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  #1  
Old 10-31-2013
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Medicolegal and Ethics Driver License Mentioned Organ Donor but Wife Refused!

Patient declared brain dead, his driver's license indicates that he is an organ donor but his wife refuses to consent to the donation. What will you do?
a) Inform the wife since he registered as an organ donor you must respect his wish.
b) Attempt to answer all of the wife's concerns and obtain her consent but if you are not able to do not proceed.
c) Obtain an ethics consult
d) Have the wife speak to an organ procurement coordinator to obtain consent -if they are unable to then do not remove the organ.
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  #2  
Old 10-31-2013
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I think it should be A)
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  #3  
Old 10-31-2013
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is it b
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Old 10-31-2013
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D
You do not take part in your own patient's organ donation problems, that's left to the transplant comittee docs.

Last edited by Vaheh; 10-31-2013 at 09:56 AM.
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  #5  
Old 10-31-2013
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Default D??

organ donation committee has more success % in convincing ppl, read somewhere, in step 1 I guess
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Old 10-31-2013
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I remember somewhere in step 1 forum threads I saw similar post, saying respect wife wishes and do not proceed with organ transplant.
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Old 10-31-2013
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for me its A..if there is a real documentation regarding patient wishes u have to do what patient said...
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Old 10-31-2013
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the answer for this question is a) according to the book..but i had a few doubts...
was reading mtb 2 n it said even if a person is an organ donor..his/her family can deny the permission...and was reading on some previous threads which pointed this fact out that family can deny!!
it stated what's the point of asking the family for consent if ur not gonna respect their wishes!!
n also organ procurement team is the one that talks to the family about the donation..so i was more inclined towards d..
and this is y i suck at ethics section
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Old 11-01-2013
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Default ya, true

dis is y EVERY1 sucks in ethics qstn...lol


Quote:
Originally Posted by drsrb View Post
the answer for this question is a) according to the book..but i had a few doubts...
was reading mtb 2 n it said even if a person is an organ donor..his/her family can deny the permission...and was reading on some previous threads which pointed this fact out that family can deny!!
it stated what's the point of asking the family for consent if ur not gonna respect their wishes!!
n also organ procurement team is the one that talks to the family about the donation..so i was more inclined towards d..
and this is y i suck at ethics section
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Old 11-01-2013
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Quote:
Originally Posted by drsrb View Post
the answer for this question is a) according to the book..but i had a few doubts...
was reading mtb 2 n it said even if a person is an organ donor..his/her family can deny the permission...and was reading on some previous threads which pointed this fact out that family can deny!!
it stated what's the point of asking the family for consent if ur not gonna respect their wishes!!
n also organ procurement team is the one that talks to the family about the donation..so i was more inclined towards d..
and this is y i suck at ethics section
Hi drsrb! I found the question from step 1 I was talking about. Here is the link, i think it would be interesting to read.
Brain Dead with a donation card yet the family refused
also this one
Family refused to consent; Patient has Organ Donation Card
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  #11  
Old 11-03-2013
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d..
They have more success rate convincing family members for organ donation
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  #12  
Old 11-03-2013
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Default Answer B

Answer is B
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  #13  
Old 11-03-2013
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Default d

there are a couple of things to take into account here
1 the patient's wishes matter only when he is alive... this statement may seem strong for some people. now that the pt. passed away his remains belong to the family and they can refuse organ donation.
2 if the doctor tries to convince the family to donate the organs , it sounds like he is running a business on the side
3 the organ procurement is best left to the co-ordinator. as they have lower refusal rates than doctors
4 asking for monetary compensation for organs is illegal

now keeping these things in mind we can look at the options presented here
the strongest option is to go for D
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  #14  
Old 11-04-2013
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Default Hi

They were very useful. Thanks

Quote:
Originally Posted by drabdulkhadeer View Post
there are a couple of things to take into account here
1 the patient's wishes matter only when he is alive... this statement may seem strong for some people. now that the pt. passed away his remains belong to the family and they can refuse organ donation.
2 if the doctor tries to convince the family to donate the organs , it sounds like he is running a business on the side
3 the organ procurement is best left to the co-ordinator. as they have lower refusal rates than doctors
4 asking for monetary compensation for organs is illegal

now keeping these things in mind we can look at the options presented here
the strongest option is to go for D
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  #15  
Old 11-05-2013
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I think D is correct.
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  #16  
Old 11-09-2013
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Default

its D
a doctor should never himself ask for organ donation or discuss this, this is unethical... this should be left to organ donation comitee.
scond thing is when a patient is dead, his wish for organ donation can be rejected by his next of kin, which in this case is his wife.
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