Legal and Ethical Dilemmas

Course Outline

Learning Objectives

Upon completing the course you'll be able to:

  1. Explain two kinds of advanced directives: Living Wills, Durable Power of Attorney for Health Care.

  2. Explain patient self determination act and describe the responsibilities of a health care provider under it.

  3. Explain why anyone would need an advanced directive.

  4. Describe two benefits of appointing a health care agent.

  5. Describe two things one should do to ensure that his or her advanced directives will be honored.

  6. Distinguish between a will, a living trust, and a living will.

  7. Distinguish between a power of attorney and a durable power of attorney and a durable power of attorney for health care.

  1. Durable power of attorney or living Will?

  2. Explain the uses and respective advantages and disadvantages of a Durable Power of Attorney and a Living Will.

  3. List 6 duties of the Attorney-in-Fact.

  4. Explain "spring" Durable Power of Attorney.

12. Discuss with a patient at least 6 common misconceptions concerning advanced directives.

13. Explain the following medical treatments:

14. Formulate a values questionnaire to assist individuals upon end of life treatment decisions.

15. Define artificial nutrition and hydration.

16. Distinguish artificial nutrition and hydration from ordinary eating and drinking.

17. Explain the consequences of the withdrawal of artificial nutrition and hydration.

  1. List 7 considerations which will help an individual in making decisions about the use of artificial nutrition and hydration.

19. Explain what a DNR is, and discuss its application with a patient.

20. Distinguish between a hospital and non-hospital DNR orders.

21. Discuss 7 guidelines for the appropriate use of DNR orders.

22. List 3 advantages of dying at home.

23. Define hospice.

24. Discuss legal considerations concerning dying at home decisions.

25. Discuss the role of ethics committees and patients right to make end-of-life decisions.

26. Discuss the legal standing of third parties intervening with a persons end of life decision.

  1. Discuss the two case studies laid out in this chapter and a patients family or friends outline various steps a patients family or friends should take to enforce his or her right to refuse treatment.

28. Discuss various provisions and implications of Oregons Assisted Suicide Law.

29. Discuss the need for Organ Donation and provisions of the Uniform Anatomical Gift Act (UAGA).

Evaluation of Individual Objectives

To assess the effectiveness of the course material, we ask that you evaluate your achievement of each learning objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory). Please indicate your responses next to each learning objective and return it to us with your completed exam.

Course Outline

Chapter 1: Advance Directives and End-of-Life Decisions

Chapter 2: Durable Power of Attorney or Living Will

Chapter 3: Common Misconceptions

Chapter 4: Medical Treatments and Your Advances Directives

Chapter 5: Artificial Nutrition And Hydration

Chapter 6: CPR, DNR and End-of-Life Decisions Cardiopulmonary Resuscitation

Chapter 7: Dying At Home

Chapter 8: Ethics Committees and End-Of-Life Decisions

Chapter 9: Third Parties Can They Take Away Your Rights

Chapter 11: Oregon's Assisted Suicide Law

Chapter 12: Organ Donation



"I found this course interesting and informative." -C.R., RN, MI

"Excellent class! A great way to meet the ethics requirement." -C.O., LCSW, CA

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