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Respect the wife's wishes and resuscitate the patient
2%
6/280
Respect the patient's prior wishes and do not resuscitate
91%
256/280
Allow the patient's adult son to make the final decision on whether or not to resuscitate
1%
2/280
Consult a judge for the final decision on whether or not to resuscitate
3/280
Consult the hospital ethics committee
4/280
Select Answer to see Preferred Response
This patient has an advanced directive and the instructions expressed in it supersede his family's wishes and should be respected. An advanced directive (aka living will) is a written set of instructions by an individual that outlines which medical actions should be taken in the event they become incapacitated and unable to make their own medical decisions. In an unresponsive patient, the patient's next of kin are often asked to assist in medical decision-making, but caregivers should help families frame their decisions with reference to what the patient has previously expressed, if such conversations have taken place. When an advanced directive is available, the written expressed wishes of the patient should be respected. Incorrect Answers: Answer 1: The patient's prior wishes take precedence over the wife's demands. Answer 3: The order of next of kin is spouse, adult children, parents, grandparents, aunts/uncles, adult cousins. However, the order of next of kin does not come into play in this case. The patient's clear written wishes should be respected. Answer 4: A legal decision is not required in this case given the patient's clear written instructions. Answer 5: An ethics consult is not required in this case given the patient's clear written instructions.
4.8
(5)
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