Three quality of life factors in this ethical dilemma include the patient's autonomy and right to refuse medical treatment, the potential for a good chance of survival if treated promptly, and the impact of the patient's decision on his wife who is currently 6 months pregnant and in need of his support. These factors highlight the complexity of the situation and the need to carefully consider the potential consequences of respecting the patient's wishes while also prioritizing the patient's best interests and the well-being of his family.
a) Quality of Life for John: Dr. Smith had to consider the impact of the medical treatment on John's quality of life. If John were to survive the accident, it could potentially result in a lower quality of life due to possible long-term disabilities and limitations.
b) Quality of Life for John's Wife: Dr. Smith also had to take into account the emotional and psychological impact on John's wife and their unborn child. If John were to survive, it could improve the quality of life for his wife, as she would have the support and companionship of her husband during her pregnancy and the challenges of raising a child.
c) Quality of Life for the Medical Team: Dr. Smith needed to consider the potential emotional and psychological toll on the medical team who would have to perform life-saving procedures on a patient knowing that their efforts could ultimately go against the patient's wishes. This could affect the quality of life of the medical team and their ability to fulfill their duties effectively.