This is a place for students to provide thoughts related to the Norwich University Medical Ethics Course. Post your thoughts about a particular week's content, or about medical ethics in general. I'm also very interested in what you think about teaching with technology, and the technology used in this class (including this blog).
Thursday, September 22, 2011
To whom should we listen?
A 42 year old man with insulin-dependent diabetes is brought to the hospital by his wife for fever, anorexia, vomiting, and stupor. He has been unable to eat for two days and has not taken his insulin. He is unconscious. The examination indicated pneumonia and diabetic shock. On his wife’s consent, the care team inserts an IV to begin antibiotics, insulin, and electrolytes. Just after insertion, the man wakes up and states “Leave me alone, no hospital, no needles; I’m OK.” The wife asks that the care team ignore the man, restraining him if they must to insert the IV. What should they do?
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The care team should listen to the wife on the grounds that the man just came out of diabetic shock and further assessment is needed to determine his competence level.
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