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Biomedical Ethical Help
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Introduction
While I do understand your position and wanting to help, I would also have to disagree with
proceeding on due to her medical condition. I'd want a family member or a power of attorney of
some sorts to give consent and be there for the trial tests as well because there is a good
possibility that Mrs. Franklin would forget that she signed up for it. If she became hostile during
treatment, I think a family member there would be able to calm her down more so than complete
strangers.
Question 1.
In the case of an 81-year-old woman or really any patient who has memory issues and has
consented to a clinical trial and post consent, doesn't remember anything about it, I would do
several things and ask several questions first.
1)
Is the patient upset with what we are about to perform and are they violent?
Reply;
Yes. This is beneficial as it helps mitigate and be able to capture any risk and anger
events that the patient may uphold. If the patient has anger issues, he/she is subjected to adverse
and technical handling by the medical staff.
2)
If answer to the first question is yes, then is this normal for patient when having memory issues
or what they perceive as change? If this is normal for the patient, then I would go to 3. If this is
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not normal, then we would have to stop and make sure no underlying medical condition exists
that would change study or merits of study.
Reply;
Yes, this is normal in the instance and reasoning that patients with memory loss are
depicted not to be aware of their actions. They are unable to handle and control their activities, as
the loss of memory has interfered and incapacitated their memory and thinking capacity. The
change caused results to the patients feeling they are not in their actual self, resulting to fighting
the situations.
3)
If there is family or POA or MOA, they need to be contacted to be safe. Explain what is
happening and make sure all parties understand risks and benefits of moving forward today.
Reply;
Skipped. (Answered in part 2)
4)
If patient is willing, after you have spoken to family, etc. you can try to talk with patient about
the new drug again and see if that helps and will take without issue, if not when speaking
with family, could they help? Talk with nursing staff also to see how they administer medicines
if patient is refusing because they unfortunately deal with this all the time.
Reply;
Seeking guidance from family members is essential and crucial as it helps have a backup
mechanism in case of fatalities and causalities happening. The presence of the family members
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also helps in the speeding up of the recovery process. In cases where the family ...