Advanced Care Plan

Siobhan is a 57-year-old female who has been diagnosed 18 months ago with Motor Neuron Disease. After discussions with her family, neurologist, and GP, Siobhan completed an Advanced Care Plan (also known as a health direction) 12 months ago, which clearly states that if her health deteriorates that she does not want specific treatments to prolong her life such as admission to intensive care. She has developed a chest infection in the last couple of days. This morning, Siobhan’s husband finds her confused and disorientated with a high fever and rapid breathing. He calls an ambulance, and she is transferred to the emergency department, and a copy of her Advanced Care Plan is given to the Ambulance Officers. In the emergency department, Siobhan is unable to effectively communicate because of her current acute illness. Siobhan’s husband explains to the health professionals that Siobhan had in recent times come to terms with her diagnosis and that she was looking forward to the upcoming birth of their first grandchild in approximately 5 months and an interstate family holiday after that. Siobhan’s husband expressed that he thought she would want to be treated for her severe chest infection, as antibiotic therapy was likely to be effective.

QUESTION: In light of Siobhan’s written direction in the Advance Care Plan, which is now 1 year old, that refused intensive care treatment, analyze and discuss at least three relevant ethical and legal considerations that the team of health professionals must assess to determine their next steps (support with references).