Case of Terri Schiavo: Ethics at the End of Life

Case of Terri Schiavo: Ethics at the End of Life

by Arthur L. Caplan
     
 

ISBN-10: 159102398X

ISBN-13: 9781591023982

Pub. Date: 03/28/2006

Publisher: Prometheus Books

After the Nancy Cruzan case was decided by the Supreme Court in 1990, and ultimately resolved by the Courts of the State of Missouri, the decision to withhold or withdraw life-prolonging nutrition and hydration appeared to many to be as noncontroversial as decisions to refuse respirators or dialysis. Even the Catholic Church held that, although there should be a

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Overview

After the Nancy Cruzan case was decided by the Supreme Court in 1990, and ultimately resolved by the Courts of the State of Missouri, the decision to withhold or withdraw life-prolonging nutrition and hydration appeared to many to be as noncontroversial as decisions to refuse respirators or dialysis. Even the Catholic Church held that, although there should be a presumption in favor of providing nutrition and hydration, the patient or the patient’s surrogate could overrule this presumption, if either believed the treatment was disproportionate or burdensome.
The Schiavo case changed all that. Although the decision to remove Terri Schiavo’s nutrition and hydration was made by her husband — her legal surrogate — based on his wife’s belief that such treatment was disproportionate, Schiavo’s immediate family protested so much that the case took years to resolve. It eventually involved all branches of government at both the state and federal levels.
The ethical dilemmas that such cases pose continue to stir great controversy. This in-depth examination of these dilemmas provides information and documentation from many perspectives. The editors have included a foreword by Dr. Jay Wolfson, Terri Schiavo’s court-appointed guardian ad litem, as well as Dr. Wolfson’s report to Gov. Jeb Bush on the case and Gov. Bush’s reply; public statements by President George Bush and Senators David Weldon, Rick Santorum, Tom DeLay, Bill Frist, and Barney Frank; statements by the pope and other representatives of the Catholic Church on this issue; plus much medical and legal background material on both precedents to the Schiavo case and its aftermath, including the results of the autopsy report.
For anyone wishing an in-depth understanding of these complex ethical issues, issues many of us will have to confront in our own families, this volume is indispensable.

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Product Details

ISBN-13:
9781591023982
Publisher:
Prometheus Books
Publication date:
03/28/2006
Pages:
300
Product dimensions:
6.06(w) x 9.00(h) x 0.72(d)

Table of Contents

The preservation of life23
The percutaneous endoscopic gastrostomy tube : medical and ethical issues in placement28
Permanent loss of consciousness : expert opinion and community standards41
United States Supreme Court : Cruzan, by her parents and co-guardians : Cruzan et ux. v. director, Missouri Department of Health, et al.43
The Wendland case - withdrawing life support from incompetent patients who are not terminally ill55
Diagnosing the permanent vegetative state67
Florida law (state statute) FL 765 : healthcare advance directives75
Court of Appeals of Florida, second district : Thomas E. Corbett v. the Honorable Joseph P. D'Alessandro80
In re : the guardianship of Theresa Schiavo, an incapacitated person86
Florida bishops urge safer course for Terri Schiavo94
Continued concerns for Terri Schiavo96
A report to governor Jeb Bush and the 6th Judicial Circuit in the matter of Theresa Marie Schiavo98
Guardian Ad Litem's report101
The law passed by the Florida legislature (in relation to the Schiavo case) bill no. HB 35-E102
Supreme Court of Florida : Jeb Bush, governor of Florida, et al., appellants, vs. Michael Schiavo, guardian of Theresa Schiavo, appellee103
Congressional statements and actions related to the Schiavo Case128
For the relief of the parents of Theresa Marie Schiavo, S. 686149
President George W. Bush's statement on S. 686, allowing federal courts to hear claim of Terri Schiavo152
United States District Court : Theresa Marie Schindler Schiavo incapacitated ex rel., Robert Schindler and Mary Schindler, her parents and next friends vs. Michael Schiavo, Judge George W. Greer and The Hospice of the Florida Suncoast, Inc.153
United States Court of Appeals for the eleventh circuit : Theresa Marie Schindler Schiavo, incapacitated ex rel, Robert Schindler and Mary Schindler, her parents and next friends, plaintiff-appellant, versus Michael Schiavo, as guardian of the person of Theresa Marie Schindler Schiavo, incapacitated, Judge George W. Greer, The Hospice of The Florida Suncoast, Inc., defendants-appellees157
The time has come to let Terri Schiavo die159
Affidavit163
United States Supreme Court : order in pending case 04a825 Schiavo, ex rel. Schindler v. Schiavo, Michael, et al.172
Attorney shares experience, pain, in Michael Schiavo's defense173
Feeding and hydrating the permanently unconscious and other vulnerable persons
An interim pastoral statement on artificial nutrition and hydration189
Nutrition and hydration : moral considerations195
Care of PVS patients : Catholic opinion in the United States213
Reverence for human life220
To the participants in the International Congress on "Life-sustaining treatments and vegetative state : scientific advances and ethical dilemmas"231
Implications of the papal allocution on feeding tubes236
The Pope on PVS : does JPII's statement make the grade?242
On the death of Terri Schiavo247
Our shining knights to the rescue257
The legacy of the Schiavo case260
"Culture of Life" politics at the bedside - the case of Terri Schiavo264
After Terri Schiavo : why the disability rights movement spoke out, why some of us worried, and where do we go from here?274
Terri Schiavo - a tragedy compounded285
Report of autopsy290
Onward, moderate Christian soldiers314
At Schiavo's hospice, a return to routine317

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