dr.shar
Forum Elite
Topics: 38
Posts: 236
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17 y.o. girl comes to the ER, she has a wound on her left foot that requires some stitches. She is stable. She also tells the physician that she has no time to wait, she has to pick her child up from a day care center. She is not married and lives with her parents, who are currently at work. The physician should
a. Get permission from the patient
b. Get two colleagues to sign the necessity of the procedure form and perform it.
c. Seek the court permission to do the procedure
d. Immediately proceed without consent
e. Get permission from patient's parents
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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A
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| dr.shar
Forum Elite
Topics: 38
Posts: 236
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yew, the ans is A..
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| kiranb
Forum Newbie
Topics: 2
Posts: 14
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sorry would one of you mind explaining why A? I would not consider this an emergency and even though she has a child, she is not emancipated because she is not married....so wouldnt you be required to obrain parental consent?
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| docofthebigapple
Forum Senior
Topics: 23
Posts: 174
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When i started out writing this response i agreed with kiran, but i wanted to make sure i know something i am writing about. So i i turned back to the my books and notes and lectures and found to my surprise i was wrong.
Kaplan says
1. Competent patients have the right to make their own decisions.
2.Assume the patient is competent unless clear behavioural evidence indicated otherwise.
3. decision making should occur in the clinical setting, avoiding going to court.
Now in this case, the patient is 17 years, has a baby to pick up, needs stitches,BUT is STABLE. and doesn't want treatment.
You have to agree to the patients wishes.
Competency is not an ethical issue, its a legal issue.
Unless you have clear behavioural evidence to the contrary or court issued statement against competency, assume the patient is competent.
Again...you have to agree to what patient wants.
Answer is A.
Thanks.
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| santaclara
Forum Elite
Topics: 67
Posts: 299
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and one more thing the answer should be "A" is that pt is not in emegency and she is stable also.
so i think "A' is right chice.
thanx
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| bluedusk
Forum Elite
Topics: 35
Posts: 217
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it does appear Kaplan is pretty clear - this girl is NOT emancipated by any definition. Even the rules under which she would get partial emancipation are not in play - this is not, for example, a prenatal or birth control issue. Therefore, I think we are talking (e) here.
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| pompy
Forum Newbie
Topics: 0
Posts: 6
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i think she is emancipated coz she has a child and she takes care of that child so i go with A
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| edgardny
Forum Junior
Topics: 3
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The notes in kaplan and brs agree. Pregnant adolescent under 18 has the right to give consent. Asthey do too for STD treatment
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| Vai
Forum Elite
Topics: 30
Posts: 195
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Rules are very clear: -she's under 18 -> she's a child
-she is not married and lives with her parents-> she's not emancipated.(pregnancy or having a child does not)
- her problem is not: STD, prenatal care, birth control, subst. drug treatm. ->not partial emancipation.
This is not emergency
E
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| VM
Forum Junior
Topics: 4
Posts: 65
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I agree with vai.......the patient is not emancipated and it sure doesnt seem like an emergency so E
VM
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| musiclover
Forum Junior
Topics: 13
Posts: 35
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G'day - good question!
I have read contradictory info on this. One person on this forum told me that someone who has children is emancipated - however, I read on Kaplan Q-bank that there are just the four exclusions to emancipation rule that someone outlined above. Kaplan specifically says that "Even if she is a mother, she is still a child"
please note the situation would be different were she married as marriage emancipates.
(kind of crazy but there you go!).
Best wishes
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