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Old 01-13-2010
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Medicolegal and Ethics Patients' Autonomy.

Health care choices for a patient are decided by the following in order:

1- Patients own words.
2- A living will.
3- Durable power of attorney.
4- Next of kin (the person who knows the patient very well to know what the patient would have decided, on provision that he/she tells the patient's wishes not his own)
5- What is best for the patient and what would be chosen by reason.

Exception:
- When grossly demented, with complete loss of judgment and separation from reality (e.g Late Alzheimer's, severe schizophrenia). 1 is eliminated.
- For minors decision making is the responsibility of the caregiver, but life or limb saving procedures should not be withheld, if the condition is acute (e.g splenic rupture with shock) the caregiver's saying is discarded if necessary to maintain the patient's life,. In less acute conditions (e.g leukemia requiring chemotherapy) a court order can be sought, or just discard the caregiver's opinion (according to choices), all of these decisions should be a requirement to save the patient life or limb.
- Minors can have medical service for drug abuse, contraception, prenatal care, obstetric emergencies including delivery and in emergencies without parental consent. Abortion regulations are highly variable in different states.
- A minor is emacipated on marriage (most strong alibi), joining the military or by court order. This makes him/her able to make health choices.

Anyone can add or correct anything? these questions are very common and we have to be able to answer any scenario they come up with.

Last edited by DrSeddik; 02-05-2010 at 10:07 AM.
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  #2  
Old 01-25-2010
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Default imacipated--->emancipated

Quote:
Originally Posted by DrSeddik View Post
Health care choices for a patient are decided by the following in order:

1- Patients own words.
2- A living will.
3- Durable power of attorney.
4- Next of kin (the person who knows the patient very well to know what the patient would have decided, on provision that he/she tells the patient's wishes not his own)
5- What is best for the patient and what would be chosen by reason.

Exception:
- When grossly demented, with complete loss of judgment and separation from reality (e.g Late Alzheimer's, severe schizophrenia). 1 is eliminated.
- For minors decision making is the responsibility of the caregiver, but life or limb saving procedures should not be withheld, if the condition is acute (e.g splenic rupture with shock) the caregiver's saying is discarded if necessary to maintain the patient's life,. In less acute conditions (e.g leukemia requiring chemotherapy) a court order can be sought, or just discard the caregiver's opinion (according to choices), all of these decisions should be a requirement to save the patient life or limb.
- Minors can have medical service for drug abuse, contraception, prenatal care, obstetric emergencies including delivery and in emergencies without parental consent. Abortion regulations are highly variable in different states.
- A minor is imacipated on marriage (most strong alibi), joining the military or by court order. This makes him/her able to make health choices.

Anyone can add or correct anything? these questions are very common and we have to be able to answer any scenario they come up with.
- a minor is emancipated on marriage...
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Old 01-25-2010
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Quote:
Originally Posted by jamestan View Post
- a minor is emancipated on marriage...
As far as I know is that marriage does not emancipate only if the patient is living on his/her own.
Like for example if a teenager is married and her husband left the city and she's living with her parents, she's not emancipated.
Am not sure though
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  #4  
Old 01-26-2010
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Default

I took this from FA Qand A, 12th question in behavioral. The question says that a teen wants to get an abortion without her parents knowing, you obey her wishes because she is emancipated, Why is she emancipated? is the question. The choices are full time job, living away from her parents, marriage and other insignificant. The correct answer is marriage, in the explanation they say "a minor can generally acquire emancipation through court order and marriage". Living alone alone and financial independence are not enough to get emancipation unless looked by a court.

I got that question wrong by the way, it is nonsense I agree, but so are all medicolegal questions
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