After studying the course materials located on Module 6: Lecture Materials & Resources page, answer the following:

Uniform Determination of Death Act (UDDA):

How this law was created
Legal definition of death, describe

Define dying within context of faith, basic principle about human life
Bioethical Analysis of Pain Management – Pain Relief
What is the difference between Pain and suffering? Explain
Diagnosis / Prognosis: define both.
Ordinary / Extraordinary means of life support. Explain the bioethical analysis.
Killing or allowing to die? Define both and explain which one is ethically correct and why?
Catholic declaration on life and death; give a summary of this document: https://ecatholic-sites.s3.amazonaws.com/17766/documents/2018/11/CDLD.pdf (Links to an external site.)
What is free and informed consent from the Catholic perspective?
Define Proxi, Surrogate
Explain:

Advance Directives
Living Will
PoA / Durable PoA
DNR

Read and summarize ERD paragraphs #: 24, 25, 26, 27, 28, 55, 59, 61, 62.

Submission Instructions:

The submission is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
If references are used, please cite properly according to the current APA style. 

Read

Ethical and Religious Directives (ERD) for Catholic Health Care Services (6th ed.). (2018). 
Paragraphs: 24, 25, 26, 27, 28, 55, 59, 61, 62

 
Watch

Cioffi, A. (2018, March 17). BIO 603 3 17 18 [Video file]. Retrieved fromBIO 603 3 17 18
Cioffi, A. (2019, April 6). BIO 603 CONSENT 4 6 19 [Video file]. Retrieved fromBIO 603 CONSENT 4 6 19State of Florida
DO NOT RESUSCITATE ORDER

(please use ink)

Patient’s Full Legal Name: ________________________________________________Date:____________________
(Print or Type Name)

PATIENT’S STATEMENT
Based upon informed consent, I, the undersigned, hereby direct that CPR be withheld or withdrawn.

(If not signed by patient, check applicable box):

q Surrogate q Proxy (both as defined in Chapter 765, F.S.)
q Court appointed guardian q Durable power of attorney (pursuant to Chapter 709, F.S.)

________________________________________________________________________________________________
(Applicable Signature) (Print or Type Name)

PHYSICIAN’S STATEMENT
I, the undersigned, a physician licensed pursuant to Chapter 458 or 459, F.S., am the physician of the
patient named above. I hereby direct the withholding or withdrawing of cardiopulmonary resuscitation
(artificial ventilation, cardiac compression, endotracheal intubation and defibrillation) from the patient
in the event of the patient’s cardiac or respiratory arrest.

________________________________________________________________________________________________
(Signature of Physician) (Date) Telephone Number (Emergency)

________________________________________________________________________________________________
(Print or Type Name) (Physician’s Medical License Number)

DH Form 1896, Revised December 2002

PHYSICIAN’S STATEMENT

I, the undersigned, a physician licensed pursuant to Chapter 458
or 459, F.S., am the physician of the patient named above.
I hereby direct the withholding or withdrawing of cardiopulmonary
resuscitation (artificial ventilation, cardiac compression,
endotracheal intubation and defibrillation) from the patient in the
event of the patient’s cardiac or respiratory arrest.

________________________________________________________
(Signature of Physician) (Date) Telephone Number (Emergency)

________________________________________________________
(Print or Type Name) (Physician’s Medical License Number)

DH Form 1896,Revised December 2002

State of Florida
DO NOT RESUSCITATE ORDER

________________________________________________________________
Patient’s Full Legal Name (Print or Type) (Date)

PATIENT’S STATEMENT
Based upon informed consent, I , the unders i g n e d ,h e r e by direct that CPR
be withheld or withdrawn. (If not signed by patient, check applicable box):
q Surrogate
q Proxy (both as defined in Chapter 765, F.S.)
q Court appointed guardian
q Durable power of attorney (pursuant to Chapter 709, F.S.)

________________________________________________________________
(Applicable Signature) (Print or Type Name)

vickerykd
Text Box
Important!
In order to be legally valid this form MUST be printed on yellow paper prior to being completed. EMS and medical personnel are only required to honor the form if it is printed on yellow paper.

