Professionalism & Bioethics in Medicine
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Questions and Answers

What is Mr. Ahmed's primary wish regarding his end-of-life care?

  • To undergo any possible aggressive treatment available
  • To participate in clinical trials for cancer treatment
  • To refuse all medical interventions entirely
  • To spend time in comfort surrounded by his family (correct)
  • What is the legal directive that Mr. Ahmed has signed regarding his medical treatment?

  • Power of Attorney for Healthcare Decisions
  • Living Will for Aggressive Treatment
  • Do Not Resuscitate (DNR) order (correct)
  • Advance Directive for Clinical Trials
  • Which ethical dilemma is highlighted in this scenario regarding Mr. Ahmed's care?

  • Considering the hospital's financial burden for extended treatment
  • How to balance patient autonomy with family wishes (correct)
  • Determining the best aggressive treatment options available
  • Whether to prioritize legal documents over emotional well-being
  • What role does Dr. Sarah play in Mr. Ahmed's treatment process?

    <p>Senior oncologist managing cancer treatment decisions</p> Signup and view all the answers

    What impact does the eldest son’s belief about treatment have on the healthcare team's approach?

    <p>It creates tension between respecting the patient's desires and family expectations.</p> Signup and view all the answers

    Study Notes

    Case Overview

    • Dr. Sarah is a senior oncologist at a busy urban hospital.
    • Mr. Ahmed, a 65-year-old man, is diagnosed with terminal pancreatic cancer.
    • Despite aggressive treatment, Mr. Ahmed's condition has deteriorated to the final stages, with a prognosis of only weeks to live.
    • He is experiencing significant pain and suffering.

    Patient’s Wishes

    • Mr. Ahmed has expressed a desire to avoid further aggressive treatment.
    • Prefers to spend remaining time in comfort with family support.
    • Signed a Do Not Resuscitate (DNR) order, refusing any life-prolonging measures, including resuscitation.

    Family Dynamics

    • Mr. Ahmed's eldest son struggles to accept his father's prognosis.
    • The family believes in exhausting all possible measures to prolong his life, despite the patient's wishes.
    • The son insists on disregarding the DNR order and continuing aggressive interventions.

    Ethical Dilemma

    • The healthcare team acknowledges Mr. Ahmed’s DNR order and preferences.
    • There are cultural pressures influencing the family's expectations around end-of-life care.
    • Team members are divided: some advocate for respecting the patient’s wishes, while others feel compelled to consider the family's desires.

    Ethical Questions Raised

    • How to balance patient autonomy with family wishes in end-of-life care.
    • The ethical importance of respecting a patient’s signed DNR order amidst family pressure.
    • Considerations of cultural values impacting decision-making in healthcare settings.

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    Description

    This quiz explores ethical decision-making in end-of-life care, focusing on a case involving a patient with terminal cancer. Participants will analyze the challenges faced by healthcare professionals in navigating ethical dilemmas. It is essential for understanding the code of ethics in medical practice.

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