Question

what should happen next ? on what ethical and moral grounds ? what about the law

glish -United States (en us) Briananca Williams Mary, a 23 year old female was involved in a head on collision that lead to massive head trauma and neurological injuries. She is not defined as brain dead, however, after 3 weeks in the Medical Intensive Care Unit and neurological consultations there is grave concern for the patient. The medial team has come back with a prognosis that "meaningful recovery" is estimated to be less than 1%. At this point it appears that Mary would remain in a non-responsive (vegetative) state. During this entire ordeal, Mary's religious parents have been by her side and keeping track of everything going on. After consultation with Mary's doctor and their priest, who is currently present for support, they decide it is time to remove Mary fromm tube feedings and off the ventilator. The parents feel that it is now "God's will."Later that day, while the priest is present and with family surrounding, they remove life support in preparation, the Medical Intensive Care Unit nurse notified the Organ Procurement Organization (OPO) to be on standby with the expectation that soon after extubation, death would soon follow. Mary was always thinking of others and even though she never signed up with the online stated done registry, her driver's license showed she was an organ donor represented by a heart on the front. Mary was carefree and did not have any healthcare directives but her driver's license was enough to be considered a "first person consent. However, there is an issue. When the OPO rep arrives to discuss this with the family and explain that Mary had wishes to donate her organs, the parents are taken aback and upset at the suggestion. They explain that this was never discussed as a family and that they would not allow this to occur Even though Mary is not brain dead she qualifies as a donor under the hospital's Donation after Cardiac Death" protocol n ารงเ AM 470 2019

Answer 1

In this scenario, the patient has removed life support and planned for organ transplantation. The ethical concerns of organ donation are very challengeable in case of cardiac death. As the parents have different opinions, it is very complex to take a decision. The ethical committee has to resolve the issues by obtaining opinions from physicians, mediators, parents, and to assess the ethical values. The committee should follow the donor rule before taking decisions. The parents should understand the benefits and importance of transplantation and shows their interest in it. According to donor rule, removal of one's organ before the death of a person to save the life of another person is similar to the killing of a person. If the circulatory failure has been confirmed as permanent, then the organ donation is ethically acceptable. Moreover, the patient itself, given consent for organ donation in her driving license. So, it is legally acceptable.