00:01
Application of a chemotherapy for advanced leukemia might result in a temporary remission of a fatal leukemia however such treatment would require repeated use of physical restraint on adult with profound mental disability who cannot understand why others repeatedly causing pain so define this this case and see which category does it fall into so you have several options options, imminent demise, fertility, physiologic fertility, clinical fertility, and quantitative fertility.
00:35
So, the first one, imminent demise, fertility, refers to a situation where the medical treatment is futile, means useless, because the patient's death is imminent, which means it's useless.
00:50
So, the further treatment is unlikely to change the outcome.
00:53
Now, in this case, it doesn't fall into this category because it does fall, the chemotherapy does result in a temporary remission, which means that it's not imminent.
01:09
So it's not belong to the imminent demise futility.
01:15
The next one is called a physiologic futility.
01:19
Physiological fertility occurs when a medical treatment is likely to produce a physiological effect that is beneficial for the patient.
01:30
So it doesn't really result in a meaningful improvement of the patient condition.
01:34
But again, in this case, it caused a temporary remission of a fatal leukemia.
01:40
So again, it's not useless.
01:43
List again with a there there is a i would say physiological effect what is benefit for the patient um the third one we called it uh the clinical fertility now this in fact is the correct answer the definition of clinical fertility refers to situation where a particular treatment treatment, in our case, chemotherapy.
02:14
It has a potential benefit...