This box will not show up when the form is printed.DURABLE POWER OF ATTORNEY

State of Florida
County of ____________________________

KNOW ALL MEN BY THESE PRESENTS, that I,__________________________________, of ____________________,
(name) (county)

Florida, as authorized by Florida law, do hereby appoint,_______________________________________________________
(name)

To manage and conduct my affairs. This power of attorney shall be non-delegable except as otherwise provided in Florida Statutes,

and shall be valid and effective from date hereof until such time as I shall die or revoke the power. This durable power of attorney is

not affected by subsequent incapacity of the principal except as provided in Florida Statutes.

The property subject to this durable power of attorney shall include all real and personal property owned by me, my

interest in al property held in joint tenancy, my interest in all non-homestead property held in tenancy by the entirety, and all

property over which I hold power of appointment and shall also include authority to sell, mortgage or convey my homestead

property.

Without limiting the broad powers intended to be conferred by the preceding provisions, I expressly authorize my attorney

acting hereunder in a fiduciary capacity to do and execute all or any of the following acts, deeds, and things for my benefit and on

my behalf.

1. COLLECTION POWERS: To ask, demand, sue for, recover, collect, receive all sums of money, bank deposits, chattels

and other real or personal property, tangible or intangible, of whatsoever nature or description that may be due,

owing, payable or belonging to me, and to execute and deliver receipts, releases, cancellations or discharges.

2. PAYMENT POWERS: To settle any account or reckoning whatsoever wherein I now am or at any time hereafter shall

be in any way interested or concerned with any person whomsoever, and to pay or receive the balance thereof as the

case may require.

3. SAFE DEPOSIT BOXES: To enter any safe deposit or other place of safekeeping standing in my name with full authority

to remove any and all the contents thereof and to make additions, substitutions and replacements, specifically

including any safe deposit box in my name jointly with my spouse or any other person.

4. BANKING POWERS:

(a) To borrow any sum or sums of money on such terms and with such security, whether real or personal property

belonging to me, as my attorney may think fit, and to execute any and all notes, mortgages and other

instruments which my attorney may deem necessary or desirable.

(b) To draw, accept, make, endorse or otherwise deal with any checCATHOLIC DECLARATION ON LIFE AND DEATH
ADVANCE DIRECTIVE

(HEALTH SURROGATE DESIGNATION/LIVING WILL) OF

_________________________________________________________
(Name)

Introduction
I am executing this Catholic Declaration on Life and Death while I am of sound mind. It is intended to
designate a surrogate and provide guidance in making medical decisions in the event I am
incapacitated or unable to express my own wishes.

Statement of Faith
I believe that I have been created for eternal life in union with God. The truth that my life is a
precious gift from God has profound implications for the question of stewardship over my life. I have
a duty to preserve my life and to use it for God’s glory, but the duty to preserve my life is not
absolute, for I may reject life-prolonging procedures that are insufficiently beneficial or excessively
burdensome. Suicide and euthanasia are never morally acceptable options.1 If I should become
irreversibly and terminally ill, I request to be fully informed of my condition so that I can prepare
myself spiritually for death and witness to my belief in Christ’s redemption.

Designation of Health Care Surrogate
In the event that I become incapacitated, I designate as my surrogate for health care decisions (if no
surrogate is to be appointed, please write “none” in place of “name” below):

Name:_________________________________________________________________

Address:_______________________________________________________________

Phones (H, W, C):________________________________________________________

If my surrogate is unwilling or unable to perform his or her duties or cannot be contacted, I wish to
designate as my alternate surrogate (if no alternate surrogate is to be appointed, please write “none”
in place of “name” below):

Name:_________________________________________________________________

Address:_______________________________________________________________

Phones (H, W, C):________________________________________________________

This directive will permit my surrogate to make health care decisions, and to provide, withhold, or
withdraw consent on my behalf; to apply for public benefits to defray the cost of health care; to
receive my personal health care information; and to authorize my admission to or transfer from a
health care facility. My surrogate is further appointed as my “Personal Representative.”2 This
directive is not being made as a condition of treatment or admission to a health care facility. This
document must be signed and witnessed on the other side to be valid.

1
Cf United States Conference of Catholic Bishops, Ethical & Religious Directives for Catholic Health Care Services (USCCB: Washington,

DC 2009), Part Five.

