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“Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. Describe the importance of increased nursing collaboration with other disciplines.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

In the case of an insensate patient like Bland who lacked the capacity to validly consent

or refuse medical treatment, the lawfulness of such medical treatment depended upon

whether it was in the best interests of the patient (per Sir Thomas Bingham in Airedale

NHS Trust v Bland (‘‘Airedale NHS Trust v. Bland’’ 1993 at p. 843). The court further held

that doctors were not under an unqualified duty to prolong life at all costs; accordingly, the

duty to provide medical care ‘‘ceases when such treatment can serve no humane purpose’’

(per Lord Hoffman in Airedale NHS Trust v Bland (‘‘Airedale NHS Trust v. Bland’’ 1993

at p. 856). In Bland’s case, the futility of the treatment in providing him any quality of life

ethically justified its termination (per Lord Goff in Airedale NHS Trust v Bland (‘‘Airedale

NHS Trust v. Bland’’ 1993 at p. 870).

A patient’s right to autonomy was reiterated in Ms B v An NHS Hospital Trust (‘‘Ms B

v An NHS Hospital Trust’’ 2002). Here, the case involved a patient who was mentally

competent and had repeatedly yet unsuccessfully requested for the withdrawal of medical

therapy to which she was subjected. Ms B suffered a spinal cavernoma, which necessitated

neurological surgery to remove it. During the course of her hospitalisation and treatment,

she executed a living will stating that if at any point of time, she was incapable of giving

instructions, she wanted treatment to be withdrawn if she was suffering from a life-

threatening condition, permanent mental impairment or permanent unconsciousness.

Unfortunately, as a result of the surgery, Mrs B became completely paralysed from the

neck down and was treated with a ventilator to ease her respiratory problems. She even-

tually regained some movement in her head and was able to speak, pursuant to which she

requested to her clinicians on several occasions to have the ventilator removed. The

clinicians were not prepared to do so as they considered it to not be in her best interests, i.e.

it would inevitably lead to her death. In allowing Mrs B’s claim for a declaration that the

hospital had been treating her unlawfully, the court upheld the principle of self-determi-

nation, referring to the judgements delivered by the bench in Airedale NHS Trust v Bland

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