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Assessment 3 Instructions: Should We Withhold Life Support? …
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Assessment 3 Instructions: Should We Withhold Life Support? The
Mr. Martinez Case
Write a 2-3 page paper that examines the moral and ethical issues involved in making a decision regarding limiting
life support.
End-of-Life Issues
With our framework of ethical theories and principles in hand, we begin our look at some of the critical ethical issues
in our contemporary world, starting with end-of-life issues. This assessment covers ethical questions related to endof-life care. Passive euthanasia is the removal or refusal of life-sustaining treatment. Examples of passive euthanasia
include removal of a feeding tube or a ventilator, or forgoing a life-prolonging surgery. Passive euthanasia is legal in
all 50 states, and the principle of autonomy gives informed patients the right to refuse any and all treatments.
Patients who are unable to make such decisions in the moment (because they are unconscious, for example) might
have made their intentions clear beforehand with an advance directive or similar document. Things become more
complicated, however, when a patient who is unable to make treatment choices has not made his or her wishes
clear, either formally in a written document, or informally in conversations with family members or friends. Another
problem concerns cases in which there is disagreement about whether the treatment is sustaining the life of a
person in the full sense or merely as a body that, because of severe and irreversible brain trauma, is no longer truly a
living person.
Active euthanasia, or assisted suicide, introduces further difficult moral questions. A patient who has a terminal
illness and who has refused treatments that would merely prolong a potentially very painful and debilitating
death might want the process of dying to be hastened and made less painful. The patient might want to take his or
her own life before the disease reaches its horrible final stages. Should patients be legally allowed to have help in
this endeavor? If suicide itself is not morally wrong, at least in cases like these, is it wrong for another person to
directly help bring about the patient’s death? Is it wrong for doctors, a role we naturally associate with healing and
the promotion of life, to use their medical expertise to deliberately end a patient’s life if the patient wants this?
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course
competencies and assessment criteria:
Competency 1: Articulate ethical issues in health care.
Articulate the moral issues associated with limiting life support.
Competency 2: Apply sound ethical thinking related to a health care issue.
Demonstrate sound ethical thinking and relevant ethical principles when considering limiting life
support.
Explain important considerations that arise when contemplating limiting life support.
Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity,
dignity, and integrity of others and is consistent with health care professionals.
Exhibit proficiency in clear and effective academic writing skills.
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_233849_1&content_id=_8474904_1
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Assessment 3 Instructions: Should We Withhold Life Support? …
Preparation
Case Study: Mr. Martinez.
This media piece provides the context for this assessment; make sure you have reviewed the case study thoroughly.
Additionally, it may be useful to think through the following issues as they relate to Mr. Martinez’s case:
Should Mr. Martinez be transferred to intensive care, where his respiratory failure can be treated by a
ventilator, and by CPR if necessary, and his oxygen level can be monitored?
What are the key ethical issues or models at play in this case study?
What are the key end-of-life issues at play in this case study?
How can an understanding of models and best-practice help to guide health care practitioners to make
ethical and legal decisions?
Instructions
In a 2–3 page analysis of the case study, address the following:
The patient’s directives.
The patient’s quality of life.
The family’s stated preferences.
The moral issues associated with limiting life support.
The ethical principles most relevant to reaching an ethically sound decision.
Important considerations such as implications, justifications, and any conflicts of interest that might arise
because of the patient’s respiratory failure.
When writing your assessment submission assume that doctors cannot contact Mrs. Martinez and must make this
choice on their own. To help you reach an objective, ethically sound decision, draw upon concepts and arguments
from the suggested resources or your independent research. Support your response with clear, concise, and correct
examples, weaving and citing the readings and media throughout your answer.
Submission Requirements
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to current APA style and formatting
guidelines.
Length: 2–3 typed, double-spaced pages.
Font and font size: Times New Roman, 12 point.
SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.
VIEW SCORING GUIDE
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_233849_1&content_id=_8474904_1
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3/4/2020
Should We Withhold Life Support? The Mr. Martinez Case Scoring Guide
Should We Withhold Life Support? The Mr. Martinez Case Scoring Guide
CRITERIA
NONPERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Articulate the moral
issues associated
with limiting life
support.
Does not
articulate the
moral issues
associated with
limiting life
support.
Articulates moral issues
associated with limiting
life support, but in an
unclear, incomplete, or
inaccurate manner.
Articulates the
moral issues
associated with
limiting life
support.
Analyzes the moral issues
associated with limiting life
support, and identifies
assumptions on which the
analysis is based.
Demonstrate sound
ethical thinking and
relevant ethical
principles when
considering limiting
life support.
Does not
demonstrate
sound ethical
thinking or use
relevant ethical
principles when
considering
limiting life
support.
Demonstrates sound
ethical thinking using
relevant ethical principles
when considering limiting
life support, but in an
unclear, incomplete, or
inaccurate manner.
Demonstrates
sound ethical
thinking and
relevant ethical
principles when
considering
limiting life
support.
Demonstrates sound ethical
thinking and relevant ethical
principles when considering
limiting life support, and
describes real-world
consequences when ethical
principles are ignored.
Explain important
considerations that
arise when
contemplating
limiting life support.
Does not explain
important
considerations
that arise when
contemplating
limiting life
support.
Explains important
considerations that arise
when contemplating
limiting life support, but in
an unclear, incomplete,
or inaccurate manner.
Explains
important
considerations
that arise when
contemplating
limiting life
support.
Analyzes important
considerations that arise
when contemplating limiting
life support, and provides
recommendations for
decision making.
Exhibit proficiency
in clear and effective
academic writing
skills.
Does not exhibit
proficiency in
clear or effective
academic writing
skills.
Writes in an ineffective
and inconsistent manner
that does not exhibit
effective academic
writing skills or deliver the
message clearly.
Exhibits
proficiency in
clear and
effective
academic
writing skills.
Exhibits proficiency in clear
and effective academic
writing skills, and ensures the
writing reflects the quality
and expertise expected of a
professional.
https://courserooma.capella.edu/bbcswebdav/institution/PHI-FPX/PHI-FPX3200/191000/Scoring_Guides/a03_scoring_guide.html
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