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  #1  
Old 05-14-2011
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Medicolegal and Ethics Brain Dead with a donation card yet the family refused

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 refuse to sign consent for the donation.
what should be done?

a. Remove the organs any way
b. Wait for the patient's heart to stop and then remove the organs
c. Stop the ventilator and remove the organs
d. Seek a court order to overrule the family
e. Honor the wishes of the family; no donation
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Old 05-14-2011
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I say A... Respect the patient's wishes!
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Old 05-14-2011
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e.Honor the wishes of the family; no donation
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Old 05-14-2011
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Quote:
Originally Posted by Dr_Laura View Post
I say A... Respect the patient's wishes!
it's not the correct answer my friend
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Old 05-14-2011
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Quote:
Originally Posted by bebix View Post
e.Honor the wishes of the family; no donation
it's correct E

I just found out that someone posted this question in January, after I poster this thread, there is a very helpful explanation
Ethics for donation


I didn't know that the donor card has no real authority in some states and the body once dead belongs to the living and they have autonomy over it.

good to know, I wanted to share it with you guys

Last edited by tinhi; 05-14-2011 at 07:08 PM.
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  #6  
Old 05-15-2011
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e.Honor the wishes of the family; no donation
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Old 05-16-2011
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Correct Answer E

e. Honor the wishes of the family; no donation

In cases of organ donation from deceased donors. Its always the FAMILY who decide. Not the donor card. Not any other person.
If the family agrees, only then can the transplant team procure organs.
If the patient does not have a donor card, or he/she didn't mention it somewhere, then even if the family agrees for donation you can't do it.
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  #8  
Old 05-16-2011
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Donor cards only inform the family of the wishes of the deceased. You cannot take out anyone's organs on its basis. Although you can negotiate with the family on its basis explaining to them the deceased's wishes.
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  #9  
Old 05-16-2011
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Basically ,this is one of the questions in UW step1 Behavioral sciences book.
The asnwer is indeed "E".
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  #10  
Old 05-16-2011
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Conrad has gone through lots of question like this family can deny the donor card
It is "E"

Sent from my GT-I9000 using Tapatalk
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  #11  
Old 05-27-2011
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Quote:
Originally Posted by mle guy View Post
e. Honor the wishes of the family; no donation

In cases of organ donation from deceased donors. Its always the FAMILY who decide. Not the donor card. Not any other person.
If the family agrees, only then can the transplant team procure organs.
If the patient does not have a donor card, or he/she didn't mention it somewhere, then even if the family agrees for donation you can't do it.
Are you sure friends that if a patient DOES NOT have a card or does not mention or talks about his wishes, then organs cannot be taken EVEN if his family agrees?

I think if the patient donation desire status is unknown, then perhaps we should do what the family wants, no?!!?
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Old 05-27-2011
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Quote:
Originally Posted by docoftheworld View Post
Are you sure friends that if a patient DOES NOT have a card or does not mention or talks about his wishes, then organs cannot be taken EVEN if his family agrees?

I think if the patient donation desire status is unknown, then perhaps we should do what the family wants, no?!!?
Yes, I think this is also a valid point, familys consent is not only taken when they are refusing organ donation, they can also permit organ donation in case patients wishes are not known.
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Old 05-27-2011
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This is what came to my understanding after reading posts on the internet:

We should always do what the family wants when the patient desire is unknown or in agreement.

Last scenario would be: Patient REFUSES explicitly donation, and family wants? what would we do here?
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Old 05-27-2011
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Quote:
Originally Posted by docoftheworld View Post
This is what came to my understanding after reading posts on the internet:

We should always do what the family wants when the patient desire is unknown or in agreement.

Last scenario would be: Patient REFUSES explicitly donation, and family wants? what would we do here?
Then we listen to the patient.

Patient > Family.

I think it goes in that order, unless there are other reasons where family has authority:

a. Patient incapable of making a responsible decision (psychiatric illness)
b. Patient is post mortum
c. Patient not of legal age
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Old 05-27-2011
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Agree with you PatelMD
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  #16  
Old 05-28-2011
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Btw do we need to take consent from an underage child (of maybe 17) for a surgery? Its not very related to the topic being discussed but it just popped up in my mind
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Old 05-28-2011
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Quote:
Originally Posted by eesfee View Post
Btw do we need to take consent from an underage child (of maybe 17) for a surgery? Its not very related to the topic being discussed but it just popped up in my mind
I believe underage is 16, and no, you wouldn't unless he/she is designated as an emancipated minor, if so you would.

Otherwise, only parents.

Oh, of course you'd want to inform him/her what the surgery is about!
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Old 05-28-2011
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Correct Answer Answer is E.

The same scenario is under Conrad Fisher book, and the answer is E. Honor Family Wishes.

"Family Wishes can OVERRULES Donor card" That's the reason.

=)
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Old 05-28-2011
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Quote:
Originally Posted by eesfee View Post
Btw do we need to take consent from an underage child (of maybe 17) for a surgery? Its not very related to the topic being discussed but it just popped up in my mind
No, you dont have to, but board will ask you to encourage conversation with parent and the child, and of course, lets go even far, if the family ask you not to tell, you cant because is their choice what the kid needs to know.

And if it is an emergency and it for livesaving and family refuse, you can do it and is not liable... =) you are protecting the child...
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Old 05-28-2011
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Arrow A little change in my last post

Quote:
Originally Posted by mle guy View Post
e. Honor the wishes of the family; no donation

In cases of organ donation from deceased donors. Its always the FAMILY who decide. Not the donor card. Not any other person.
If the family agrees, only then can the transplant team procure organs.
**If the patient does not have a donor card, or he/she didn't mention it somewhere, then even if the family agrees for donation you can't do it.
**If the patient does not have a donor card, or he/she didn't mention it somewhere, then if the family agrees for donation you CAN do it.
If the patient had specifically mentioned that he does NOT want to donate his organs, then even if the family wants to donate, they can't do it.
I hope it clears it now!

Last edited by mle guy; 05-28-2011 at 11:24 AM.
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