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Old 06-27-2014
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Warning! ethical question

A 52-year-old woman with ovarian cancer has
been in the hospital for more than 4 months
and is currently without decision-making capacity.
On the most recent CT of the chest, abdomen,
and pelvis, bulky disease was evident
throughout. She has already been through two
sessions of chemotherapy, the most recent of
which provided minimal disease reduction.
Her chosen health care proxy, in agreement
with the wishes of the rest of the family, has requested
a third round of chemotherapy. Her
physician refuses to administer another round
of chemotherapy. What is the most appropriate
response of the health care proxy?

(A) Because the patient chose the health care
proxy when she had capacity, the physician
must follow her instructions

(B) Because this treatment was partially successful
the fi rst time it was administered,
the physician is ethically required to administer
the chemotherapy

(C) Physician is legally and ethically required
to administer the chemotherapy

(D) Physician is legally, but not ethically, required
to administer the chemotherapy

(E) Physician is neither legally nor ethically required
to administer the chemotherapy
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Old 06-29-2014
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  #3  
Old 06-29-2014
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E, but then the doctor must refer the patient to another doctor in order to carry out the wishes of the proxy.
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Old 06-30-2014
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Default right answer

the book where I took the question from says E is the right answer. But reading Kaplan book I 've read that in these cases the cure must be continued if they want to!
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Old 06-30-2014
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Quote:
Originally Posted by giovanni83 View Post
the book where I took the question from says E is the right answer. But reading Kaplan book I 've read that in these cases the cure must be continued if they want to!
But you can't force a doctor to treat a patient. The treatment is not a life saving treatment, so ethically there is no problem in refusing to treat the patient. But since you are already engaged in doctor-patient "relationship", the only way you can get out of this is by finding them someone else (another doctor) that is willing to carry out their wishes. And legally the law can't force you to do something you don't want to do.
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Old 07-02-2014
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I think E because the doctor think (and there are facts) that treatment is not effective but in same time it can harms the patient (side effects of chemo). In the other words there are absolute no benefits to the patient from this treatment.

This is not in questions. The doctor should explain about treatment (may be not one time like in real life) and supportive/palliative Rx must be continued for example - painkillers, yes they have side effects too but they makes patients life more comfortable i.e. they help the patients in way to decrease pain.
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