is a
precious gift from God has profound implications for the question of stewardship over my life. I have
a duty to preserve my life and to use it for God’s glory, but the duty to preserve my life is not
absolute, for I may reject life-prolonging procedures that are insufficiently beneficial or excessively
burdensome. Suicide and euthanasia are never morally acceptable options.1 If I should become
irreversibly and terminally ill, I request to be fully informed of my condition so that I can prepare
myself spiritually for death and witness to my belief in Christ’s redemption.
Designation of Health Care Surrogate
In the event that I become incapacitated, I designate as my surrogate for health care decisions (if no
surrogate is to be appointed, please write “none” in place of “name” below):
Name:_________________________________________________________________
Address:_______________________________________________________________
Phones (H, W, C):________________________________________________________
If my surrogate is unwilling or unable to perform his or her duties or cannot be contacted, I wish to
designate as my alternate surrogate (if no alternate surrogate is to be appointed, please write “none”
in place of “name” below):
Name:_________________________________________________________________
Address:_______________________________________________________________
Phones (H, W, C):________________________________________________________
This directive will permit my surrogate to make health care decisions, and to provide, withhold, or
withdraw consent on my behalf; to apply for public benefits to defray the cost of health care; to
receive my personal health care information; and to authorize my admission to or transfer from a
health care facility. My
END OF LIFE
CONSENT
ADVANCE DIRECTIVES
POWER OF ATTORNEY
DO NOT RESUSCITATE
POLST
MOLST
CONSENT
• FREE AND INFORMED (ERD 28, 27, 26, 59)
28. Each person or the person’s surrogate
should have access to medical and moral
information and counseling so as to be able to
form his or her conscience. The free and
informed health care decision of the person or
the person’s surrogate is to be followed so long
as it does not contradict Catholic principles.
CONSENT
• FREE AND INFORMED (ERD 28, 27, 26, 59)
27. Free and informed consent requires that
the person or the person’s surrogate receive all
reasonable information about the essential
nature of the proposed treatment and its
benefits; its risks, side-effects, consequences,
and cost; and any reasonable and morally
legitimate alternatives, including no treatment
at all.
CONSENT
• FREE AND INFORMED (ERD 28, 27, 26, 59)
26. The free and informed consent of the
person or the person’s surrogate is required
for medical treatments and procedures,
except in an emergency situation when
consent cannot be obtained and there is no
indication that the patient would refuse
consent to the treatment.
CONSENT
• FREE AND INFORMED (ERD 28, 27, 26,
59)
59. The free and informed judgment made
by a competent adult patient concerning
the use or withdrawal of life-sustaining
procedures should always be respected
and normally complied with, unless it is
contrary to Catholic moral teaching.
CONSENT
• PROXY (ERD 25, 24)
25. Each person may identify in advance a representative
to make health care decisions as his or her surrogate in
the event that the person loses the capacity to make
health care decisions. Decisions by the designated
surrogate should be faithful to Catholic moral principles
and to the person’s intentions and values, or if the
person’s intentions are unknown, to the person’s best
interests. In the event that an advance directive is not
executed, those who are in a position to know best the
patient’s wishes—usually family members and loved
ones—should participate in the treatment decisions for
the person who has lost the capacity to make health care
decisions.
CONSENT
• PROXY (ERD 25, 24)
24. In compliance with federal law, a Catholic health
care institution will make available to patients
information about their rights, under the laws of
their state, to make an advance directive for their
medical treatment. The institution, however, will not
honor an advance directive that is contrary to
Catholic teaching. If the advance directive conflicts
with Catholic teaching, an explanation sh
DURABLE POWER OF ATTORNEY
State of Florida
County of ____________________________
KNOW ALL MEN BY THESE PRESENTS, that I,__________________________________, of ____________________,
(name) (county)
Florida, as authorized by Florida law, do hereby appoint,_______________________________________________________
(name)
To manage and conduct my affairs. This power of attorney shall be non-delegable except as otherwise provided in Florida Statutes,
and shall be valid and effective from date hereof until such time as I shall die or revoke the power. This durable power of attorney is
not affected by subsequent incapacity of the principal except as provided in Florida Statutes.
The property subject to this durable power of attorney shall include all real and personal property owned by me, my
interest in al property held in joint tenancy, my interest in all non-homestead property held in tenancy by the entirety, and all
property over which I hold power of appointment and shall also include authority to sell, mortgage or convey my homestead
property.
Without limiting the broad powers intended to be conferred by the preceding provisions, I expressly authorize my attorney
acting hereunder in a fiduciary capacity to do and execute all or any of the following acts, deeds, and things for my benefit and on
my behalf.
1. COLLECTION POWERS: To ask, demand, sue for, recover, collect, receive all sums of money, bank deposits, chattels
and other real or personal property, tangible or intangible, of whatsoever nature or description that may be due,
owing, payable or belonging to me, and to execute and deliver receipts, releases, cancellations or discharges.
2. PAYMENT POWERS: To settle any account or reckoning whatsoever wherein I now am or at any time hereafter shall
be in any way interested or concerned with any person whomsoever, and to pay or receive the balance thereof as the
case may require.
