Question

15. Discuss the ethical and legal issues related to a palliative care approach with respect to the following (30-40 words)

15.1 Organ donation

15.2 Request for autopsy

15.3 Decisions regarding ACD (Advanced Care Directive)

Answer 1

Answer :

Ethical and legal issues related to palliative care approach with organ donation :

1. Informed consent : it is one of the legal issues for all procedures. Consent should be taken from the patient or if patient is not in consciousness we should be taken from concern parents or guardian.

2. Ethical dilemma : it is one of the ethical issues due to the peoples may think whether the doctor is creating risk to the person or it a life saving, because after organ transplantation there will be a so many complications if organ is mismatch and not adjust to the body.

Even it is a fatal condition.

Ethical and legal issues related to autopsy :

1. There will be a issues related to autonomy.

2. Informed consent.

3. The family members some times refuse or agree to hospital autopsy of the diseased.

4. They may choose consent on autopsy limit extent of the examination, and some times family members will not accept to take organ or tissue for any sample purpose.

Legal and ethical issues related to decisions regarding ACD :

* in this patient is incompetent to make a personal decisions, courts and medical personal can assist here to take competent decision.

* other family members will support the patient choices, here we need to give priority for choices.

* in these advanced care directives some times families does not willing to take, so that time it's problematic to health care providers, and other family members.

These are the ethical and legal issues related to palliative care approach with organ donation, request for autopsy and decision regarding advanced care directives.