Summary: In case of patients’ in a vegetative state, and a family member wishes to stop treatment: - Understand the complexity of the situation. Very difficult. Be empathetic and understand how difficult it’s for the patient, for the family member, and for the people who are caring for her. It’s not a black or white situation, so a lot of things & factors to consider. - Always try to speak & talk first. Never make any assumptions. Try to understand the reason why! We would never know for sure, so always speak to them & assess the situation. Educate if got any misinformation; maybe the person doesn’t fully understand the complications after stopping treatment, or due to financial issues or etc. - Always remain professional. Professional duties above personal views. - If the person got any concerns or questions, explain and educate them well. If you don’t know, tell them that you’ll bring this up to other staffs that you know are more knowledgeable to come and give details explanations to them. - Then, try to understand every aspect of her care by discussing with the patient. Is there any recovery potential? How long has the patient been in that state? Discuss with them as much as possible to get as much detail information which would help in you better guide them to a conclusion. Also, ask if the wife had express her wish at some point to stop treatment? Was there any written wishes like a will? If yes, then u have to respect patient’s autonomy, but understand that autonomy isn’t absolute. You might not know if the patient was competent when she written that will or if she ever did spoke to her GP (If not, then she might change her mind if she did speak to a GP prior..) If not, then find the next person who’s capable of deciding what’s best for her.
if the father and son cant come to a decision, then one of the two will be quite starkly emotionally affected. I think it would be important to say that a follow up session with both parties should be arranged after a decision has been made to better aid their mental well-being.
I very much agree that the ethics surrounding a scenario where a family member wishes to stop treatment for a patient in a vegetative state are complex and multifaceted. The main ethical principles at play is respect for patient autonomy, and although the patient's wishes should be considered and respected whenever possible, there needs to be a balance with other ethical principles such as beneficence and non-maleficence. I appreciate how she commented on all three of these principles when discussing the scenario. Healthcare professionals must always approach a scenario like this with empathy and professionalism. They need to seek comprehension of the family member's reasons for wanting to stop treatment, and deliver the facts when educating them on all options and consequences regarding the stopping of a feeding tube/removal of life support. Above all, the doctor must remain objective in their knowledge and refrain from projecting their own personal beliefs in the situation, when the family is making the decision. That being said, the decision-making process should not solely be one physician and the family, but rather should involve a multidisciplinary team and be well-documented. I believe she touched on all of these points and handled the scenario appropriately.
In this case, would saying that you will try to have a trained professional that has more experience with family members making such a decision I.e. counsellors or a person from the ethics committee etc sit in on the conversation between physician and client be helpful?
Great point that you make and i believe you could add that in at the very end, if for instance you and the family can not come to common grounds. However, this question is asking how would you deal with this situation and how would you react. It is very easy to pass on the problem to someone else but its important to show how you would handle the situation. In the end you could say that if there was no consensus, then i would try to bring someone from the ethics committee. Hope this helps!
I feel like there are SOPs for stuff like this and would always bring in the ethics committee. Its great to try to play god here and mediator and be the smartest person the room, but at the end of the days these situations have happened thousands of times and there should be an SOP that involves more than the doctor.
Sir, what I should prepare for Medical University interview. Our government and minister of health only informed that there will be test in person (viva) but they don't tell about what kind of preparation we should do. Sir please help me because former students who enrolled Medical University didn't have the experience of taking viva tests. Also this is the first year that new changes made in our enrollment to Medical University .
Summary:
In case of patients’ in a vegetative state, and a family member wishes to stop treatment:
- Understand the complexity of the situation. Very difficult. Be empathetic and understand how difficult it’s for the patient, for the family member, and for the people who are caring for her. It’s not a black or white situation, so a lot of things & factors to consider.
- Always try to speak & talk first. Never make any assumptions. Try to understand the reason why! We would never know for sure, so always speak to them & assess the situation. Educate if got any misinformation; maybe the person doesn’t fully understand the complications after stopping treatment, or due to financial issues or etc.
- Always remain professional. Professional duties above personal views.
- If the person got any concerns or questions, explain and educate them well. If you don’t know, tell them that you’ll bring this up to other staffs that you know are more knowledgeable to come and give details explanations to them.
