Cowart strongly believes in patient autonomy, but another issue to look at here is that Cowart had been brought to the hospital through the ambulance.
Of course, the obvious questions here are whether the doctors should always feel the need to save patients or whether it is right for the doctors to feel that? Dax cowart when Cowart reached the hospital, he asked a nurse to either give him medication that will kill him or to do something that will help him take his own life.
I was burned so severely and in so much pain that I did not want to live even in the early moments following the explosion.
This is my body, he will tell the doctors, and I have the right to decide whether I want to live or die. Yes, they acted in the best interest of Cowart and not according to what he wanted, but in comparison to what they knew and Cowart knew, what he wanted was not something logical and so the doctors did what they thought should be done for a person in so much pain.
Integral to all these ideas is the idea Dax cowart informed and voluntary consent, in that when it comes to making a medical decision the patient should be informed and with that information voluntarily consent to it. Cowart changed his first name from Donald to Dax because after being repeatedly embarrassed when responding to "Donald", only to find that someone else was being addressed, and in order to be able to write his name.
Then the pain blocks out everything. For more than a year, he underwent extraordinarily painful treatments in the acute burn ward of two hospitals. The patient comes because the patient is seeking medical advice that he or she is does not have the knowledge or training of, and while doing so the patient is giving up a level of autonomy to the doctor automatically.
Once, Don Cowart was an athlete; a popular, fun-loving student; captain of the football team in high school and a champion rodeo cowboy in college. Just as he is forced to undergo the unimaginable suffering of unwanted medical treatment, the videotaped record of that treatment forces viewers to experience his suffering vicariously with the interminable bandaging of his burned limbs, the intolerable close-ups of his disfigured hands, and the heartbreaking moans of his pain that close the documentary.
Still, what must be considered in aspects to if what the doctors did is right in acting paternalistically is the number of hours and stress the doctors go through in treating one patient after another.
I need to put myself out of this misery. Although blind and without functioning hands, he was able to earn a law degree from Texas Tech University inand now has his own practice. Also, he might not have had as strong of an opinion on patient autonomy and this evidenced in the fact that Cowart states if all the circumstances were the same now he would still want to die because he believes patient has right to what should be done with their body Munson It might not have been entirely necessary of the doctors to receive his informed and voluntary consent, but the process of discussion with him might have been possible.
Of course, the obvious questions here are whether the doctors should always feel the need to save patients or whether it is right for the doctors to feel that? It might not have been entirely necessary of the doctors to receive his informed and voluntary consent, but the process of discussion with him might have been possible.
At the time of his admission to UTMB, he had become adamant that he be allowed to leave the hospital and return home to die--a certain outcome since only daily tankings would prevent overwhelming infection.
And not until will the U. Adding to which is the question, if the doctor is to do what is in the best interest of the patient, should or should the doctor not also consider the ramifications of a medical decision on all those affected by the decision on the individual?
Once, Donald Cowart was an Air Force pilot who flew jets in and out of Vietnam; a handsome, strong-willed man with a passion for driving fast in his Alfa Romeo.
Cowart says that in the hospital he was "forcibly treated for 14 months" despite continually begging his doctors to end treatment and allow him to die.
He is Dax Cowart now. But he can hear the ominous clanking noise of the pulley lowering him into the tank; the voices singing a hair-cream jingle on a radio; the water splashing as he enters it.
Several times on the way to the hospital, though, Cowart requested for others to participate in his death by either asking the Farmer who found him to give him a shotgun, or asking the ambulances to not take him to the hospital and instead let him die where he was.
What became of Don Cowart, faced with the unimaginable task of inhabiting not only a changed body but a drastically changed life? Both films have served as illustrations of medical paternalism and as arguments for patient autonomy. Who chooses, who controls? I need to put myself out of this misery.
This is why it is important for there to be such things as informed and voluntary consent, and the need for discussion between a patient and doctor.
Cowart was not going to die, and had immense possibilities of a happy life. The land lay in a small valley and, unbeknownst to the Cowarts, a gas leak had filled the area with heavier-than-air propane gas.
And just as he has done almost daily since the explosion and fire that destroyed his body, Don Cowart will fight for his right to stop life-sustaining treatment and go home to die. Graduating with a law degree in and becoming an advocate for patients, Dax Cowart affirms that while he is now happy, the end in no way justified the means.
He will plead with his mother and his lawyer to help him get out of the hospital.
Who Chooses, Who Controls? Some other interesting perspectives to also consider in the Cowart case are Utilitarian and Kantian.Dec 18, · Dax Cowart Medical Ethics and Law. Dax Cowart Medical Ethics and Law.
Skip navigation Sign in. Dax's Case - Duration: Alexander Street, a ProQuest Company 8, views. Dax Cowart was a regular guy till a freak accident severely injured and handicapped him into the hospital. Several times on the way to the hospital, though, Cowart requested for others to participate in his death by either asking the Farmer who found him to give him a shotgun, or asking the ambulances to not take him to the hospital and instead.
Please Let Me Die is one of the most significant and most disturbing stories in contemporary biomedical ethics. The documentary itself captures the past and present lives of Dax Cowart by juxtaposing the still images of a young, dashing fighter pilot staring directly at the camera, a high school football hero posed for the yearbook, and a.
Dax Cowart (born Donald Cowart) is an attorney noted for the ethical issues raised by efforts to sustain his life against his wishes, following an accident in which Cowart suffered severe and disabling burns over most of his body.
Dax Cowart was in excruciating pain from the severe burns on his body. In addition to that he also had the combined effect of trying to mentally prepare for a life as a disfigured human being.
Due to his pain he was not able to fully comprehend or think rationally about what kinds of things his future might hold. Dax Cowart was a regular guy till a freak accident severely injured and handicapped him into the hospital.
Several times on the way to the hospital, though, Cowart requested for others to participate in his death by either asking the Farmer who found him to give him a shotgun, or asking the ambulances to not take him to the hospital and instead.Download