Ethics

Question 1

Needle prick injury

Other than HIV wait for patient to regain consciousness and then take consent and draw blood

Answer 1

For UNCONSCIOUS Patient

#Only allowed to draw blood to check for hiv if this is of benefit to the patient.

Question 2

AD vs LPOA GE 3040

Answer 2

advance directive vs last power of attorney ? whichever is recent wins

Question 3

Colleague gets sick

prescribe Antibiotics or not

Answer 3

.Never prescribe friends family or colleagues outside gp practice unless : 1.no gp available immediately 2.Not presccribing would risk his life or health EVEN AFTER DOING THAT ,RECORD IT AND INFORM HIS GP!

Question 4

DNR FACTS ••

Answer 4

Any doctor can fill in the DNR form. ••The fact that the patient doesn’t want to be resuscitated is sufficient to fill in a DNR form. ••Fill in a DNR form as soon as possible. ••GP are the majority of doctors that tend to fill in DNR forms. ••Don’t wait for other teams to fill in DNR forms. ••Junior doctors need to sign form from senior doctors. ••Doctors are the ones who take DNR decision unless competent patients ask for it. •• Nobody can consent for DNR on the patient’s behalf , but they get to be involved in the discussion.

Question 4

DNR FACTS ••

Answer 4

Any doctor can fill in the DNR form. ••The fact that the patient doesn’t want to be resuscitated is sufficient to fill in a DNR form. ••Fill in a DNR form as soon as possible. ••GP are the majority of doctors that tend to fill in DNR forms. ••Don’t wait for other teams to fill in DNR forms. ••Junior doctors need to sign form from senior doctors. ••Doctors are the ones who take DNR decision unless competent patients ask for it. •• Nobody can consent for DNR on the patient’s behalf , but they get to be involved in the discussion.

Question 5

ET 3510

Well controlled Psychiatric disease and Consent

Answer 5

Because there is no mention in the stem that he lacks capacity. Just because he is schizophrenic, that does not mean he lacks capacity. They say his schizophrenia has been well controlled over the last 5 years. Therefore, you must assume he has full capacity and take consent from no other than the patient himself.

Question 6

Children and Sex and Confidentiality

Answer 6

16 & above wanting OCP –>Ask age of BF, if same age, Prescribe OCP and advise about safe sex, maintain secrecy

Question 7

CS 0024

Reason for Lacking Mental Capacity

Answer 7

U-R-W-C  (you are welcome for assessing mental capacity)
Understand 
Retain 
Weight 
Communicate 

The patient can not communicate