biomedical ethic help

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1. 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. 2. 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? 2) if answer to the first question is yes, than 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 not normal then we would have to stop and make sure no underlying medical condition exists that would change study or merits of study. 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. 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. 5) Ultimately the patient when in a clear state of mind and lucid, gave consent and I have no moral issues with administering the drug because the problem we are trying to fix is the cause of the distress. I would only try to administer in the safest and nicest way possible. I would also make sure like I said that all family and POA's for instance were in agreement and had full understanding as to what was transpiring. I would compare to a violent diabetic with low blood sugar, just because he is violent and refusing care doesn't mean we are not going to treat him and try to fix the problem even though he might have other issues causing violence or attitude and refusing care.� 3. If I were in this position I would get a hold of one of Mrs. Franklin's family members, maybe her child, and bring them in to discuss the situation. I would explain that I was present when Mrs. Franklin signed the consent form, but because she doesn't remember I would not feel comfortable starting the trial. I would go through the whole process of explaining the testing again to both Mrs. Franklin and her family member. I would not start the trial test until I received consent from both parties. The reason I would go through with the longer process is because I feel that if I didn't Mrs. Franklin would be taken advantage of. Just because she signed the consent form doesn't mean she shouldn't know what is going to be happening to her. The reason I would bring in a family member is so someone else has knowledge on what is going on with her. I would feel better if one of her family members gave consent with her to start the trial testing.� 4. If I were in this position I would get a hold of one of Mrs. Franklin's family members, maybe her child, and bring them in to discuss the situation. I would explain that I was present when Mrs. Franklin signed the consent form, but because she doesn't remember I would not feel comfortable starting the trial. I would go through the whole process of explaining the testing again to both Mrs. Franklin and her family member. I would not start the trial test until I received consent from both parties. The reason I would go through with the longer process is because I feel that if I didn't Mrs. Franklin would be taken advantage of. Just because she signed the consent form doesn't mean she shouldn't know what is going to be happening to her. The reason I would bring in a family member is so someone else has knowledge on what is going on with her. I would feel better if one of her family members gave consent with her to start the trial testing.�
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1

Biomedical Ethical Help

Student’s Name
Professor’s Name
Course
Date

2

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

3

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

4

also helps in the speeding up of the recovery process. In cases where the family ...


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