Question

A 35 -year-old homosexual man is a victim of a motor vehicle accident in which he sustains head trauma resulting in a large subdural hematoma. His breathing is becoming worse and endotracheal intubation is being considered for mechanical ventilation. His family including his mother as well as his male domestic partner is present. His mother insists on the intubation being performed. The domestic partner is the healthcare agent. The agent states unequivocally that the patient stated both verbally and in writing that he wished never to be placed on a "breathing machine for any purpose." What should you do? a. Honor the proxy and do not intubate. b. Honor the mother's wishes and intubate the patient. c. Consult the ethics committee. d. Neurology evaluation. e. Try intubation for 24-48 hours to see if he recovers. f. Ask the opinion of the rest of the family.

   A 35 -year-old homosexual man is a victim of a motor vehicle accident in which he sustains head trauma resulting in a large subdural hematoma. His breathing is becoming worse and endotracheal intubation is being considered for mechanical ventilation. His family including his mother as well as his male domestic partner is present. His mother insists on the intubation being performed. The domestic partner is the healthcare agent. The agent states unequivocally that the patient stated both verbally and in writing that he wished never to be placed on a "breathing machine for any purpose."
What should you do?
a. Honor the proxy and do not intubate.
b. Honor the mother's wishes and intubate the patient.
c. Consult the ethics committee.
d. Neurology evaluation.
e. Try intubation for 24-48 hours to see if he recovers.
f. Ask the opinion of the rest of the family.
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Medical Ethics for the Boards
Medical Ethics for the Boards
Conrad Fischer 3rd Edition
Chapter 1, Problem 91 ↓

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Step 1: Assess the situation by gathering all relevant information regarding the patient's advance directives, including any verbal and written statements he made about his wishes regarding mechanical ventilation.  Show more…

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A 35 -year-old homosexual man is a victim of a motor vehicle accident in which he sustains head trauma resulting in a large subdural hematoma. His breathing is becoming worse and endotracheal intubation is being considered for mechanical ventilation. His family including his mother as well as his male domestic partner is present. His mother insists on the intubation being performed. The domestic partner is the healthcare agent. The agent states unequivocally that the patient stated both verbally and in writing that he wished never to be placed on a "breathing machine for any purpose." What should you do? a. Honor the proxy and do not intubate. b. Honor the mother's wishes and intubate the patient. c. Consult the ethics committee. d. Neurology evaluation. e. Try intubation for 24-48 hours to see if he recovers. f. Ask the opinion of the rest of the family.
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