- Then, try to understand every aspect of her care by discussing with the patient. Is there any recovery potential? How long has the patient been in that state? Discuss with them as much as possible to get as much detail information which would help in you better guide them to a conclusion. Also, ask if the wife had express her wish at some point to stop treatment? Was there any written wishes like a will? If yes, then u have to respect patient’s autonomy, but understand that autonomy isn’t absolute. You might not know if the patient was competent when she written that will or if she ever did spoke to her GP (If not, then she might change her mind if she did speak to a GP prior..) If not, then find the next person who’s capable of deciding what’s best for her.
can you do my interview for me lol
@Vincenzo Darian 🧢
😂
Ikr 😂
I like this video, she was thorough and considered multiple options while sounding natural.
This was a really good sample question and answer. Keep posting more videos
if the father and son cant come to a decision, then one of the two will be quite starkly emotionally affected. I think it would be important to say that a follow up session with both parties should be arranged after a decision has been made to better aid their mental well-being.
thats a good addition
I very much agree that the ethics surrounding a scenario where a family member wishes to stop treatment for a patient in a vegetative state are complex and multifaceted. The main ethical principles at play is respect for patient autonomy, and although the patient's wishes should be considered and respected whenever possible, there needs to be a balance with other ethical principles such as beneficence and non-maleficence. I appreciate how she commented on all three of these principles when discussing the scenario. Healthcare professionals must always approach a scenario like this with empathy and professionalism. They need to seek comprehension of the family member's reasons for wanting to stop treatment, and deliver the facts when educating them on all options and consequences regarding the stopping of a feeding tube/removal of life support. Above all, the doctor must remain objective in their knowledge and refrain from projecting their own personal beliefs in the situation, when the family is making the decision. That being said, the decision-making process should not solely be one physician and the family, but rather should involve a multidisciplinary team and be well-documented. I believe she touched on all of these points and handled the scenario appropriately.
Chatgpt?
so basically a verbal version of the CASPer
both CASper and MMI were created by McMaster
In this case, would saying that you will try to have a trained professional that has more experience with family members making such a decision I.e. counsellors or a person from the ethics committee etc sit in on the conversation between physician and client be helpful?
Great point that you make and i believe you could add that in at the very end, if for instance you and the family can not come to common grounds. However, this question is asking how would you deal with this situation and how would you react. It is very easy to pass on the problem to someone else but its important to show how you would handle the situation. In the end you could say that if there was no consensus, then i would try to bring someone from the ethics committee. Hope this helps!
Very very helpful
This is interesting, med school is scenario heaven
Thank you so much! This was very helpful.
Awesome! Check out more of the series!
JjujjujjuujSi Si
I feel like there are SOPs for stuff like this and would always bring in the ethics committee. Its great to try to play god here and mediator and be the smartest person the room, but at the end of the days these situations have happened thousands of times and there should be an SOP that involves more than the doctor.
This was helpful, thank you!
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Should you avoid saying ‘um’ during your interview? Or isn’t it that deep
as long as its not umm every sentence
It takes practice to avoid such words. Usually students have not yet gained the experience and practice to avoid such.
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Sir, what I should prepare for Medical University interview. Our government and minister of health only informed that there will be test in person (viva) but they don't tell about what kind of preparation we should do. Sir please help me because former students who enrolled Medical University didn't have the experience of taking viva tests. Also this is the first year that new changes made in our enrollment to Medical University .
He can do whatever he wants he’s the proxy. Granted I understand asking him a couple probing questions to make sure he understands the implications.
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are we supposed to sound so robotic?
Sounds pretty natural to me... what, do you want her to be crying?
Because she has rehearsed her answers. That's the problem with medical school interviews.
This is what professionals sound like
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It’s feeding tube not NASO/ORO-ENDOTRACHEAL tube lol 😂 life support using a feeding tube… this is new
No, she’s saying the patient is dependent on the feeding tube as one type of life support, without the feeding tube obviously the patient will die
Yes, a feeding tube can be life support....hmmmm
This is very robotic.
Being robotic is what the modern world wants from us
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