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Old 11-11-2012
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Medicolegal and Ethics Advance Directive Conflict with Family Member?

How to make decision about withdrawing of life support when there is existence of an advanced directive but there is conflict within family member ?
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Old 11-12-2012
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go with advanced directive
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Old 11-14-2012
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Hi sonu
This is Kaplan Q bank Q and I posted it coz I think the correct answer is going with advanced directive as you mentioned but surprisingly got the Q wrong and I found the correct answer is to arrange a family meeting, hoping to resolve the patient previously expressed wishes with those of children and husband


Summery of explanation:
Quote:
Conflict within family member can be common when having to make decision of withdrawing life support, even with the existence of an advanced directive. It is always better to do so after reaching an agreement with all the family members
HOW TO DEAL WITH THIS ANSWER?
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Old 11-19-2012
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Waiting your assistant
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Old 11-19-2012
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I think if there is an option to enable the family to build a consensus, it is more likely to be the right answer.

Wherever you see options like discuss, talk.. give it a good thought!
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Old 11-20-2012
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I WOULD GO WITH ADVANCE DIRECTIVE.
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Old 11-20-2012
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advanced directive would be the answer if the immediate family would not have a problem with it.

but as in the question it says there is disaggrement of family members on advanced directive stating that the patients wishes were something else then its handled by ethics committe of hospital to get some conses.

but points here is family members staing patients wishes not their own
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Old 11-20-2012
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Interesting question.
According to Conrad Fischer you don't need family's permission in the presence of an advance directive. It is only done (i.e. afamily meeting) if there is no advance directive and family members disagree among themselves. Failing which you go to the ethics committee.

However, afamily meeting to promote discussion to arrive at a consensus is always a good idea if given as a choice.

It's like having a peace talk before going to war in the presence of a conflict.
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Last edited by Novobiocin; 11-20-2012 at 12:00 PM.
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however a written advanced directive would not require you to ask the family members too. so will be the case if the patient never saw his immediate family for a long time and lived with a caretaker and the caretaker was told the advance directive.

however i think novo is right try to find peace before going to war!
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i think all ethics answers have common base that the hospital should not be litigated in the end.
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Old 11-20-2012
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Got it
Many thanks friends
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