3. SAFE DEPOSIT BOXES: To enter any safe deposit or other place of safekeeping standing in my name with full authority
to remove any and all the contents thereof and to make additions, substitutions and replacements, specifically
including any safe deposit box in my name jointly with my spouse or any other person.
4. BANKING POWERS:
(a) To borrow any sum or sums of money on such terms and with such security, whether real or personal property
belonging to me, as my
• UNIFORM DETERMINATION OF DEATH ACT (UDDA):
• DYING -> W/IN CONTEXT OF FAITH
• ORDINARY / EXTRAORDINARY MEANS OF LIFE SUPPORT
• ASSIST / SUBSTITUTE VITAL ORGANS
• DIALYSIS
• VENT
• CPR
• KILLING OR ALLOWING TO DIE?
DETERMINATION OF DEATH
ORDINARY / EXTRAORDINARY MEANS OF LIFE SUPPORT
Uniform Determination of Death Act (UDDA):
• model state law
• approved 1981
• NATIONAL CONFERENCE OF COMMISSIONERS ON UNIFORM STATE LAWS
• AMERICAN MEDICAL ASSOCIATION (AMA)
• AMERICAN BAR ASSOCIATION (ABA)
• PRESIDENT’S COMMISSION FOR THE STUDY OF ETHICAL PROBLEMS IN MEDICINE
AND BIOMEDICAL AND BEHAVIORAL RESEARCH
Determination of Death:
(1) irreversible cessation of circulatory and respiratory functions
or
(2) irreversible cessation of all functions of the entire brain, including the brain stem
UNIFORM DETERMINATION OF DEATH:
1. STANDARD CRITERIA (CARDIO-PULMONARY):
NO HEARTBEAT AND NO BREATHING
or
2. NEUROLOGICAL CRITERIA; ELECTROENCEPHALOGRAM (EEG)
x PARTIAL BRAIN DEATH (NOT ACCEPTABLE)
TOTAL BRAIN DEATH (YES ACCEPTABLE)
MEDULLA OBLONGATA
DYING -> W/IN CONTEXT OF FAITH
HUMAN LIFE: YES FUNDAMENTAL VALUE / NOT ABSOLUTE VALUE
USA LIFE EXPECTANCY:
• WOMEN: 81 YEARS
• MEN: 76 YEARS
• COMBINED: 79 YEARS
MANAGEMENT, RELIEF: PAIN / SUFFERING
ANALYSIS: BENEFIT / BURDEN
DIAGNOSIS -> PROGNOSIS
BIOETHICAL MEANS OF LIFE SUPPORT:
• ORDINARY (PROPORTIONATE) / EXTRAORDINARY (DISPROPORTIONATE)
CLINICAL MEANS OF LIFE SUPPORT:
• STANDARD MEDICAL PRACTICE / EXPERIMENTAL TREATMENT
ERD 56. A person has a moral
obligation to use ordinary or
proportionate means of preserving
his or her life. Proportionate means
are those that, in the judgment of
the patient, offer a reasonable
hope of benefit and do not entail
an excessive burden or impose
excessive expense on the family or
the community.
ERD 57. A person may forgo
extraordinary or disproportionate
means of preserving life.
Disproportionate means are those
that, in the patient’s judgment, do
not offer a reasonable hope of
benefit or entail an excessive
burden, or impose excessive
expense on the family or the
community.
ETHICAL OBLIGATION RE. VITAL ORGANS: ASSIST / SUBSTITUTE
WHEN TO WITHHOLD OR WITHDRAW LIFE SAVING TREATMENT?
DIALYSIS: SUBSTITUTES KIDNEYS
RESPIRATOR; ASSISTS IN PROVIDING OXYGEN
VENTILATOR; DEPENDS ON THE SETTINGS: ASSIST OR SUBSTITUTE BRE
MODULE 5 MATERIALS
Module 5: Lecture Materials & Resources
Determination of Death / Informed Consent
Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).
(Note: The citations below are provided for your research convenience. You should always cross reference the current APA guide for correct styling of citations and references in your academic work.)
Read
·
Ethical and
Religious
Directives (ERD) for Catholic Health Care Services (6th ed.). (2018).
Paragraphs: 24, 25, 26, 27, 28, 55, 59, 61, 62
·
PHI 3633 WK 5-A.pdf
Download PHI 3633 WK 5-A.pdf
·
PHI 3633 WK 5-B.pdf
Download PHI 3633 WK 5-B.pdf
·
DECL LIFE DEATH FL CATH CONF.pdf
Download DECL LIFE DEATH FL CATH CONF.pdf
·
DNR ORDER-form.pdf
Download DNR ORDER-form.pdf
·
durable-power-of-attorney FLORIDA.pdf
Download durable-power-of-attorney FLORIDA.pdf
Watch
· Cioffi, A. (2018, March 17).
BIO 603 3 17 18 [Video file]. Retrieved from
BIO 603 3 17 18Links to an external site.
· Cioffi, A. (2019, April 6).
BIO 603 CONSENT 4 6 19 [Video file]. Retrieved from
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