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Patient Autonomy Case Studies
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Roe v. Wade (1973)
Case Summary: Landmark decision by the U.S. Supreme Court on the issue of abortion. The Court ruled that a state law that banned abortions except to save the life of the mother was unconstitutional. Ethical Implications: This case highlights the conflict between patient autonomy, the rights of the unborn, and state interests, sparking ongoing ethical and legal debates.
Washington v. Glucksberg (1997)
Case Summary: The Supreme Court ruled that there was no constitutional right to physician-assisted suicide, but the decision gave individual states the authority to legislate on this issue. Ethical Implications: The case opened up a national dialogue on physician-assisted suicide, challenging the balance between patient autonomy and ethical concerns around end-of-life choices.
Cruzan v. Director, Missouri Department of Health (1990)
Case Summary: A landmark decision by the Supreme Court surrounding an individual's right to refuse life-sustaining treatment. It involved Nancy Cruzan, who was in a persistent vegetative state. Ethical Implications: This case focused on the right to die and the need for clear evidence of patient's wishes for medical decisions when they cannot communicate.
In re Quinlan (1976)
Case Summary: Karen Ann Quinlan fell into a persistent vegetative state, and her parents sought the right to disconnect her from a ventilator. The court ruled in favor of the parents' right to make that decision. Ethical Implications: It's one of the first cases to address the right to die and the role of surrogate decision-making in end-of-life care.
Gonzales v. Oregon (2006)
Case Summary: The Supreme Court upheld the Oregon Death with Dignity Act, which allowed for physician-assisted suicide under certain conditions. Ethical Implications: Raises questions about the ethical bounds of state legislation in allowing terminally ill patients to choose their time of death.
Tarasoff v. Regents of the University of California (1976)
Case Summary: In this case, the California Supreme Court held that mental health professionals have a duty to protect identifiable individuals from threats made by a patient. Ethical Implications: This case had significant impact on the limits of patient confidentiality and the ethical responsibility to warn potential victims of harm.
Schloendorff v. Society of New York Hospital (1914)
Case Summary: A patient consented only to examination under anesthesia. The doctors performed surgery, leading to complications. Ethical Implications: The case established the principle that doctors must obtain consent before performing a procedure, underlining the importance of patient autonomy in medical ethics.
Canterbury v. Spence (1972)
Case Summary: A patient suffered paralysis after a back surgery and sued for not being adequately informed of the risks involved. The court held that physicians must disclose all risks that could influence a reasonable person's decision-making. Ethical Implications: This case broadens the scope of informed consent, highlighting the duty of physicians to provide comprehensive risk information to patients.
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