![]() The limitations to their physical movement also carry other future risks that could inadvertently result in further physical and mental health issues. The treatment would result in a life-changing injury and the risks of infection or massive bleeding aren’t proportionate. It would be “good” for the patient in as much as the injury would be resolved and the threat to life from bleeding or infection somewhat reduced.īut let’s consider the implications of amputation. If the bleeding is life-threatening, the limb sufficiently injured and the risk of infection extremely high, then amputation could be a treatment option. There are a number of options for treatment here, but let’s take an extreme one – amputation. The parents are demanding immediate action be taken. The limb is deformed with significant bleeding and the patient is extremely distressed. For example:Īn eight-year-old child has been admitted to hospital with a significant open fracture to their left leg. You may be given an ethical scenario to consider during your interview. It is important to bear the patient’s expectations in mind when ranking treatments because when we refer to doing “good” we are not simply referring to what is medically good for the patient, but also what is acceptable to the human being we are treating. This is also known as holistic or patient-centric care. You will notice that several considerations are concerned with the patient’s expectations or circumstances. Is this option and its outcomes in-line with the patient’s expectations of treatment?.Is this option compatible with this patient’s individual circumstances?. ![]()
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