treatment decisions for me patient). &~
<t aJ.. The Issut of PtrSOnnl OJoicc 1M Compamt Incumbk Patiml and fix Right to Commit Suici.tk?, 57 Mo. L REv. I. 16.49 nn. 101-04 (1992) (imemal cirations omiued); Pwrzm v. Sisco, 406 E Supp. 776. 778-79 (WD. Ark. 1976) ajJ'd. 547 E2d 1172 (8th Cir. 1976) (nocing
18. A "qualified patient" is "a patient eighteen
"a physician's f:lllure to obmin an informed
attending physician to be in a terminal
36. 42 C.ER. § 489.102.
condition or in a permanently unconscious
37. /d.
state by me anending physician and anomer
38. Ark. Code Ann. § 20-17-214.
3. Rebecca C. Morgan
consem may give rise to a suit for an imenrional assauh and banery. though such suits are usually brought alleging negligence."). 4. Ark. Code Ann. §§ 20-%01 to -604 (Rep!. 1991. Supp. 1999). 5. Stt. Robert B. leBar.
Libmy and Dtath:
Advana HMlth Carr Dirrctivn and tIN LAw of Arkantm. 1986 ARK. L.R. 375. 384 (citing D,mman v. Rnnry. 118 Ark. 337. 176 S.W.
not aperience "mought, feeling, sensations, and awareness of selfand environment". Ark. Code Ann. § 20-17-201(11).
anending physician. Ark. Code Ann. § 2016-214.
qualified physician who has examined me
39. Ark. Code Ann. § 28-65-302 (Supp. 1999).
pacient". Id. § 20-17-201(7).
40. See Aa 1536 of 1999. § 7. 41. Ark. Code Ann. § 20-13-104 (Supp. 1999). 42. Ark. Code Ann. §§ 28-68-101 to -313 (1987). Original durable power of anorney acts were imended to delegate property decisions. Also, some acts have been
1993 ARK. L. NOTES 79. 80 (citation, omitted).
considered nondelegable because tlley are "tOO personal" in nature. &~ Leflar, mpm
20. Ark. Code Ann. § 20-17-206(b) (The physician is still responsible for providing "treatment,
7. See M'J'T
hydration, for a patient's comfort, care, or
NtbraskA. 262 US. 390 (1923); P;=t u Sodtty of Sur",. 268 U.S. 510 (1925); SIr;nn" u OklAhoma. 316 U.S. 535 (1942); Gmwold u Connt<t;cut. 381 U.S.479 (1965); Rot v. Wadr. 410 U.S. 113 (1973); Moo" u c;ty ofEast Ckutlnnd. 431 U.S. 494 (I 977); Plmmd Pomlthood of South~l1.It",1 Pmnty/uan;a v. Casty. 505 U.S. 833 (1992). 8. In" Qu;nlnn. 355 A.2d 647 (N.J. 1976) em. dm;td rub nom. 429 US. 922 (1976). 9. /d. at 651. 10. It!. at 663. 11. 497 U.S. 261 (1990). U.S.c. §§ 1395cc(f). I396a(w) (1993).
hospitals, nursing facilities, home healdl agencies, hospice programs, and health maintenance organi13tions. !d. §§ [0
1395cc(f)(2)(A) to (E). 1396a(w)(2)(A) to (E). 14. Ark. Code Ann. §§20-17-201 to-214(Rep!. 1991. Supp. 1999). 15. "Li~.susrn.ining ueaunem", as applied to terminally ill or pennanendy unconscious
induding
nutrition
and
alleviation of pain".).
21. S« Ldlar, Iupm nou 18, :11 81; In " Quinlan, 355 A.2d 647. 652 (N.J. 1976) em. dm;td rub 110m•• 429 U.S. 922 (1976); Cr=ln u Dirmor, Missouri /JqJI. of Hra/th, 497 U.S. 261 (1990). 22. Ark. Code Ann. § 20-17-204.
note 18, p. 413.
43. Stt Ark. Code Ann. § 20-9-602 (Rep!. 1991). 44. Wright u 7k Johns Hopk;,lS Htauh Syrtans Corp.• 728 A.2d 166 (1999). 45. /d. at 172. 46. SuArk. Code Ann. § 20-9-603 (Rep!. 1991) regarding "Implied Consent." 47. Ark. Code Ann. § 20-1 3-1 04 (e). 48.
23. Ark. Code Ann. § 20-17-208. 24. Ark. Code Ann. § 20-17-209.
NORMAN L. CANToR. ADVANCE DIRECIlVES AND THE
25. Ark. Code Ann. §§ 5-4-201; 5-4-401(Rep1.
PURSUIT OF
51. Canror, mpra nOte 48, at 67· 69. 52. Canror, mpra note 48, at 54.
14406 (1997). 27. Ark. Code Ann. § 5-10-106 (Supp. 1999).
53. Adapted from Cantor, Iupm note 48, at 150.
28. Ark. Code Ann. § 5-10-106.
54. See Cantor, mpm note 48. ar 60. 55. Adapted from Cantor, mpm note 48, at 61. 56. Model Advance Directives are available from UAMS Medical Center, 4301 West Markham Street, Slot 727, Litde Rock,
29. 30. 31. 32.
Ark. Code Ann. § 20-17-202. Ark. Code Ann. § 20-17-207. Ark. Code Ann. § 20-9-602. Ark. Code Ann. § 20-9-601. 33. Sa I..eRv, mpra nore 5, at 391-94 (stating Arkansas's Consent to Treatment Statute
Arkansas. 72205. 57. Cantor, Iupra note 48. at 122-134.
recognizes the substituted judgment principle when it authorizes other persons to make
NEED ASSISTANCE WITH APPEALS?
the process of dying or ro maintain the
201 (4) (Supp. 1999). 16. "Terminally ill" is the physician's derermination that a patiem has an "incurable and i~ible condition" and mar wichom life-sustaining rrearment, the patient will die "within a relatively shon time". Ark. Code Ann. § 20-17-20 I (9). "Relatively ,hort time"
is nor funher defined in the Code. 17. "Permanently unconscious" is a lasting, indefinite condition in which the patient does
WITH
DIGNm'. 4445 (1993). 49. Adapted from Cantor. supra nOte 48, at 149.
patiems, IS any "'medical procedure or inrervention" that wilJ "serve only to prolong patient In a condirion of permanent unconsciousness". Ark. Code Ann. § 20-16-
DEATH
50. Canror, mpra note 48, at 70.
1997). 26. Ark. Code Ann. § 20-17-210; 42 U.s.c. §
J 2. The Patients' &:If-Determination Aa. 42
make health
declaration or appoinred a health care proxy
19. Stt. Robert B. Leflar. WtliJdnzUN1lofNurrinon and Hydnznon From Dy;ng and Vtgttanvt Patinzt:s: A Statfltory Analysu ofArkansas Law,
U
(0
care decisions" as determined by the patient's
6. Ark. Code Ann. § 20-9-604 (Supp. 1999).
J 3. The Aa applies
35. "Incapacity" means "unable
(18) or more years of age who has executed a and who has been determined by the
339 (1915).
aw,
In " Connty. 486 A.2d 1209. 365 (I 985). 34. Id. at 366-67.
.:. .:. .:.
State and Federal Appeals Former Arkansas Supreme Court Law Clerk Writing Sample and References Available CAROUNE L WINNINGHAM
Brazil. AdJong & Winningham, PLC 913 Oak Street Conway, AR 72032 (501) 327-4457