21 Jan 2011
School
Department
Course
Bioethics: PHL283
Lecture Three: Jan. 20.2011
1
Case Study: Dax Coward Video
๎€ Dax coward at 26 was in a explosion, at which he was severely burned
๎€ He had a twenty percent chance of surviving.
๎€ Throughout the time at which Dax was in the hospital, he continuously asked
that his
treatment be stopped, and that he be allowed to die.
Physician/Patient Relationship of Dax
๎€ The evidence of a paternalistic relationship was evident
๎€ The mother claimed that she did not know what to do, as she did not have any
background
information; she said that they were the experts, hence she just had to sign.
๎€ When Dax claimed that he wanted to die; he just ignored itโ€ฆ and continued the
treatment.
๎€ The doctor held a conception of the value of โ€œwell beingโ€โ€”thinking that
the patient wants
to live.
๎€ They tried to bring in a psychologists to claim that he was โ€œincompetentโ€โ€”and
that he might
have psychological problems.
๎€‚ This would have supported the doctors value of โ€œwell-beingโ€.
๎€ The doctor claims that he was acting like a little โ€œfrustrated kidโ€
๎€ The doctor claimed that he โ€œhad an obligation to deliver the best medical care that
he could,
and that Dax had an obligation to accept the care or treatmentโ€.
๎€‚ Within this; autonomy is not even considered.
What Motivated Daxโ€™s Mother in her decision
๎€Religious values were fundamental for her; she did not believe in suicide.
๎€ She had the view that he only wanted to die due to the situation that he was in,
and that he
really wanted to live; he was just under strain.
๎€‚ Irreversible Decision.
๎€A maternal relationship with her child was of value to her.
๎€She respected the expertise of the doctors
What Motivated Daxโ€™s Decisions?
๎€ The severity of the pain.
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Bioethics: PHL283
Lecture Three: Jan. 20.2011
2
๎€ He had worries about dependency and independency
๎€‚ He thought that he would not be able to do what he wanted to do.
๎€‚ His life would have no meaning to it.
๎€ He claims that we have the right to act at our own parell.
๎€‚ We should be able to take risks, and understand that your risks may or
may not turn
out right.
๎€ He was upset for paying for hospital treatment that he did not want.
๎€Quality of Life: He claims that the most important thing is the quality of life
which is
acceptable to the individual.
๎€Right of Self-Determination
๎€‚ โ€œ The right to control your own body, is the right your born withโ€”it is not
something
that you get from the government. It is the right to do whatever you want
with your
bodyโ€.
๎€‚He claims that people are sometimes the best judgements of their own
interests.
๎€‚You should be able to make your own decisions even if they are foolish
decisions.
๎€‚ He claims that โ€œno one can play godโ€, โ€œWhen doctors are treating you, they
are
acting as GODโ€.
DO YOU THINK THAT DAX WAS COMPETENT TO DECIDE?
๎€ Dax was mentally competent according to the health psychologists
๎€ Pain has the ability to cloud your rationality
๎€ Dax was on narcotics; how do we know that it wasnโ€™t the narcotics which was
making his
decisions.
๎€What kinds of standards should apply to figure if one is competent to make your
own
decisions?
1. Preference Based Standard
๎€‚ Claims that you are not just competent if you can express a
preference
๎€‚ This standard gives a great emphasis on autonomy and nothing on
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Document Summary

dax coward at 26 was in a explosion, at which he was severely burned. he had a twenty percent chance of surviving. throughout the time at which dax was in the hospital, he continuously asked treatment be stopped, and that he be allowed to die. the evidence of a paternalistic relationship was evident. the mother claimed that she did not know what to do, as she did not have any information; she said that they were the experts, hence she just had to sign. when dax claimed that he wanted to die; he just ignored it and continued the. the doctor held a conception of the value of well being thinking that to live. they t ried to bring in a psychologists to claim that he was incompetent and. this would have supported the doctors value of well-being .

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