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This reminds me that I have read novels and seen films that use this as the premise- the sentiment there is the usual "if you can't gain their consent then you shouldn't do it". Why? Because the specific scenarios would be something like some mad doctor's whimsical fancy for the advancement of treatment or something like that...

 

Anyway, my point is that the consideration of such would be definitely far more complex- among the fundamental things to consider would be the intention to treat, treatability or management plans of the patient, and implications on patient's health etc. I'll use an example to provide some perspective: patient's in a non-iatrogenic coma (i.e. the doctor didn't induce it) and the doctors don't know how to bring them out, for any number of reasons. There's something that might work, but it's not approved, and still in either the clinical trial stage or just finished lab testing...or it could be completely ad hoc. Now you tell the patient this...well that's useless- they're in a coma! What about if you tell the family? They don't have a clue what you're talking about. What to do then?


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