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Case Study Example

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X, a 30-year-old woman who had been married for a period of ten years had never given birth to a child and had been unable to bear any of her own. For the last two years, she had been suffering from congestive dysmenorrhoea, dyspareunia and menorrhagia. Previous…
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Download file to see previous pages The investigations carried out on her husband’s semen did in fact reveal no anomalies. The patient has been offered some antibiotics to improve on her situation prior to a myomectomy being carried out. The couple have been advised to consent to a hysterectomy to solve the problem but have declined since they will be requiring their own children in future. The lady has been found to have a permanent condition on her uterus which can cause relentless bleeding and pain. This condition could also be easily responsible for the lady’s infertility problem. The patient could not be informed of the above conditions since she was under anesthesia. Her husband however consented to the operation despite his spouses disapproval.
The consent given by the woman’s husband tends to contravene the ethics of medicine regarding the issues of justice, beneficence, nonmaleficence and autonomy of a patient undergoing such a procedure. The doctor has also been unethical by infringing on his patient’s autonomy and beneficence by disclosing her condition to her spouse without consent . He is however justified in disclosing the condition since the condition may affect their marriage and future. Both the doctor and the husband may also infringe on the principle of non-maleficence since the operation could do more harm than good to the woman despite her not consenting to the procedure. This could end up bringing injustices to the woman and her future in their marriage. Finally, the doctor contravenes the principle of beneficence which suggests that he should act in the best interests of his patient. The doctor will be infringing on his patients right of deciding whether or not she should undergo the operation.
A nurse at the hospital has raised concerns regarding the consent given by the husband allowing the doctor to proceed on the operation on his wife. The nurse objects to the operation ...Download file to see next pagesRead More
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