Ancylostoma
Forum Guru
Topics: 42
Posts: 642
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1 - Wife is the patient, do what the wife wants, you should make her aware of the risks of the benifits of the operation, suggest that she discuss it with her partner. However if the patient choses to do it regardless you should obey her command.
3- Flat line EEG, the presence of a flat line eeg means he is brain dead. Regarless of the patients familys request, pull he plug. If not a flat line, do what patients family want, extra interventions etc.
2- this is a question that falls in the middle, while pregnancy is a crucial step in being emacipated, a person who is pregnant is not considered emacipated unless she is taking care of the child alone and providing for him (living alone, working and taking car eof kid etc). So, if she is a emancipated minor, she decides. If she isnt then her mother or parents decide. I'm not completely sure about this , but I would follow these guidelines. Remember the mothers rights are always paramount in the first trimester and a mother still retains the right to refuse treatment in the first trimester, even if it may put the fetus at risk (Roe vs Wade). After the first trimest, state law governs and varies from state to state, you will not be tested on something that cannot be applied to the whole country.
Edited by Ancylostoma on 12/31/06 - 04:01 PM
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This is just an adition.
Situations in which parental consent usually is not required for the treatment of minors Beh Scie in Medicine Fadem Pg.443)
1.emergencies in which child could be harmed by delay
2.treatment of drug and alchohol abuse
3.treatment of STDs
4.prescription of contraceptives
5.pregnancy testing
6.medical care during pregnancy
7.medical care during and after delivary
8.treatment for mental illness
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