Obviously, they wish for Ms. Alexander to live as comfortable as possible for the time she has left and are not concerned about gaining financially from her death.
For this situation, Dr. Culver offers some advice on how the physician should act in the case of Ms. Alexander. First, "a family may be deeply divided about the appropriate treatment for their loved one," which, in the case of Ms. Alexander, is between the family and the physician. Such disagreements "can be exceedingly difficult, if not impossible, to resolve in a short time at the bedside of a... patient" (1990, p. 195). Thus, the physician in this case faces one of the most common predicaments associated with medical ethics, that is, whether to override the concerns and disagreements of family members and proceed with an operation that will, in the long run, provide relief to the patient and extend his/her life.
Another aspect has to do with prognosis which can often be "a critical factor in a patient's choice of desired levels of treatment," especially when the patient suffers from a "disorder of the central nervous system" (Culver, 1990, p. 95) as in the case of Ms. Alexander and her Alzheimer's. Her physician obviously knows that Ms. Alexander's Alzheimer's will eventually cause her premature death, for in most instances, the prognosis of Alzheimer's...
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