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Mark Clarfield, MD, FRCPC, Michael Gordon, MD, MSc, FRCPC, Hazel Markwell, PhD DTh, Shabbir M.H. Alibhai, MD, MSc, FRCPC0 & Scenario 1 $XAn 86-year-old cognitively intact woman with coronary artery disease and atrial fibrillation presents with a massive stroke. For 2 months, she remains unconscious with complete hemiplegia. Her chance of significant neurological recovery is virtually nil. She has no AD. Her family has strong religious convictions and requests a permanent feeding tube. While this discussion occurs, she becomes febrile and is diagnosed with pneumonia. The children insist that the doctors must under no circumstances tell the patient s elderly husband her bleak prognosis, because  the information would surely kill him . He is cognitively intact and keeps asking about his wife s condition.!,Ic  Questions (b1. Is it appropriate to insert or refuse to insert a feeding tube in this patient? 2. Should her pneumonia be treated? 3. How should one respond to the husband s queries? $ Scenario 2 $An 84-year-old woman with mild dementia and compensated congestive heart failure is admitted to a nursing home. Her husband, the surrogate decision-maker, presents the attending physician with a signed and witnessed Advanced Directive that states that under no circumstances does she want resuscitation, antibiotic therapy for life-threatening infection, or to be transferred to an acute care hospital.  Questions $1. How should the staff respond to these requests, especially if they go against their own religious convictions? 2. The patient falls ill and is in a stuporous state secondary to sepsis. How should the staff respond? $ <  Scenario 3 $An 87-year-old man with advanced metastatic lung carcinoma admitted to an acute hospital is fed via a gastrostomy tube and aspirates in the middle of the night. He is intubated and put on mechanical ventilation. The morning of the senior physician s round, the children informed her that their father had told all of them that he would never want to end his days on a machine, as did his late wife, who died of intractable congestive heart failure several months ago. There is no Advanced Directive.>! ; 7 F  Questions $`1. Should he have been intubated? 2. Can life-support be discontinued in accordance with the patient s request expressed directly or communicated to the team by the children?( <The  Four Principles Approach B$   <The  Four Principles Approach$B$@         For further reading 1) Clarfield AM et al. JAGS 2003; 51: 1149-54 2) Goldsand G et al. CMAJ 2001; 164: 219-22 Markwell H et al. CMAJ 2001; 165: 189-192 4) Daar AS et al. CMAJ 2001; 164: 60-63^+" )*P '"'!NThank you  ( Todah) Shukran @( 0(000L   R   0` 33` Sf3f` 33g` f` www3PP` ZXdbmo` \ғ3y`Ӣ` 3f3ff` 3f3FKf` hk]wwwfܹ` ff>>\`Y{ff` R>&- {p_/̴>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>> |(    6"   `}   T Click to edit Master title style! !  0   `   RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  0Ь  ^ `   X*  0k  ^    Z*2  0  ^ ``  H@___PPT9"@ j*"H  0޽h ? 3380___PPT10. P7p Default Design)  0 PHP T(  Tx T c $Q @`    R T s *A * T s *A  ldR T s *A@   T 0u   P  FEthical Issues in End-of-Life Geriatric Care: The Approach of Three Monotheistic Religions  Judaism, Catholicism and Islam Oct 2, 2005.ZH T 0޽h ? ̙33y___PPT10Y+D=' @ = @B +e  0 |t0  (   r  S 4  `}   x  c $o 0PS     BA 3     BA  0     s *A @ldH  0޽h ? 33___PPT10i.  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YThe obligation to provide benefits and balance benefits against rights (eg. vaccination)&ZYF&I       @` h <X ?  o Beneficence  F$    @``B h 0o ?ZB  h s *1 ?  `B  h 0o ?jj`B  h 0o ?jZB  h s *1 ?  j`B  h 0o ?j h 0l X   sTom Beauchamp, 199400bc    h s *A P ,$D 0> h s *A0 'OOOOOOpppppp3z3aW33&OOOOOOppppppzz3&3&aWaW^B h 6DԔ` P7^B h@ 6DԔi @H h 0޽h ? ̙33___PPT10+~yRD' = @B DW' = @BA?%,( < +O%,( < +D' =%(%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*h%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*hD' =+4 8?dCB0-#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*h+x  0 nrfrttlq(  lx l c $X   X  t  l3 #" `V l <X ?  VObligations of fairness in distribution of benefits and risk (eg. Medicare / Medicaid),WVFB&>       @` l <X ?  Justice2F F,    @`W l <X ?   eThe obligation to respect the decision-making capacities of autonomous persons (eg. informed consent)ffF&P       @` l < X ?  Respect for Autonomy.F B,    @``B l 0o ?ZB  l s *1 ?  `B  l 0o ?`B  l 0o ?ZB  l s *1 ?  `B  l 0o ? l 0(X 0 * cTom Beauchamp, 1994 0b    l s *A P0 ,$D 0DhF @  l @ N l  BCDEF¦55'z"q0cMZlS{K+ ej[3 c-%=3ji6Gw" uokUI=0+'lp@`j v 2 l BhCiDEPFX <bfh hcZQF,+"-%5&=&F%O]i),@6p j  l BQCDE$F,  "9BLQ@L} u  l BLCDE(F0  &4BL @L r  l BACDE$F,  1;A @N o  l B7CDE,F4 7 / +#  @S n  l B'C4DE F('42,%@. 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V k ZB   @`  ` <px` ?   1100 x 106F  F3N3F3     @`{  ` <h` ?)   - New Testament Church fathers Tradition |! !! ! !B-F3$  ,     @`  ` <`` ?V )   z0-400 CE  F3     @`  ` <` ?V   ZB   @` ` <h` ?`  13.1 x 106F  FNF     @` ` <` ?) ` Torah Talmud Responsa4!FF&        @` ` <`` ?V `)  z1500 BCE  F     @` ` < E` ?`V  ZB   @` ` <` ?` uNumber of AdherentsB    @` ` <D` ?) ` iSourcesB    @` ` <X` ?V ) ` pYear of OriginB    @` ` <M ?V ` X@   @``B ` 0o ?ZB ` s *1 ?``ZB ` s *1 ?ZB ` s *1 ?  `B ` 0o ?kk`B ` 0o ?kZB ` s *1 ?V V kZB ` s *1 ?) ) kZB ` s *1 ?k`B !` 0o ?kR "` s *A@8R #` s *Ap  $` s *AP PldH ` 0޽h ? ̙33y___PPT10Y+D='  = @B +  0  (p(  p  ` (p #"" `& `  p <` ?Pz ` lyes   @` p <0` ?@ z P lyes   @` p <,M ?0z @ \TL___PPT9.&@ usually, but not always> (     @`  p <M ? z 0 .Answer husband s query  @` p <(5M ?P`z  lyes   @` p <IM ?@ Pz  l+/-   @` p < M ?0@ z  *yes (unless  goses )&  @`  p <M ? 0z  q Pneumonia     @`  p <&M ?PG` myes!   @`  p <M ?@ GP mmaybe  @`  p <aM ?0G@  myes!   @`  p <DM ? G0 }Feeding tube (acute)   @` p <tM ?P`G X  @` p <8M ?@ PG X  @` p <M ?0@ G X  @` p < ? 0G lCase 1  @``B p 0o ? `ZB p s *1 ? G`GZB p s *1 ? `ZB p s *1 ? z `z `B p 0o ? ``B p 0o ?  ZB p s *1 ?00ZB p s *1 ?@ @ ZB p s *1 ?PP`B p 0o ?``X #p 0A S $X $p 0A  ` %p s *A`ldH p 0޽h ? 33___PPT10i.z+D='  = @B +7  0 66K]55(  4L 4 c $ #5  ]5 #"NB s4 <M ? r = not well formulated.(  @` o4 <M ? ~$* to *** = least to most acceptable.(% $ @` k4 < ?  ~$+ to ++++ = least to most important.(% $ @` j4 B> ?   [*(  @` i4 B8n ?   ]***(  @` h4 Bs ?   [*(  @` g4 B ?   aAutopsy(  @` f4 <䏫 ?   [(  @` e4 <t ?   ]***(  @` d4 <y ?   [*(  @` c4 <{ ?   rUse of advance directive(  @` b4 <X ?k   [*(  @` a4 <L ?k   \**(  @` `4 < ? k   [*(  @` _4 <4 ?k   oWithholding nutrition(  @` ^4 B4q ?k  \**(  @` ]4 B ?k  ]***(  @` \4 B ? k  [*(  @` [4 B| ? k  <Moral equivalence of withholding or withdrawing treatment(= < @` Z4 <lܳ ? [*(  @` Y4 <h ? [*(  @` X4 < ?  \**(  @` W4 <{ ?  kWithholding truth(  @` V4 < ? [(  @` U4 <ճ ? [*(  @` T4 < ?  [*(  @` S4 <i ?  rSecond religious opinion(  @` R4 <`v ?r ]+++(  @` Q4 <ѳ ?r ^+++*(  @` P4 <|̳ ? r ]+++(  @` O4 <ó ?r  rRole of family/community(  @` N4 <dz ?]r [+(  @` M4 <tγ ?]r ]++*(  @` L4 << ? ]r [+(  @` K4 <4 ?] r aJustice(  @` J4 <[ ?J] ]+++(  @` I4 <[ ?J] ]+++(  @` H4 <[ ? J] ^++++(  @` G4 < ?J ] Non-maleficence(   @` F4 < ?4J ]+++(  @` E4 < ?4J ]+++(  @` D4 <| ? 4J ]+++(  @` C4 < ?4 J e Beneficence(    @` B4 <Ho ?4 [+(  @` A4 <s ?4 \++(  @` @4 <w ? 4 [+(  @` ?4 <{ ? 4 bAutonomy(   @` >4 < ? W