sturge_weber
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| | 09/21/05 - 12:50 PM
1 of 1 forum leaders found this post helpful
| #1 |
even after u have spoken extensively , a competent 26 yr old woman who is 38 wks pregnant,,refuses to consent to a cesarian section that is necessary to save the babys life, what will u do????
a. get a court order to do the procedure
b. have the father consent the procedure
c. contact a law enforcement agency
d. call a consultation liason pyshiatrist
e. contact a social service agency
plzzz explain if u know
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| KEROCHI
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answer is A. get a court order to save the baby's life. The mother can consent for herself but if the procedure is necessary to save the baby's life & she's not consenting then a court order is necessary...
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| ssrpk
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why not try the dad first before knocking on court's door!
i'll go with B
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| gpsbrar
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C Contact law enforcement agency.
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| gpsbrar
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Coz it is question of baby's life and is urgent. Court may take some time.
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| sturge_weber
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well guys i read in kaplans that a pregnant lady does not consent to a procedure , u cant do anything, but to accept her wishes.but that choice is not here
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| sturge_weber
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i dont think its b coz its a major, and after that parents cant consent
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| gpsbrar
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Coz the 1 patient is Adult 2 Competent 3 C-section needed to save the babies life No need of:
a contacting her father, if it was baby's father then the story was different.
b. Court. For court you have to file a complaint with law enforcement firt.
c What social service gonna do
d psychiatrist. It is clearly mentioned in the stem that the lady is competent.
So the option left in this question according to me is contact the law enforcement and explain them the situation.
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| drkpp
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sturge i think u right. one has to oblige with the patients wishes.....
u cannot give her a scare if she does not want one.
rules regarding abortion ofcourse are differnet in different states. butr here something is missin and its not about abortion....
where did u get the question from?
if its on the board then i wld go with the answer a. go to the court cause sounds ethica.. but am not sure
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| gpsbrar
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drKpp. In medical prof., Can we contact courts without filing a report with police (Law enforcement). I have no idea about that. Please if could guide a little bit. Coz any ow orders will be issued from courts, not from the police. But isn't it that we should contact police first and then move to the court. Kindda very tough question for me.
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| drkpp
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brar putter u have really gone into the depth of the question. may be u are right.
as i said in the exam i wld go with it cause they have not asked what the next best step is, the question says what will you do. yes we can go directly to court why not. third what is the law enforcement agencies gonna do-order you to do C.S what the hack do the police know...
anyways all personal opinions. only sturge can tell you what the right answer is. so please verify if i am wrong. and you need to be good at this stuff cause B.S is the only subject which i screwed up on my test and ende up not gettin in high 90's. i got a borderline on b.s.
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| gpsbrar
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thanks kpp
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| sturge_weber
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well guys, the answer is d, makes no sense to me, and the explanation is if the woman is adult and mentally competent, then she has the right to refuse the c.s and u cant do anything about it, so u can go to a consultation liason pychi, for help,
well doesnt make sense to me,
q from bss
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| gpsbrar
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Well now the only the psychiatrist can put some sense in the lady to go for the C section. May be thats why. Kidding.
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| the_holy_man
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I think for ethics in usmle
Never refer a patient.
Never go to court.
Never call the police.
Always solve the problem by talking.
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| satyaking
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Well patient has disegarded the doctors suggestion.But according to law to file a case aginst mother she should be incompetent.hence we will asses the competency by psychiatrist so that we can approach a law enforcement agency or not so d is correct answer
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| drk1980
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thts good, also helps to answer the other Q in the forum, abt anthr pregnant lady....
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| Doc2378
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A ofcourse
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| roopashri
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but competency is a legal concept right??
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| Geroo
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yes psychiatrist can't decide that the patient is incompetent.I go with A
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| robin082006
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I think D is correct.
You can see info in BRS BS of Fadem. A competent pregnant woman has the right to refuse Cesarean section even if the fetus will die or be severely injured without the intervention. All we can do is have someone consult her.
(BRS Behavioral Science by Fadem, p 218).
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| satyaking
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Yes the competency is decided by the court but psychiatric consultant gives the status of patient and presents his report to the court. Then court will decide well she is competent or incompetent.Hence the doc. shld send for psychiatric consultation before sending the case to the court.
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| sturge_weber
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well the ans is d
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| Doc2378
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Thanks, Sturge...now we know! Keep 'em coming in....
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| mjl1717
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mental health professionals are more in vogue now then ever before!
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