Ethics

Marianne has ESRD (End-Stage Renal Disease) and direly needs a transplant. She says that she does not wish to have a transplant, but her husband insists that she gets one and tells you that "she'll thank me for making this decision for her." What will you do?

Main Idea

The main idea is to have a conversation with both Marianne and the husband to inform them about the treatment and encourage necessary medical treatment while respecting patient autonomy to meet the patient's goals.

End-Stage Renal Disease (ESRD) is a serious and potentially fatal condition that necessitates immediate medical attention, including the possibility of a kidney transplant. The decision to undergo a transplant or any other medical treatment, on the other hand, should ultimately be made by the patient, with the support and guidance of their healthcare team.
In this situation, it is critical to respect Marianne's autonomy and right to make healthca... (+ 170 words)

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Go Beyond
GO BEYOND

Talk about assessing the patient's competency to make informed medical decisions, and how your respo... (+ 2 more suggestions)

Avoid
AVOID

Do not jump to taking her husband's word and not respecting Marianne's decision to refuse treatment