Family refused to consent; Patient has Organ Donation Card - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 03-26-2012
USMLE Forums Guru
 
Steps History: 1 + CS
Posts: 303
Threads: 57
Thanked 105 Times in 67 Posts
Reputation: 115
Send a message via Skype™ to usmlemydream
Medicolegal and Ethics Family refused to consent; Patient has Organ Donation Card

A man arrives at the emergency department on a ventilator after an accident. He is brain dead by all criteria. He has an organ donor card in his wallet indicating his desire to donate. THe organ donor team contacts the family. The family refuses to sign consent for the donation.

what should be done?

A. remove the organs anyways
B. wait for the patients heart to stop and then remove the organs
C. stop the ventilator and remove the organs
D. seek a court order to overrule family
E. honor the wishes of the family;no donation
Reply With Quote Quick reply to this message



  #2  
Old 03-26-2012
drhma's Avatar
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 193
Threads: 29
Thanked 134 Times in 71 Posts
Reputation: 144
Send a message via MSN to drhma
Default

what is the source of these questions plz? they r very interesting..
Reply With Quote Quick reply to this message
  #3  
Old 03-26-2012
avash.nrs's Avatar
USMLE Forums Guru
 
Steps History: Step 1 Only
Posts: 440
Threads: 52
Thanked 258 Times in 153 Posts
Reputation: 268
Default

obey wishes of the family..its must while organ donation to get consent of family too after the patient dies..conrad fischer's 100 cases..keep it coming buddy..will be a good source of revision
Reply With Quote Quick reply to this message
  #4  
Old 03-26-2012
Dr. Mexito's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 662
Threads: 72
Thanked 363 Times in 202 Posts
Reputation: 373
Default

Quote:
Originally Posted by avash.nrs View Post
obey wishes of the family..its must while organ donation to get consent of family too after the patient dies..conrad fischer's 100 cases..keep it coming buddy..will be a good source of revision
The patients is okay with donating organs... how come obey the family? Isn't that we have to respect patient wishes even if family is against it?
__________________
"Disease is very old, and nothing about it has changed. It is we who change as we learn to recognize what was formerly imperceptible." JMC
Reply With Quote Quick reply to this message
  #5  
Old 03-26-2012
d_wiqed's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 861
Threads: 19
Thanked 887 Times in 432 Posts
Reputation: 904
Default

Yep, A for me too. But I haven't read the 100 cases by Fischer yet so I wouldn't know...

@usmlemydream: is this from the 100 cases by Fischer? Either way, I'm loving the ethics questions!
Reply With Quote Quick reply to this message
The above post was thanked by:
usmlemydream (03-26-2012)
  #6  
Old 03-26-2012
DocSikorski's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,353
Threads: 94
Thanked 873 Times in 506 Posts
Reputation: 886
Default

B.................
__________________
Ambition is a dream with a V8 engine. EP
Reply With Quote Quick reply to this message
  #7  
Old 03-26-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 257
Threads: 49
Thanked 75 Times in 50 Posts
Default

Honour the family's wishes
Reply With Quote Quick reply to this message
  #8  
Old 03-26-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 257
Threads: 49
Thanked 75 Times in 50 Posts
Default

A mere organ donation card isnt sufficient when the person is brain dead, the family's consent is a must!
Reply With Quote Quick reply to this message
  #9  
Old 03-26-2012
Dr. Mexito's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 662
Threads: 72
Thanked 363 Times in 202 Posts
Reputation: 373
Default

Quote:
Originally Posted by usmlemydream View Post
He has an organ donor card in his wallet indicating his desire to donate.
This isn't a proof of this patient wishes?

According to Kaplan videos... laking of testament or any other proof, we respect last patient wishes... this green card doesn't count as last wishes? I'm just asking.... I want to have this clear

__________________
"Disease is very old, and nothing about it has changed. It is we who change as we learn to recognize what was formerly imperceptible." JMC
Reply With Quote Quick reply to this message
  #10  
Old 03-26-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 257
Threads: 49
Thanked 75 Times in 50 Posts
Default

Although the organ_donor card indicates the patients wish to donate his organs, it is still unacceptable to overrule the family,to harvest organs against
the direct wish of the family. If we were to overrule the family then there would.be no point in asking them to consent. why ask for donation, if we would harvest the organs anyway even if they said no? organ-donor card is an indication of the patients wishes but not fully binding.
this is what fischers notes explain. hope it helps!
Reply With Quote Quick reply to this message
The above post was thanked by:
DefeatTheBeast (03-26-2012), Dr. Mexito (03-26-2012), drj10 (04-14-2012), DrThea (07-27-2015), Hope2Pass (03-26-2012)
  #11  
Old 03-26-2012
Hope2Pass's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,684
Threads: 213
Thanked 1,590 Times in 660 Posts
Reputation: 1600
Default

