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Kaplan Qbank USMLE



Author7 Posts
  #1

Who are all to be considered incompetent?

*Patient who has attempted suicide before?

*Minors?

What to do in the following situation?

A patient is grossly psychotic-->His wife who lives with him says not to give anti-psychotic medications since the patient have told her before that he don't need any medications if he has psychotic episodes in the future.

So, the patient is incompetent --->So surrogates have to take the decision. So should we apply the subjective standard rule and NOT give medications???



  #2

[left]Questions of competence[/left] [left]1. If an adult's competence is in question (e.g., a mentally retarded or demented[/left] [left]person), a judge (not the patient's family or physician) makes[/left] [left]the determination of competence. Doctors are often consulted by the[/left] [left]judge for information about whether the patient has the capacity to make[/left] [left]health care decisions.[/left] [left]2. A person may meet the legal standard for competence to accept or[/left] [left]refuse medical treatment even if she is mentally ill or retarded or is[/left]
incompetent in other areas of her life (e.g., with finances).


  #3

Ignore that nonsense in between.... I can't seem to edit it....the entre text disappears.

So i think Psychotic can refuse medication unless a judge finds a reason not to.

Minors unless emancipated caregiver makes decisions. Not the way in my house. rolling eyessticking out tongue

Suicide let me check








  #4

[left]"Emancipated minors" are people under 18 years of age who meet at[/left] [left]least one of the criteria below. Emancipated minors are considered competent[/left] [left]adults and can give consent for their own medical care.[/left] [left]a. They are self-supporting or in the military.[/left] [left]b. They are married.[/left]
c. They have children whom they care for


[left]Parental consent is not required in the treatment of minors in the following[/left] [left]instances:[/left] [left]a. Emergency situations (i.e., when the parent or guardian cannot be[/left] [left]located and a delay in treatment can potentially harm the child)[/left] [left]b. Treatment of sexually transmitted diseases (STDs)[/left] [left]c. Prescription of contraceptives[/left] [left]d. Medical care during pregnancy[/left]
e. Treatment of drug and alcohol dependence


  #5

I cudn't find anything on that but if the patient is on sucide watch i wud say incompetent..........in case problem is life threatening. If not probably listen. But again court has to decide competency.


  #6

Thanx mytime! I am still confused with the psychiatric treatment part! I will post it as another doubt!wink

  #7

If he has refused when he was alright u can'tgive him but unless he was proven to be incompetent then. In case he's going to harm himself or someones making it An EMERGENCY u have too treat him. mad I wud!

What does UW say btw?








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