jj123
Forum Newbie
Topics: 8
Posts: 26
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1.A schizophrenic patient is on neuroleptic drugs and his condition is under control without any hallucination or obvious manifest of the disorder as long as he is on the drugs. He wants to stop the treatment because of the side effects of the drugs. His family wants you to continue the treatment because the patient would kill himself or others if he doesn't take the drugs. The question is whether you should continue to treat or not treat? No option like changing the drugs to reduce the side effects in the answers, sorry.
2. A mild mental retarded person (let's say he has 75 IQ) has rights to refuse or accept treatments?
If he comes in with his family member, do you discuss the case with him only or with him and the family member?
3 Suicidal patient is sent to you. After regain consciousness in the ER, she wants you to stop the treatments that is life saving. Treat or no treat? I thought emergency and suicide patients are not competent to make decision. Physicians have therapeutic privilege(Kaplan notes). But what about this case?
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| new_n_lost
Politically InCorrect
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Plz Me if these r NBME Qs i havent looked into them if they r plz say so.?>>???
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| jj123
Forum Newbie
Topics: 8
Posts: 26
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no, they are not NBME Qs.
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| new_n_lost
Politically InCorrect
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For Question 2
Rule #17: Committed mentally ill patients retain their rights.
1. Committed mentally ill adults legally are entitled to the following:
a. They must have treatment available.
b. They can refuse treatment.
c. They can command a jury trial to determine "sanity".
2. They lose only the civil liberty to come and go.
3. They retain their competence for conducting business transactions, marriage, divorce, voting, driving
4. The words "sanity" and "competence" are legal, not psychiatric, terms. They refer to prediction of dangerousness, and medicopsychological studies show that health care professionals cannot reliably and validly predict such dangerousness.
Considering this i can say that He is Allowed to Accept his or her Rx n u can talk to him alone
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
Politically InCorrect
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For Question 3 the Pt is deemed as Incompetent n her DNR orders termed as Not compliance as u have a Recent Episode of Suicide. If the Case were of a Pt who ASKS for DNR orders After a few days of Attempt then u have to oblige to her DNR orders.
these r my opinions don't consider them as final answers.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| usmle4me
Forum Elite
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For # 1 and 2 pt has a right to refuse Rx
Not very sure but I think pt #3 has a right to refuse.
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| new_n_lost
Politically InCorrect
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And for the first Question if u r sure the Pt is harmful to himself or others u continue the Rx but if for some reason u feel the pt is being affected by the drugs n the pt feels competent then u stop Rx. Again My opinion.
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| jj123
Forum Newbie
Topics: 8
Posts: 26
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I aggree with you, new & lost. You don't seem to be lost at all. Thanks for the info. I feel a lot more confident after your comfirmation. I guess i am nervous. my exam is in a few days.
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| usmlefever
Forum Senior
Topics: 4
Posts: 127
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for # 1 i think n& l is right but i will add one more pointif there is a option of admitting him then admit & treat.
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