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Health Services Management 542: Health Rights/Responsibilities

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KELLER GRADUATE SCHOOL OF MANAGEMENT OF DEVRY UNIVERSITY

HEALTH SERVICES MANAGEMENT 542: HEALTH RIGHTS/RESPONSIBILITIES

BY

DR NELVA LEE

HEALTH SERVICES MANAGEMENT 542: HEALTH RIGHTS/RESPONSIBILITIES

BY

DR NELVA LEE

WEEK 5 - YOU DECIDE ASSIGNEMENT

FEBRUARY 2015

The following facts have been brought to my attention as the new director of risk management at Little Falls Hospital: Lydia 45-year-old woman is a patient currently paralyzed and who only communicates through head nods since her car accident over six months ago. She is on life support with a ventilator for respiratory assistance and receives tube feedings. The hospital professionals are unsure if Lydia would be able to understand information regarding her health and making her own decisions. It is also reported that she has an advance directive, but no one has been able to secure a copy of the document. According to the Uniform Healthcare Decision Act, in absence of advance directive the family member who would be in priority to act as a surrogate is the patient spouse unless legally separated, and in this case Lydia’s four (4) years husband, Mr. Bevins would become her legal guardian. (National Conference of Commissioners on Uniform States Laws. 1994)
The legal right to make the decisions about her health care on her behalf would be given to him. Mr. Bevins states that based on his different conversations with his wife about these type of issues, he knows that she would not want to be kept alive in this fashion. He states, “She and I have had many conversations and discussions about end-of-life decisions, and living like this would not be her choice.” He then asked to withdraw the life sustaining support. However Lydia’s mom, Eileen Redfield who was hurting to see her daughter lying there so incapacitated, suggested that ending her life was not the answer. In

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