Question

You are discussing the care of an elderly woman with her family. Although she is awake and alert, the patient is very ill and physically fragile. You are awaiting the results of a biopsy for what will likely be cancer, which has already metastasized throughout the body. The family asks that you inform them first about the results of the biopsy. They are very loving and caring and are constantly surrounding the patient. They do not want to depress the patient further, and because there will be no hope for a cure they see no reason to ruin her remaining life with this information. What should you tell them? a. You will honor their wishes. b. You agree with their wishes and you ask them to give you the necessary written request. c. You ask them to involve the ethics committee for the hospital. d. You tell them that you are obligated to inform the patient of all the findings. e. Explain to them that that decision can only be made by the health-care proxy.

   You are discussing the care of an elderly woman with her family. Although she is awake and alert, the patient is very ill and physically fragile. You are awaiting the results of a biopsy for what will likely be cancer, which has already metastasized throughout the body. The family asks that you inform them first about the results of the biopsy. They are very loving and caring and are constantly surrounding the patient. They do not want to depress the patient further, and because there will be no hope for a cure they see no reason to ruin her remaining life with this information.
What should you tell them?
a. You will honor their wishes.
b. You agree with their wishes and you ask them to give you the necessary written request.
c. You ask them to involve the ethics committee for the hospital.
d. You tell them that you are obligated to inform the patient of all the findings.
e. Explain to them that that decision can only be made by the health-care proxy.
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Medical Ethics for the Boards
Medical Ethics for the Boards
Conrad Fischer 3rd Edition
Chapter 1, Problem 6 ↓

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Understand that the family is acting out of love and a desire to protect the patient from distress.  Show more…

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You are discussing the care of an elderly woman with her family. Although she is awake and alert, the patient is very ill and physically fragile. You are awaiting the results of a biopsy for what will likely be cancer, which has already metastasized throughout the body. The family asks that you inform them first about the results of the biopsy. They are very loving and caring and are constantly surrounding the patient. They do not want to depress the patient further, and because there will be no hope for a cure they see no reason to ruin her remaining life with this information. What should you tell them? a. You will honor their wishes. b. You agree with their wishes and you ask them to give you the necessary written request. c. You ask them to involve the ethics committee for the hospital. d. You tell them that you are obligated to inform the patient of all the findings. e. Explain to them that that decision can only be made by the health-care proxy.
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Key Concepts

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Family Influence vs. Patient Rights
While the involvement of family members is important for providing support, their wishes should not override a competent patient’s right to be informed about critical health information. Healthcare providers must balance family concerns with the ethical obligation to respect the patient's rights to knowledge about their own health.
Patient Autonomy
Patient autonomy is the ethical principle that emphasizes the right of competent individuals to make informed decisions about their own health care. It means that patients should be provided with all necessary information about their diagnosis and treatment options so they can make decisions that align with their personal values and preferences.
Truth-Telling and Informed Consent
Truth-telling is a foundational principle in medical ethics that supports patient autonomy by ensuring that patients receive accurate, complete, and timely information about their medical condition. This enables them to give informed consent, which is necessary for making guided health care decisions.

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