Case History of S.A

Physicians first present the case of a sixteen-year-old cardiac patient who has refused a heart transplant and cardiac resuscitation. Her family and physicians accept the decision. The family has asked the school system to honor her do not resuscitate order if she goes into cardiac arrest in school. The school system has refused to do so. Following the case presentation, a lawyer, a physician/ ethicist, and an educator consider the important issues raised by this ongoing case.