Health Sciences 2610F/G Lecture Notes - Lecture 6: Organ Transplantation, Terri Schiavo Case, Emancipation Of Minors
27 Jun 2018
School
Department
Course
Professor
End of Life Issues Part 1
Self-Reflection
What is a good life? ———— What is a good death?
different form person to person, as long as you’re happy with your life
one value might be different from another
emergence of new technology the finite line of life and death has been blurred
what life is worth having and promoting
when is death truly finite
How dead do you have to be to truly be dead
Dilemmas
End of life
what exactly in this: it is a spectrum not a finite point
Means and Means to an End
Killing vs. Letting Die
Free will vs. coercion: roles that they play
A History of Death: can they be revived
Phillipe Aries Classification
1. The tame Death: death perceived as an uncontrollable force of nature needed to
be contained by ritual
bad death= come back and haunt others
2. The Death of the Self: the mind body connection
closing the eyes and covering the body was a ritual marking that this
person is no longer an individual
emergent of wills and saying what you want to have happen post death
came to be
3. Remote and imminent death: logic, rational, science
understand life so if we understand death and what kills people we can
promote better health
sanitation implementations
concerns and fears about how do we know what is different between a
live body and a dead body
fears of being buried alive
4. the death of the other: romanticization in death
get to say everything you want to your loved ones and everything is nice
and picture perfect
bulk is not so pretty at the moment of death
relationship between people became valued: “until we meet again"
5. the invisible death: 20th century on
death is viewed as a fight against nature
if we have the right science and technology maybe we can cheat death
60’s on death started to move away from the home into hospitals and
hospices
funeral homes and obituary business grew
living and dying became spirit, death became sanitized
fear of dying alone
6. if he was still alive would he add a point F, saying that definitions we have need
to be redefine
So How Dead is DEAD?
snow white - death and then resuscitated, was she in a comatose state? how much
would she have been aware of?
how much consciousness and awareness do we have
When is death final? What’s needs to happen>
no brain activity
no pulse,
noconciousness
no brain and cardiac activity
snow whites condition if she was dead was revived by a kiss
did we do everything to save a person, are you sure that they’re dead
The Definition of Death
1. Death is defined by the cessation of heart and lung functioning: that is, the
individuals’ cardiopulmonary system ceases to operates
bypass machiene, heart and lung aren’t working, but brain is still functioning
2. death is defined as the cessation of functioning of both the brainstem and the higher
cortical areas. this is the brainstem and the higher cortical areas. This is the whole
brain definition of death
controls voluntary action: if no one is driving the machine how else would this
continue
life support
if body function still works is she a machine or a person
3. death is defined as cessation of higher cortical functioning
Dead donor rule: removal of organs not result in the donor’s death
determining dead for organ transplantation
limited time when organs are viable so need to know when death happens
if a person is already dead there is consent to use organ for donation
organ are scarce, this is meant to prevent humans as sale of body part and black
market donations
must be kept provate
must consider the impact
Document Summary
How dead do you have to be to truly be dead. End of life what exactly in this: it is a spectrum not a nite point. Free will vs. coercion: roles that they play. A history of death: can they be revived. So how dead is dead? snow white - death and then resuscitated, was she in a comatose state? how much would she have been aware of? how much consciousness and awareness do we have. Feb. 25 1990 - collapse and was in comatose state for long period of time. June 20 1990 - husband is appointed guardian. May 1998 - micheal petitions to remove her feeding tube, parents oppose petition, court appoints another guardian. Advance directives: less formal, something oral, instructions, regarding end of life care for the individual not to health care provider, but it is direction to whoever has your word to value your wishes.
