fox
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22) A hospitalist on duty for the weekend is called to consult on a case involving a 53-year-old woman in the medical intensive care unit. The patient has been hospitalized for 5 weeks. Her initial injury was a massive subarachnoid bleed complicated by an ischemic infarct of her brain 3 days later. Since that time, she has been persistently vegetative. She requires mechanical ventilation and external feeding to maintain her vital functions. It is discovered that, during a previous admission to the hospital, the patient clearly stated that she would want to be maintained on life support only if she were likely to regain a meaningful quality of life. The medical team believes that she does not have a significant chance of regaining an acceptable level of function. The children maintain that the situation is reversible and want to continue care, whereas the husband wants to withdraw care in fulfillment of his wife's wishes. Which of the following is the most appropriate next step?
A. Arrange a family meeting, hoping to resolve the patient's previously expressed wishes with those of the children and husband
B. Begin the withdrawal of care, despite the reservations of the children, after discussion with the hospital lawyer
C. Consult a psychiatrist to speak to the children
D. Notify the department of social services for the question of elder abuse
E. Refer the case to the ethics committee for review
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| Guptashutosh
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B
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| Mamay
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Agree, this should be (B)
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| sarika
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first thing first .... Arrange a family meeting, hoping to resolve the patient's previously expressed wishes with those of the children and husband but eventually patients wishes would have to be fulfilled.
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| robin082006
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A
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| Mahwish Mushtaq
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B
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| Aashi
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A. Arrange a family meeting, hoping to resolve the patient's previously expressed wishes with those of the children and husband
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| webjeee
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b, but don't know why to consult the lawyer.
couldn't be a, almost nothing to do with the family member.
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| fox
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Well A is the answer. Kaplan says u can arrange a meeting to see if they can arrive at a consensus. But eventually its gonna be the patient's wish. i.e. B. But next step is A
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