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  #1  
Old 03-02-2012
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Medicolegal and Ethics Paternalism versus Rationing Care

A 95-year-old woman in a nursing home has had advanced vascular dementia, severe dysphagia, and a 9-kg (20-lb) weight loss over the past 2 months. Her four children are divided regarding the decision to provide artificial feeding through a gastrostomy tube. There is no living will. The
oldest son approaches the physician after a family meeting and says, "You should simply decide what is best for her and tell the others that's what we should do." Assuming the physician proceeds in this manner, which of the following best describes the physician's action?

(A) Paternalism
(B) Preserving fairness in use of resources
(C) Protecting patient autonomy
(D) Rationing care
(E) Truth-telling
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  #2  
Old 03-02-2012
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my guess = D.
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  #3  
Old 03-02-2012
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C. Protect the patient.
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Old 03-02-2012
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Ans ....A ........ doc acting like a father .......
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  #5  
Old 03-02-2012
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why not d ???
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Old 03-02-2012
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Quote:
Originally Posted by flowerlady View Post
why not d ???
I am not sure what realy rationing of care means?

can someone explain?
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Old 03-02-2012
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Confused between C and D....
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Old 03-03-2012
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so whats the answer and explanation.
please post explanation of wrong answers as well so we can get more info
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  #9  
Old 09-14-2012
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Paternalism in medicine occurs when the physician or nurse decides “what is best” for patients without receiving input from them.
c - autonomy- obligation too honor patients preference in medical care
d - rational care- physician going to try to make the most rational decision about what should be done to the patient
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Old 09-15-2012
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my guess.....
D
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  #11  
Old 09-15-2012
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I dont think that person is gonna reply, see the date its age old, 3rd of feb
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  #12  
Old 09-15-2012
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Regarding this type of question i just remember 1 thing that if physician have to decide physician will not make this decision as a practicing physician. The decision should be as its asked to any random person.
But still not sure with options.
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  #13  
Old 09-16-2012
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Default my answer :)

(A) Paternalism
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  #14  
Old 10-18-2012
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(D) Rationing care
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  #15  
Old 09-22-2013
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Default kindly help!!

the question discussed here is from nbme free 150...
in their answer key, the answer is paternalism....
can somebody explain y not rationing care!!
thankyou
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