Next step

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Psychiatry & Ethics

Next step

Author

12 Posts

kpmle2
Forum Elite

Topics: 29
Posts: 290

08/20/07 - 03:40 PM

A 16-year old boy was diagnosed with osteosarcoma of the right thigh. The surgeon recommended amputation. The boy refuses amputation. He is doing very well otherwise. He is aware that death is certain without surgery.

Next step in management

lakshya_0_7
Forum Elite

Topics: 23
Posts: 280

08/21/07 - 01:57 PM

any options....?

i'd not amputate....

radonc
Forum Senior

Topics: 6
Posts: 174

08/22/07 - 02:47 AM

A 16 yo is a minor. He does not enjoy the rights of adults. Need consent from parent or guardian.

sahota
Forum Elite

Topics: 40
Posts: 202

08/22/07 - 03:03 AM

well yeah if the boy is not emancipated need consent from family

kpmle2
Forum Elite

Topics: 29
Posts: 290

09/02/07 - 01:24 PM

yes lakshya_0_7 is correct.

123456cat
Forum Newbie

Topics: 0
Posts: 1

09/02/07 - 01:44 PM

well, considering the childs age, n teh clinical condition.. the parents have to be approached for any opinion on surgery.. however if the child is emancipated, then no surgery but tell him that if he changes his mind he can always come back and also tell him about teh other options for treatment that cud be there for reducing teh pain adn that can be given as symptomatic treatment... what do u guys think?

sahota
Forum Elite

Topics: 40
Posts: 202

09/02/07 - 04:44 PM

i have already replied to this

Justice
Forum Fanatic
avatar

Topics: 100
Posts: 1,901

09/02/07 - 05:20 PM

Agree,
the 16 yo Pt himself is not entitled to make a decision...
Ask parents, or obtain court order...

___________________
Don't live in a town where there are no doctors

sahota
Forum Elite

Topics: 40
Posts: 202

09/02/07 - 05:23 PM

why this confusion in this post. guys read conrad fischer book on usmle ethics you will
get all answers

dr in trouble
Forum Guru
avatar

Topics: 60
Posts: 590

09/03/07 - 10:02 AM

#10

obtain consent from guardian

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

kpmle2
Forum Elite

Topics: 29
Posts: 290

09/04/07 - 08:13 AM

#11

Next step in management: amputation should NOT be preformed.
Adolescent patients or adults who are competent in making decisions have an absolute right to determine what shall be done with their own bodies. However, most pediatric patients are not competent to make their own decisions. Please remember, children (15 years or older) are usually able to give a genuinely informed consent. Therefore physicians may respond to their request, except in a case of irreversible sterilization

elitoki
Forum Guru
avatar

Topics: 54
Posts: 508

09/11/07 - 11:37 AM

#12

I think the answer of this Q is not based on age of the minor and it is mostly if he is emancipated or not.
if this child lives along, we have not amputate his leg, but if he lives with his parents or guardian, we have to contact with them to get to consent.

I think that the Q should be specified about that.

You don't have permission to post.