An 82-year-old female patient with congestive heart failure and moderate dementia requires elective hip replacement surgery. Surgeon A and anesthesiologist A, however, considered her to be too high of a risk for surgery. Later in the week, surgeon B, who practices with surgeon A, has an anesthesiologist approve the patient for surgery even though the patient’s attending physician expresses extreme concern regarding the patient. On the morning of surgery, the patient suffers premature ventricular contractions, which the nurse in the preoperative waiting area notes in the chart. The nurse also notes that the patient’s husband is wary of the entire surgical process, stating that “everything had better go okay.” After speaking with the patient’s husband, the nurse realizes that he is unaware of the conflict between the surgeons involved with the case. Surgeon B is scheduled to leave town for a month the next day, so he is adamant about performing the surgery before leaving. The nurse discusses the patient’s unstable cardiac status with the surgeon. The surgeon listens attentively, but proceeds with the surgery anyway. The patient suffers a cardiac arrest during surgery. She is resuscitated and transferred to the intensive care unit, but she dies two days later.
Answer the fallowing question
-What is the obligation of the nurse in this?
-Has information only been disclosed to the appropriate people?
-Was the consent informed?
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Answer:
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Here are the part-wise answers to your question:
(a) The obligation of the nurse was to inform the patient and her husband of the conflicts between surgeon A and surgeon B and the risks involved while going ahead with the surgery.
(b) No, the information has not been disclosed to all parties concerned as the patient and her husband(primary caretaker) have not been informed fully of the ramifications and risks of the surgery.
(c) The consent was not informed because all the necessary details were not disclosed to patient and primary caretaker. The surgery was conducted as per the surgeon's convenience and not the patient's.
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