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Old 09-12-2011
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Medicolegal and Ethics Please take my father to the OR!

A 68-year-old male with a history of coronary artery disease, myocardial infarction, and five prior embolic strokes that have paralyzed the left side of his body presents with two days of severe abdominal pain. Work-up in the emergency room reveals that he has an acute mesenteric ischemia. The surgeon tells the family that the patient cannot survive an operation. He also tells them that the necessary operation would likely leave the patient without any functional bowel. The son takes the physician aside and asks, "Can you take him to the O.R. regardless?" Which principle should dictate the surgeonís response?
A. Informed consent
B. Justice
C. Non-maleficence
D. Beneficence
E. Autonomy
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Old 09-12-2011
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D) Beneficence
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Old 09-12-2011
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E. Autonomy
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Old 09-12-2011
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A.informed consent
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Old 09-12-2011
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A 68-year-old male with a history of coronary artery disease, myocardial infarction, and five prior embolic strokes that have paralyzed the left side of his body presents with two days of severe abdominal pain. Work-up in the emergency room reveals that he has an acute mesenteric ischemia. The surgeon tells the family that the patient cannot survive an operation. He also tells them that the necessary operation would likely leave the patient without any functional bowel. The son takes the physician aside and asks, "Can you take him to the O.R. regardless?" Which principle should dictate the surgeonís response?
A. Informed consent
B. Justice
C. Non-maleficence
D. Beneficence
E. Autonomy
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Don`t Let Others Tell You What You Cannot Do !!!!
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Old 09-12-2011
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I think the question states that - the son is asking the surgeon to take the patient to the OR (for the surgery). As the question states, the patient is unlikely to survive any further operations and the surgery would leave him with an dysfunctional bowel.

Therefore, the surgeon's response should be in terms of whats BEST FOR THE PATIENT. (Beneficence) Clearly the surgery is not good for the patient.

All other responses dont really fit into the question - Autonomy & Consent have to do with privacy issues. Non malificence and Justice have to do more with legal issues involved.
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Old 09-12-2011
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Autonomy.

If the patient is competent he has to choose the treatment.
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Old 09-12-2011
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E. Autonomy
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The correct answer is C.
The principle of non-maleficence dictates that actions should not harm or bring harm to patients. In this case, operating on the patient would likely kill him, thereby violating the principle of non-maleficence.
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Old 09-13-2011
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Quote:
Originally Posted by ricko335 View Post
The correct answer is C.
The principle of non-maleficence dictates that actions should not harm or bring harm to patients. In this case, operating on the patient would likely kill him, thereby violating the principle of non-maleficence.
Vs. Autonomy? Will you go against patient's will
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patient here has no will patients kin are keen to have a surgery whatsoever
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Old 09-13-2011
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Quote:
Originally Posted by ricko335 View Post
A 68-year-old male with a history of coronary artery disease, myocardial infarction, and five prior embolic strokes that have paralyzed the left side of his body presents with two days of severe abdominal pain. Work-up in the emergency room reveals that he has an acute mesenteric ischemia. The surgeon tells the family that the patient cannot survive an operation. He also tells them that the necessary operation would likely leave the patient without any functional bowel. The son takes the physician aside and asks, "Can you take him to the O.R. regardless?" Which principle should dictate the surgeonís response?
  • A. Informed consent
  • B. Justice
  • C. Non-maleficence
  • D. Beneficence
  • E. Autonomy
C. Non-maleficence
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Old 09-13-2011
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They didn't mention in the question if the patient is competent and can make his own decision
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