16:48:08 Hello, this is Biomedical Ethics I'm Professor Philip green.
16:48:14 And this video deals with care of the day.
16:48:18 There are many interesting questions arising from situation that pose moral dilemmas that a question of what's the right thing to do. What's the moral good comes into play.
16:48:33 For most of them.
16:48:34 The right of self determination, is that,
16:48:40 when is a person, not to exercise.
16:48:49 the decision making, concerning their own body as to what goes into it more comes out of it.
16:48:53 Right of self determination must involve the right to refuse treatment as well as the right to accept it.
16:49:02 But one.
16:49:05 Sometimes cannot exercise the right to speak for himself and make the decision known.
16:49:17 When the right to self determination is going to be exercised by the individual, someone else will have to make the decision.
16:49:27 Someone else makes the decision making it away from the individual.
16:49:33 There have been attempts to respect the right of self determination, even when the individual is no longer able to express what one would want. We're not want them.
16:49:48 They are called the Advanced Directive.
16:49:52 There are variety of these measures that have been developed over the last two decades, and many have made it into law recognized by various states of the United States, as enforceable under the law, or what's known as physician ordered life sustaining
16:50:16 treatment
16:50:15 or more generalized as most medical ordered life sustaining treatment.
16:50:22 But if you don't want health care professionals making the decision for yourself or for your loved one.
16:50:37 There are ways in which mechanisms have been developed to allow individuals to speak for themselves, even when they are no longer capable of speaking for themselves and here are a couple of some of the early ones will pull living wills.
16:50:49 For one could express one's will still living, but not capable of expressing desires, as to what one would want done or left under these forms however everyone filled out by individuals.
16:51:07 They're not always there, the way the law enforcement and the documents could be lost, or simply discarded not paid attention to, not respected as the expression.
16:51:23 The will of person who had the right to self determination.
16:51:28 At the time that they completed before an improvement over living wills, are known as one form, are known as proxy consent form or proxy appointments for the individual in advance of any situation where they will lose the ability to speak for themselves
16:51:49 names someone else that are really familiar with what they want and don't want.
16:51:56 And in the appointment form itself is the expression or the conditions under which a person would want to be treated or not treated.
16:52:07 And the appointed
16:52:10 proxy is well aware of what these conditions are and agrees to.
16:52:19 What's the expression to the healthcare professionals that they will respect individual right to self determination as expressed by a living person pointed to express those decisions on behalf the person is no longer able to express them for themselves.
16:52:45 Right of self determination is going to be very important, important enough that laws have been enacted will allow people to express themselves through friends and family members.
16:53:01 When they can express themselves directly as to what they want or don't want.
16:53:08 There's another matter that comes up when we talk about problems that arise situations and caring for the day, and it deals with, whether they're dying, or whether they are already dead.
16:53:23 As medical technology advanced, we now have people who have life signs, if you will, organ functioning.
16:53:32 Even though they are unconscious, and thought to be in such a condition that they would never be restored the conscious such a condition is known as irreversible coma.
16:53:48 There are occasions when it is unclear.
16:53:53 Some of our members of the family as to whether their loved one is actually dead or not.
16:54:11 When they body of their loved one is being sustained and in a reversible coma and healthcare professionals are trying to describe the nature of the condition, and why they are maintaining organ function.
16:54:17 Sometimes that's done for the purpose of keeping organs in a condition where they be usable for implementation.
16:54:27 Should the next of kin, give permission for such or individual who is now in an irreversible calmer and being maintained in organ functioning as consented to such transplantations through some kind of a form completed before the individual entered into
16:54:48 the condition, which is no described as and reversible calm.
16:54:54 Described as and reversible calm. So the general concern about how we care for the diet extends all the way to the idea that there are maybe more than one way to look at whether the person who's dying or it's already there.
16:55:14 Again,
16:55:17 these questions about individuals right to self determination when they can express their own decision to to their condition
16:55:32 Due to their condition. These questions, reach different answers for moral judge pending on what ethical principle.
16:55:42 You hold and want to apply to the particular situation as those ethical principles very so well the moral decisions, and so will people have very different ideas about what the proper thing to do.