| Text | A patient comes in with a heart attack. He does not speak english. You inform the patient that the best therapy is angioplasty and possibly thrombolytics. After explaining the potential adverse effects of this procedure, he refuses both. You do not double check the refusal with the translator. The patient dies, the family sues. In your defense you point out that you offered lifesaving therapy and he refused. What will be the most likely outcome?{{c1::You would lose the lawsuit}} |
| Extra | In addition to informing a patient of the complications of therapy, you must also inform them of the complications of not receiving the therapy. In addition, if there is the question of a language problem, you must obtain a translator to double check your patient understands the impact of withholding the treatment. |
| Tags | #Malpractice |
| Text | {{c1::Substituted judgment}} occurs when a person who knows the patient well tries to determine what decision she would make for herself if she were awake. |
| Extra | This is not possible in a person who has never been competent. |
| Tags | #InformedConsent |
| Text | What do you do if your patient wants an abortion but you do not feel ethically comfortable performing it?{{c1::Refer the patient to another physician}} |
| Extra | You cannot be compelled to accept a patient you do not want or to do a procedure with which you do not agree. The physician must also voluntarily agree to the relationship. |
| Tags | #Abortion |