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51. (p. 624) A young woman was seriously injured in a car

accident and now shows no higher cortical brain function.
Her parents decide to take her off the life-support machines
but are shocked when she continues to breathe on her
own. Is the young woman dead?
A. No, because she continues to breathe on her own.
B. It is unclear, because we do not know how long she will
breathe on her own.
C. Yes, because she is no longer capable of thinking or
showing personality characteristics.
D. It is unclear, because death can be defined in different
ways by different people.

1 Answer

5 votes

Final answer:

The status of the young woman cannot be definitively declared as 'dead' without considering the medical definition of brain death, legal criteria, and personal and ethical perspectives. Cases like Terri Schiavo highlight the complexities involved when higher brain functions cease, but the brainstem continues some activity. These situations entail discussing the significance of legal documents like DNR and examining the ethical dimensions of prolonged medical care.

Step-by-step explanation:

The definition of death can be complex, particularly in cases involving brain death. Brain death is identified when higher cortical functions and the ability to show personality characteristics are absent, and this is typically confirmed through neural imaging and other medical examinations. However, it's important to note that death can also be legally defined, and criteria can vary. In the cases of Terri Schiavo and others, the determination of whether life-support should be continued provoked significant debate, hinging on legal, ethical, and personal considerations, rather than on medical diagnoses alone.

A key factor to consider is the functionality of the brainstem. For instance, in Schiavo's case, although her cerebral cortex showed no activity, her brainstem still maintained her breathing and some involuntary movements, which signifies some level of brain activity and challenges the determination of death on a purely medical basis. Additionally, these scenarios raise critical ethical questions, such as the rights of the family versus expressed patient wishes, the definition of quality of life, and the economic impact of prolonged medical care for someone who is brain dead.

Ultimately, the answer to whether the young woman is dead cannot be unequivocally determined without additional context, including the medical, legal, and personal definitions of death that apply in her specific case.

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