On the other hand after amputation Fran would need a lengthy recovery period and would be tied to a wheelchair. The other option offered is to revascularise the leg which might save the limb but it is more risky.
With Fran unable to make any informed decisions, her family members are to be he ones to make them. Fran lives with her daughter June in her basement for the past few years. Her son Marcus, who is the eldest of her children, lives an hour drive away and visits often. Fran is separated, although not divorced, from her husband Derek for the last three years.
Outside her family Fran does maintain an independent lifestyle. She goes out with her friends on regular basis, and especially enjoys to attend weekly bowl games at her nearby club. Fran , according to her daughter, on many occasions expressed the feeling that she does not want to be stuck in bed like the poor people in nursing homes. Her weekly social interactions were most important in her life.
Fran’s case opens many legal and ethical questions. It is clear that the latter stem mostly from the legal framework that does not exist in this case. Fran, although sick for years, did not put in place any legal documents that would help in the case like this. There is no written statement that would give any of her family members right to sign medical consent forms. This fact leaves a lot of confusion and opens a lot of questions. Unfortunately, as usual, the time constraints of her condition leave no room for any of those. Decisions need to be made soon and for the best of Fran.
If we look into people involved we know that Fran is separated, but not divorced from her husband Derek. As a spouse Derek in legal terms comes ahead of her children when it comes to making decisions about Fran’s health care. However, the fact they don’t live together must be taken into account. Marcus is the eldest child and is next on the list in order of