Department of Public Welfare v. Kallinger.
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Medicine has developed rapidly during the last decades. Transplantation, sex-change surgery in transsexual or heterosexual persons, interference in the process of reproduction of human species and procedures like lobotomy have remarkably expanded the possibilities of contemporary medicine. This, at the same time gives rise to unprecedented legal problems. A number of them have not yet been solved in many countries, though legislative solutions are sought. The road to their solution, however, is full of blind curves: no sooner does the law offer an answer to one problem than medicine demands the answer to another, brand new one. This is why knowledge of these problems' regulation in different countries might be of use. That article gives an outline of their regulation in Czechoslovakia.
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Two recent court decisions clarified whether and under what circumstances a patient may refuse life-sustaining medical treatment, including food and water. The Nancy Cruzan case, decided by the U.S. Supreme Court on June 25, 1990, and the case of Shirley Crabtree, decided by Family Court Senior Judge Daniel G. Heely in Hawaii on April 26, 1990, had differing outcomes. Moreover, Hawaii has a living will statute which purports to place limits on when and whether a person may choose to die rather than live in a severely disabled condition. This article will summarize the current law, and will offer practical advice to physicians on how to deal with these sensitive issues that affect their patients.
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Laws mandating parental involvement in adolescent abortion decisions are in contrast to laws governing other aspects of adolescent health care. Studies support that adolescents are often capable of making mature, informed health care decisions. Nurses encountering these adolescents have a unique opportunity to support them through the system and enhance the decision-making process.
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