Question: Read the following case study : Competency and End Stage Cancer You have just been consulted, in your role as health care administrator, about a
Read the following case study : Competency and End Stage Cancer You have just been consulted, in your role as health care administrator, about a case that's happening in theoncology wing. The doctor has phoned you because he knows you have experience about informed consent and decision-making capacity from your MHA program. The patient, Eric, isa 32-year-old male with melanoma that has metastasized to both his brain and his throat. Thechemotherapy and radiation are no longer working and the doctors predict that Eric has no more than three more months to live. Eric has a living will that states that he would not want any extraordinary measures in the event that he has an incurable disease and the measure would only serve to prolong his dying. Eric's brain tumor is making him forgetful and sometimes confused about why he is in the hospital. His lucidity waxes and wanes. As the tumor to histhroat has enlarged, Eric has begun complaining about pain and discomfort. He is having trouble speaking to his family and friends and, sometimes, it is challenging to breathe. Because the neck tumor is fast growing, there is a possibility that it could make it impossible for Eric to breathe, and he could pass away from this. His attending physician speaks with Eric and histhree siblings at the bedside and informs them that there are three options: do nothing, surgically remove the tumor, or perform a tracheostomy. His three siblings immediately object to both surgery and the tracheostomy, stating that Eric does not want his death to beprolonged. Eric agrees with them, but then later in the night he pulls a nurse aside and tells her that he does want the tracheostomy. He says he is afraid of dying and is "not yet ready to go." Since speaking to the nurse, Eric has been sleeping frequently and experiencing a lot of confusion.
1. Using the legally-relevant criteria for decision-making capacity from the Appelbaum article (table 1), explain whether Eric currently has the capacity to make decisions. You will need to review each criterium in your post and state whether or not Eric meets it.
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