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  #1  
Old 05-04-2012
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Medicolegal and Ethics Patient's Wife Said He does not want such treatment?

While on call overnight you admit an 82 year old male to hospital. He is noncommunicative and has multiple comorbidities. The prognosis of present state is vague. He never designated a specific power of attorney and does not have an advance directive on file. His wife tells you that on several occasions not to resuscitate him if he were ever near death.
She states that he did not want to live like that with all of those machines. What would be most appropriate course of action?

a) immediately begin bag valve mask respiration and then administer NE
b) ask the patient wife if she has any documentation that the patient did not want to be resuscitated and if she does not begin resuscitation
c) inform the nursing staff that pt is DNR and you dont need to be called by them of his updates
d) contact court to get orders for pt
e) attend to pt comfort and ensure that his family is present with him as he is dying
f) let patient die and do not give any pain medication
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  #2  
Old 05-04-2012
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answer = E?
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  #3  
Old 05-04-2012
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Default It's a UW question

correct answer is E
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  #4  
Old 05-04-2012
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Is it really E?
I thought it is B...I could be wrong too. Just a rough guess.
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  #5  
Old 05-05-2012
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Quote:
Originally Posted by K06100 View Post
correct answer is E
Yeap... has written "UW" all over it...
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  #6  
Old 05-05-2012
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I would choose E

Quote:
Originally Posted by INCOGNITO View Post
While on call overnight you admit an 82 year old male to hospital. He is noncommunicative and has multiple comorbidities. The prognosis of present state is vague. He never designated a specific power of attorney and does not have an advance directive on file. His wife tells you that on several occasions not to resuscitate him if he were ever near death.
She states that he did not want to live like that with all of those machines. What would be most appropriate course of action?

a) immediately begin bag valve mask respiration and then administer NE
b) ask the patient wife if she has any documentation that the patient did not want to be resuscitated and if she does not begin resuscitation
c) inform the nursing staff that pt is DNR and you dont need to be called by them of his updates
d) contact court to get orders for pt
e) attend to pt comfort and ensure that his family is present with him as he is dying
f) let patient die and do not give any pain medication
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  #7  
Old 10-24-2012
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Cool

Answer EEEEEEEEEEEEEEEEEEEEEasy :P
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  #8  
Old 10-24-2012
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Default

my ans is d
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  #9  
Old 10-24-2012
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I too think it is E.
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  #10  
Old 10-28-2012
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Default E

It is E. In the absence of an advance directive or a power of attorney the individual closest to him makes the decision - here his wife. You will inform everyone taking part in his care he is DNR, you will provide comfort care, and you will inform family members (of course the wife is there but you ask her if there is anyone she would like you to call).

Getting court orders usually deals when there is a life saving procedure and the patient is unable to respond and the person speaking for them refuses it. Then you go to court to see what the verdict is
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