Project #46840 - Informed Consent, Refusal, and Competence

Details:

You are a physician in a private medical practice. An 80-year-old male patient is seen in your office complaining of chest pain. He has been suffering from congestive heart failure for the past 5 years and has been under your care during this time. The patient’s wife and daughter are present in the examination room with you. You conclude that tests and a possible surgical procedure are necessary, possibly to save the patient’s life. During the examination, the patient states that he just wants to die, but there is no DNR or living will document in his chart. The spouse states that she wants to save her husband’s life, but is extremely afraid of surgery. The daughter states that she wants to save her father’s life under any circumstances.

In a short paper of 250-300 words answer the following questions:

  1. What would you do to determine the competence of this patient?
  2. Would you base your decision about competence, in part, on the patient’s wish to die?
  3. How much would you base your actions on the wife’s possibly irrational fear of surgery?
  4. How deeply should the daughter’s opinions be considered?
  5. How would you persuade the patient to proceed with testing and treatment without coercion (paternalism)?
  6. If this was your patient, what would you do?
  7. What elements are needed for informed consent? From which special population do you think there would be the most difficulty in gaining informed consent and why?

APA format is not required, but solid academic writing is expected.

Subject Medicine
Due By (Pacific Time) 11/09/2014 12:00 am
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