Stage IIIA Endometrial Cancer Case Study

Decent Essays

In the article given, a 53-year old gravida 2 para 1 patient with Stage IIIA endometrial cancer went at Women and Infants ambulatory surgical unit for a lymph node dissection and a bilateral salpingo-oophorectomy (Yee, 2017). Before the initial agreement for the operation, a medical staff reviewed to the patient all of the necessary informed consent contract, including the reasons and benefits of the procedure, as well as the risks of refusing it. The patient was noticeably anxious, but proceeded to sign the consent form. After the anesthesia team evaluated the patient and determined that the patient had type 2 diabetes, anxiety disorder, hypertension, a BMI of 58.2, and a Mallampati Class IV airway difficult for intubation (Yee, 2017). …show more content…

It would have been just for the medical team to assess the anxiety of the patient before preceding the surgery. The right for consent and autonomy of the patient conflicted with the decision of the medical team resulting to an ethical dilemma in this case. An informed consent can be accomplished through communication, implicit or explicit, or a signed consent (Taylor, 2013). The individual must be competent, which means capable of understanding, retaining, using and weighing information to communicate decision with others, in order for the consent to be valid (Taylor, 2013). In addition, the consent should be taken without any medical administration, or distress that can compromise the patient’s competency. The result of an individual or team that committed non-consensual act can be charged with battery, or assault (Taylor, 2013). According to the code of ethics, the health care teams have an obligation to honor the patient’s decision to withdraw (Lachman, 2015). The medical team ignored the withdrawal of the patient concerning the surgery and continues to proceed with the operation, which is a breach from the patient’s consent. If the patient’s rejection is discarded, it also violates the patient’s autonomy, which is the capacity to act freely with decision and independently (Purtilo, 2013). According to the code of ethics, “patients have the moral and legal right to determine what will be done with and to their person,”

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