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20. A 45 yr old man attempted suicide by driving his car into a pole with an intentional purpose of ending his life . he was found severly hemorrhaging & in the ER he refuses to give consent for surgery to stop the bleeding. He states to end his life. He was recently diagnosed with cancer & he refused surgery to remove it . he states that his life is complete & he wishes to end it .
What should u do about the surgery to stop the bleeding???
a.follow his stated wish & withhold surgery
b perform the surgery
c obtain a court order
d.ask family members for consent.
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b because taking trying to take ur own life means ur incompetent
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even if the person is incompetent the family's consent is necessary. so d makes sense.
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acyclovir where are you posting Qs from??
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A friend of mine sent it to me.They are not nbmes nor UW Qs.
B is correct.
Ans:b wake up the pt & seek consent for the procedure
You must obtain informed consent for the specific procedure. Consent for another procedure or clear medical necessity cannot infer consent for another procedure.
Neither the medical necessity ,the seriousness nof the condition noe the assumption that any reasonable person would consent is sufficient to assume that consent is given..
You cannot have informed consent without the pt waking up.Each procedure must undergo an individual consent process.
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dude.. i think you posted the answer for the ear case here... whats the right ans?
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lol....never mind.
B is correct for this one too.
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Ans: B perform the surgery.
The pt™s injury is ,in a sense the same as purposeful drug overdose , jumping off a bridge or shooting himself. In this case, he used a car. Athough an adult pt with the capacity to understand his medical care can refuse treatment ,this is not the same as allowing pts to kill themselves.People actively trying to kill themselves are by definition œ NOT CONSIDERED COMPETENT.
The right to autonomy ends just short of condoning active suicide. At assumption is made that when acute life stressors lead a pt to attempt suicide that they are temporarily incompetent & psychotherapy or pshychopharmacology may help him .If u review the case,u will see that the case never stated that the cancer was incurable or progressive or even fatal.
