Informed consent-1

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الوصف الكامل Background: 

A 25-year-old married female is brought to the emergency department by her mother for excruciating right-sided abdominal pain. A urine pregnancy test is positive and a pelvic ultrasound reveals an empty uterus. Ruptured ectopic pregnancy is suspected, and an operating room is reserved for an emergent laparotomy. The patient's medical history is unremarkable except for a psychiatric diagnosis of paranoid schizophrenia. Who should sign the informed consent paperwork for the procedure?

A. The patient's husband
B. The patient's mother
C. The court
D. The patient
E. No consent is necessary as the patient is incompetent

الشكوى الرئيسية CC: 

القصة المرضية HPI: 

الأجهزة الأخرى ROS: 

السوابق المرضية الشخصية PMH: 

السوابق المرضية العائلية FMH: 

الوضع الصحي والاجتماعي SH: 

الفحص السريري Clinical Exam: 

التشخيص التفريقي DD: 

الاستقصاءات Investigations: 

التدبير Managment: 

كتابة حرة وطرح موضوع النقاش!: 



I think it is C or E
هلأ هي حالة اسعافية بقوم بواجبي و باخد رأي المحكمة confused

صورة qusei


A person may still meet the legal standard for competence to accept or refuse medical treatment even if he is mentally ill or retarded or is incompetent in other areas of life
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well done saggio

تذكرون حالة مريض الزهايمر التي طرحها الدكتور طريف بكداش، وكيف أننا أخذنا الموافقة منه (مادام قادراً على ذلك).


Explanation:
The patient herself can give consent for the procedure after the physician determines she understands the procedure and the risks associated with it. Although this woman has a diagnosis of paranoid schizophrenia, there is no indication that her decision-making ability is impaired. If, however, there were evidence indicating she was not competent to make logical decisions, then consent would need to be obtained from a surrogate decision-maker.
(Choices A and B) If the patient were unable to make decisions for herself, then her husband or one of her parents would likely be chosen as her surrogate. In this case, however, there is no evidence the patient is incompetent.
(Choice C) If a patient is thought incompetent and no surrogate decision maker can be located, then the physician is expected to act in the best interests of he patient until a surrogate becomes available. The court should not be consulted in an emergent situation when a delay could prove detrimental to the patient. Rather, the physician is granted the legal authority to proceed with necessary treatment.
(Choice E) Consent is always desirable, even if a patient is deemed incompetent. Instead, a surrogate decision-maker should be available to provide consent. In emergent cases, physicians should always proceed with necessary medical treatment under the principle of "assumed consent."
Educational Objective:
Patients with psychiatric diagnoses can give informed consent as long as their judgment and decision-making abilities are determined to be intact.

صورة DAM


Embarrased Embarrased

صورة qusei


in case we needed to perform the principle of ( next of kin )
/ i.e. the patient is incompetent/

....who is going to be the surregate ?

The husband or the mother ?

صورة helloyellow


اقتباس:
If the patient were unable to make decisions for herself, then her husband or one of her parents would likely be chosen as her surrogate.

I think her husband is enough.

صورة DAM