One example of self-determination is the Patient Self-Determination Act, passed in 1990, I believe. This law mandated that all hospitals, nursing homes, hospice programs, and home health care agencies ask patients when they enrolled or were admitted if they had an advance directive. An advance directive is a document identifying the types of treatment a patient would or would not want to have if that person become unable to speak for himself or herself, and appointing someone to speak for them if they became unable to speak for themselves.
Patients did not have to complete an advance directive; they merely had to be asked if they would like to. This law was passed in the wake of controversial cases like that of Karen Ann Quinlan and Nancy Beth Cruzan.
The issue of patient self-determination is still very controversial, evidenced in the more recent case of Terry Schiavo. The idea behind the Patient Self-Determination Act was that people had the right to make their wishes known and have someone act for them if they became incapacitated. Sadly, Terry Schiavo had not done that before she became too ill to speak for herself, and the decisions were mired in bitterness, sorrow, and turmoil.
2007-01-13 01:15:42
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answer #2
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answered by meatpiemum 4
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