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Old 05-04-2012
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Medicolegal and Ethics Conflicting opinions from Patient's Wife and Children?

After a serious motor vehicle accident a 73 year old man is determined to be in vegetative state. when his wife arrives at hospital she is grief stricken by the news. when asked about what pt wishes were with respect to sustaining care the pt wife states that the pt frequently voiced to her that he did not want to live if he needed tubes in his body to feed him and keep him alive.
The pt children arrive later and they demand everything to keep him alive anyway. After a family conference and talking about all issues with hospital team and family pt children still insist that all types of intervention must be done in order to keep their father alive..
what would be most appropriate next step?

a) Do nothing and allow the pt to continue to live with no further medical interventions
b) transfer the case to another physician who is expert in these types of cases
c) ask pt wife that if she does not want the pt to keep alive then she should remove the feeding tube by herself
d) keep feeding tube in place according to children demand as they are closest blood relatives
e) remove the feeding according to pt wishes as described by pt wife
f) remove feeding and stop all medication including pain medication and let pt die.
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Old 05-04-2012
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answer = E.

I think this is a UW question. Please state in the title that it is a UW question from now on so you don't ruin this question for those who haven't done it in their UW yet.
"inflammable means flammable!? What a country."
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MedicoLegal-Ethics, Step-1-Questions

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