Station 4: Ethics and Communication

Question 1

Your patient has suffered brainstem death, explain to the patient’s relative and discuss organ donation.

Answer 1

Sympathise
Explain the situation
Discuss any advanced wishes (LPA? Advanced Directive?)
Enquire re organ donation
Organ donation nurse follow up

Question 2

Consent form for an adult with capacity, needing procedure with impaired conscious level

Answer 2

Consent form 1

Question 3

Consent form for an adult who lacks capacity

Answer 3

Consent form 4

Question 4

Consent form for an adult with capacity, needing procedure with no impairment of consciousness

Answer 4

Consent form 3

Question 5

Genetic testing - BRCA1 / BRCA2

Answer 5

BRCA1 - 80% lifetime risk of breast cancer, 40% risk ovarian cancer
BRCA2 - 45% lifetime risk of breast cancer

Negative test does not rule out other polymorphisms