15 yo pregnant F requires hospitalization for preeclampsia. Is parental consent required?
No. Parental consent is not necessary for the medical tx of pregnant minors.
A doctor refers a pt for a MRI at a facility he/she owns
Conflict of interest
Involuntary psychiatric hospitalization can be undertaken for which 3 reasons?
Pt is:
1) a danger to self,
2) a danger to others, or
3) gravely disabled (unable to provide for basic needs)
T or F: Withdrawing a nonbeneficial tx is ethically similar to withholding a nonindicated one.
True
When can a physician refuse to continue tx’ing a pt on the ground of futility?
When there is no rationale for tx, maximal intervention is failing, a given intervention has already failed, and tx will not achieve the goals of care
8 yo is in a serious accident. She requires emergent transfusion, but her parents are not present.
Tx immediately. Consent is implied in emergency situations.
Conditions in which confidentiality must be overriden
- Real threat of harm to 3rd parties
- Suicidal intentions
- Certain contagious dzs
- Elder and child abuse
Involuntary commitment or isolation for medical tx may be undertaken for what reason?
When tx noncompliance represents a serious danger to public health (ex: active TB)
10 yo presents in status epilepticus, but her parents refuse tx on religious grounds
Tx bc the dz represents an immediate threat to the child’s life. Then seek a court order.
Son asks that his mother not be told about her recently discovered CA
- A physician can withhold info from the pt only in the rare case of therapeutic privilege or if the pt requests not to be told.
- A pt’s family cannot require the physician to withhold info from the pt
T or F: Once pts sign a consent statement, they must continue tx
False: Pts may change their minds at any time.
-Exceptions to the requirement of informed consent: emergency sitch, pts without decision-making capacity
