Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  One more on Ethics! 




 



Author8 Posts
  #1

Unconscious patient--->Bleeding profusely--->Wife rejects blood transfusion --->Says that her husband is a firm believer of religion-So Don't transfuse!

WAT TO DO?

confusedWill substituted judgement work here-Since wife has been with him always----?

Or Substituted judgement will not work in emergency situations?

confusedconfused

  #2

in emergent situations only advanced directives or a living will work will be acceptable, not substituted judgement... and for peds group, physician must intervene i its emergent situation.

___________________
life is guud

  #3

so shud v transfuse??

___________________
If u want to do something, do it today as there is no tomorrow.

  #4

yes we transfuse

___________________
life is guud

  #5

"If the individual’s substitute judgment is to refuse the treatment, that refusal must be respected except in an emergency."

http://www.freedom-center.org/pdf/guardianship_fl...


  #6

It's an EMERGENCY situation... NO time to stop and think about ethics! Transfuse UNLESS the wife provides written proof that the husband doesn't want to be transfused. You can't go on word of mouth.

BUT what if the wife is the man's Power of Attorney. As we know the Power of Attorney beats a living will and the POA actually speaks as the patient's voice. In this case, what do we do?

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #7

then u follow wife's wishes

___________________
Impossible is nothing !

  #8

If it is not a medically necessary what should we do?







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.