2
As defined by 45 CFR 164.502(g), for purposes of compliance with Federal HIPAA Laws and Regulations (the Health Insurance Portability

and Accountability Act of • UNIFORM DETERMINATION OF DEATH ACT (UDDA):

• DYING -> W/IN CONTEXT OF FAITH

• ORDINARY / EXTRAORDINARY MEANS OF LIFE SUPPORT

• ASSIST / SUBSTITUTE VITAL ORGANS

• DIALYSIS

• VENT

• CPR

• KILLING OR ALLOWING TO DIE?

DETERMINATION OF DEATH

ORDINARY / EXTRAORDINARY MEANS OF LIFE SUPPORT

Uniform Determination of Death Act (UDDA):

• model state law

• approved 1981

• NATIONAL CONFERENCE OF COMMISSIONERS ON UNIFORM STATE LAWS

• AMERICAN MEDICAL ASSOCIATION (AMA)

• AMERICAN BAR ASSOCIATION (ABA)

• PRESIDENT’S COMMISSION FOR THE STUDY OF ETHICAL PROBLEMS IN MEDICINE
AND BIOMEDICAL AND BEHAVIORAL RESEARCH

Determination of Death:

(1) irreversible cessation of circulatory and respiratory functions
or

(2) irreversible cessation of all functions of the entire brain, including the brain stem

UNIFORM DETERMINATION OF DEATH:
1. STANDARD CRITERIA (CARDIO-PULMONARY):

 NO HEARTBEAT AND NO BREATHING
or

2. NEUROLOGICAL CRITERIA; ELECTROENCEPHALOGRAM (EEG)
x PARTIAL BRAIN DEATH (NOT ACCEPTABLE)
 TOTAL BRAIN DEATH (YES ACCEPTABLE)

MEDULLA OBLONGATA

DYING -> W/IN CONTEXT OF FAITH

HUMAN LIFE: YES FUNDAMENTAL VALUE / NOT ABSOLUTE VALUE

USA LIFE EXPECTANCY:

• WOMEN: 81 YEARS

• MEN: 76 YEARS

• COMBINED: 79 YEARS

MANAGEMENT, RELIEF: PAIN / SUFFERING

ANALYSIS: BENEFIT / BURDEN

DIAGNOSIS -> PROGNOSIS

BIOETHICAL MEANS OF LIFE SUPPORT:

• ORDINARY (PROPORTIONATE) / EXTRAORDINARY (DISPROPORTIONATE)

CLINICAL MEANS OF LIFE SUPPORT:

• STANDARD MEDICAL PRACTICE / EXPERIMENTAL TREATMENT

ERD 56. A person has a moral
obligation to use ordinary or
proportionate means of preserving
his or her life. Proportionate means
are those that, in the judgment of
the patient, offer a reasonable
hope of benefit and do not entail
an excessive burden or impose
excessive expense on the family or
the community.

ERD 57. A person may forgo
extraordinary or disproportionate
means of preserving life.
Disproportionate means are those
that, in the patient’s judgment, do
not offer a reasonable hope of
benefit or entail an excessive
burden, or impose excessive
expense on the family or the
community.

ETHICAL OBLIGATION RE. VITAL ORGANS: ASSIST / SUBSTITUTE

WHEN TO WITHHOLD OR WITHDRAW LIFE SAVING TREATMENT?

DIALYSIS: SUBSTITUTES KIDNEYS

RESPIRATOR; ASSISTS IN PROVIDING OXYGEN

VENTILATOR; DEPENDS ON THE SETTINGS: ASSIST OR SUBSTITUTE BREATHING

RESPIRATORS: ASSIST BREATHING

(NOT VENTILATOR)

VENTILATOR: PERFUSION

WEANING PROCESS

VENT ~ 2-3 WEEKS BEFORE TRACHEOTOMY

EXTUBATION

TRACHEOTOMY

(TRACHEOSTOMY)

CARDIOPULMONARY RESUSCITATION (CPR):

• ASSISTS / SUBSTITUTES HEART

Defibrillation

• treatment for cardiac dysrhythmias

• Ex. ventricular fibrillation (VF) and ventricular tachycardia (VT)

• delivers a dose of electric current to the heart

KILLING OR ALLOWING TO DIE?

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