Fundamental Concepts (5 points)
Miranda is diagnosed with a severe bacterial infection. Left untreated, the infection will quickly become deadly. Luckily, a dose of antibiotics will easily cure the patient and save her life. However, it must be given to her intravenously (through an IV). After carefully explaining all the risks and benefits of the antibiotic, Miranda says she doesn’t want to take the medication.
When Dr. Dorian inquires as to why she is refusing care, Miranda says: “I want to live and I know this medication can save my life, but there is no way you are putting that needle in me. Just the thought of an IV makes my skin crawl! Just keep it away from me–it’s freaking me out!”
(a) Identify whether or not Miranda is autonomous and explain why. If she is not autonomous, be sure to identify and explain which condition(s) of autonomy is missing.
(b) Which liberty limiting principle might justify overriding the patient’s refusal of care?
(c) If you were Dr. Dorian, what would you do and why?
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