sfk wrote:
An 88-year-old male complaining of abdominal pain enters the emergency room with his wife. A mini-mental status exam reveals pronounced forgetfulness and confusion. The patient is discovered to have acute appendicitis requiring immediate surgery. He is unable to understand the situation and cannot provide informed <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />Perform the surgery
Plz explain ur answer
An 88 year old male complaining of abdominal pain enters the emergency room with his wife. A mini-mental status exam reveals pronounced forgetfulness and confusion. The patient is discovered to have acute appendicitis requiring immediate surgery. He is unable to understand the situation and cannot provide informed consent.
Which of the following further actions must be taken by the physician
A. Do not perform the surgery
B. Have another doctor confirm the necessity of surgery
C. Obtain a court order to perform the surgery
D. Obtain consent from his wife to perform the surgery
E. Try to persuade the patient to consent to surgery
F. Perform the surgery
Plz explain ur answers.
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| paheli
It'sAllAboutGoodKarma
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F, coz it is life-threatening, and you don't need consent to proceed anyway.
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| adiagra
Forum Newbie
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hi
i think a consultation with the head of the institute or the director is the way to go because as stated in kap med ethics book ONLY A PT CAN GIVE CONSENT AND NOT HIS FAMILY
HOWEVER IF U FEEL THAT U WANNA GO AHEAD WITH SOME PROCEDURE AND THE PT IS NOT FIT TO GIVE CONSENT THEN CONSULT THE HOSPITAL INCHARGE
court orders will coz unnecessary delays
and u cant say that appendicitis is dangerous coz u know conservative mx is
possible
also WILL A 88 YR OLD MAN BE REALLY FIT FOR ANESTHESIA
not if i were an anesthetist
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| silver
Forum Guru
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F. Perform the surgery
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| Jackofknives
Ipwnpoker.com
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Treat, no time to access substituted judgement, hence F.
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| imnalini
Forum Senior
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@adigra
in emergency situations to save life -u need no consent.
if it would not have been an emerg situation wifes consent/court orders would hv been sought.
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| carlitoswaymd
Forum Newbie
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D...
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| darkhorse
Forum Elite
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F
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| sfk
Forum Elite
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i came across a question in UW, which asks about a situation where a man refuses an emergency blood transfusion to his wife and child. the answer states that wife cannot be transfused, but for child, parent cannot withold life saving treatment.
SO what happened to " no consent in emergency"???
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| SmokyWaters
Forum Elite
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the rule that consent is implied fits here
the only possible distractor would be ASK THE WIFE FOR CONSENT but look at it this way... in case the wife says NO to your askin her...what will be your decision??? obviously you will stil perform the surgery...
so PERFORM THE SURGERY...
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| Ig F
Forum Elite
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Posts: 439
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well the question mentions the presence of wife then taking consent from the wife is the appropriate answer...........D.........
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