Wouldn't it be C) Since the patient is brain dead anyways ..
Reply With Quote Quick reply to this message
  #12  
Old 03-26-2012
USMLE Forums Guru
 
Steps History: 1 + CS
Posts: 303
Threads: 57
Thanked 105 Times in 67 Posts
Reputation: 115
Send a message via Skype™ to usmlemydream
Default

yep these questions are from 100 cases
Reply With Quote Quick reply to this message
The above post was thanked by:
d_wiqed (03-26-2012)
  #13  
Old 03-26-2012
USMLE Forums Guru
 
Steps History: 1 + CS
Posts: 303
Threads: 57
Thanked 105 Times in 67 Posts
Reputation: 115
Send a message via Skype™ to usmlemydream
Default

will post answers today evening
Reply With Quote Quick reply to this message
The above post was thanked by:
d_wiqed (03-26-2012), Kabutar111 (04-14-2012)
  #14  
Old 03-26-2012
USMLE Forums Guru
 
Steps History: Step 1 Only
Posts: 452
Threads: 11
Thanked 354 Times in 197 Posts
Reputation: 364
Default

Quote:
Originally Posted by vna.rao22 View Post
Although the organ_donor card indicates the patients wish to donate his organs, it is still unacceptable to overrule the family,to harvest organs against
the direct wish of the family. If we were to overrule the family then there would.be no point in asking them to consent. why ask for donation, if we would harvest the organs anyway even if they said no? organ-donor card is an indication of the patients wishes but not fully binding.
this is what fischers notes explain. hope it helps!
Damn very tricky...i thought b
Reply With Quote Quick reply to this message
  #15  
Old 03-26-2012
USMLE Forums Master
 
Steps History: Not yet
Posts: 590
Threads: 8
Thanked 239 Times in 192 Posts
Reputation: 249
Default

Quote:
Originally Posted by usmlemydream View Post
A man arrives at the emergency department on a ventilator after an accident.He is brain dead by all criteria.He has an organ donor card in his wallet indicating his desire to donate.THe organ donor team contacts the family.The family refuses to sign consent for the donation.

what should be done?

A.remove the organs anyways
B.wait for the patients heart to stop and then remove the organs
C.stop the ventilator and remove the organs
D.seek a court order to overrule family
E.honor the wishes of the family;no donation
E.
I am liking these ethics questions!
I guess one less book to review
Reply With Quote Quick reply to this message
The above post was thanked by:
whatsupdoc7 (03-26-2012)



  #16  
Old 04-14-2012
Valkoff's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 92
Threads: 2
Thanked 13 Times in 13 Posts
Reputation: 23
Default Sorry, a little late...

Is there any consensus on this question? Is it E?
Reply With Quote Quick reply to this message
  #17  
Old 11-11-2012
USMLE Forums Guru
 
Steps History: 1 + CS
Posts: 303
Threads: 57
Thanked 105 Times in 67 Posts
Reputation: 115
Send a message via Skype™ to usmlemydream
Default The answer is a

was going through the book today and i searched for this Q
my sincerest apology for not putting the answer well in time
acc to Conrad Fischer the answer is E
but i think the answer shoul be A
as we have to honor the patients wishes
and there is a well documented record of his wishes the organ donation card
this is what Dr. Dautery said in his lectures
__________________
the sky is not my limit....I am
Reply With Quote Quick reply to this message
  #18  
Old 11-12-2012
trupti's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 75
Threads: 3
Thanked 44 Times in 21 Posts
Reputation: 54
Default

Quote:
Originally Posted by usmlemydream View Post
A man arrives at the emergency department on a ventilator after an accident. He is brain dead by all criteria. He has an organ donor card in his wallet indicating his desire to donate. THe organ donor team contacts the family. The family refuses to sign consent for the donation.

what should be done?

A. remove the organs anyways
B. wait for the patients heart to stop and then remove the organs
C. stop the ventilator and remove the organs
D. seek a court order to overrule family
E. honor the wishes of the family;no donation
E.honor the wishes of family,no donation.
Reply With Quote Quick reply to this message



Reply

Tags
MedicoLegal-Ethics, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Organ Donor Card versus Family Wishes kenlee USMLE Step 1 Forum 4 04-02-2012 10:55 PM
Who decides for Organ Donation! usmlemydream USMLE Step 1 Forum 4 03-26-2012 02:34 PM
Family members Green Card holders sandman268 IMG Visa Issues 1 03-08-2012 01:19 PM
Brain Dead with a donation card yet the family refused tinhi USMLE Step 1 Forum 19 05-28-2011 11:12 AM
The Ethics and Medicolegal of Organ Donation prion.pk USMLE Step 1 Forum 3 02-28-2011 03:00 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)