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  #1  
Old 10-17-2012
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Medicolegal and Ethics Power of attorney vs Living will

A 65-year-old cancer patient gives his best friend durable power of attorney. As his condition worsens, he goes into respiratory failure and is now on a ventilator in a coma. The friend believes the patient would have wished for life support to be withdrawn. However, the patient had previously made a living will stipulating that all measures should be undertaken to maintain his life. The patient’s son believes his father’s living will reflects his wishes and wants extreme measures taken to maintain his life.

What action should the physician take?

A. Advise the friend to listen to the son's wishes.
B. Appoint the son as durable power of attorney since he is the next of kin.
C. Keep the patient on life support in accordance to the patient's living will.
D. Poll all the family members present and follow the most supported course of action.
E. Respect the durable power of attorney and withdraw the life support.
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Old 10-17-2012
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will go with C) Keep the patient on life support in accordance to the patient's living will...

as far as i remember living will is more flexible and superior than durable power of attorney...

thanks
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Old 10-17-2012
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I wanted to go with C as well ..but looked at the 4 link at the end of this page and changed my decision to E ...
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thanks @alice

also watched the links below now

oh..! what a clinging rules of ethics

yes, E seems the right answer
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Old 10-17-2012
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E. Should be the right answer.
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Old 10-17-2012
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Default FA Q and A ques.

Thanks for this question.
Even i did question in FA but i was not much satisfied with explanation.

E.Respect the durable power of attorney and withdraw the life support. (Thats FA answer)

C.Keep the patient on life support in accordance to the patient's living will. (Thats what i think would be answer)
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Quote:
Originally Posted by Doc4Step1 View Post
E. Should be the right answer.
As i remember from videos person's personal will is more important then any other document but is i am missing any points here.
Can anyone explain?
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Old 10-17-2012
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Quote:
Originally Posted by koolkiller88 View Post
Thanks for this question.
Even i did question in FA but i was not much satisfied with explanation.

E.Respect the durable power of attorney and withdraw the life support. (Thats FA answer)

C.Keep the patient on life support in accordance to the patient's living will. (Thats what i think would be answer)
I remember in kaplan video, if attorney wish contradict to the living will, he is not considered to refer the patient wish
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Old 10-17-2012
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Default Living Will

From what I remember in Kaplan Videos it says that Living will has more power when there is such a contradiction.
Since Living will is a direct indication of what the patient wished and Power of attorney gives someone else the right to decide which may or may not reflect the patient's wishes.
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Quote:
Originally Posted by koolkiller88 View Post
As i remember from videos person's personal will is more important then any other document but is i am missing any points here.
Can anyone explain?

dude....

read the related links below....you'll get an idea

if both living will and attorney present........most recent one is considered important..
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Old 10-18-2012
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Smile E is the answer

According to FA it is given as E with the following explanation which I wasnt exactly satisfied with:

The appointed durable power of attorney is truly durable and therefore supersedes even a living will. The patient in good state of mind,believed that his friend would make decisions with which he would agree. It is always appropriate to facilitate a discussion between people involved in making end of life decisions,but it is unethical to try to sway the friend by making the choice for him or telling him to listen to the patient's son or living will.


According to what Dr.Daugherty said:
I agree with what most of you said most recent one carries more power. So yes I had to side with E , had it been living will after the power of attorney, then it would have stated that it is no more durable.
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Old 10-18-2012
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Arrow The concept

They both have the same power and weight legally and ethically.

Most persons do have only one document, either health power of attorney or a living will.

In the rare cicumstances when there are two conflicting documents then the more recent document will offset the previous one.
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