Develop ovarian cancer-wants her to have preventive surgery

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Reference no: EM133245413

Assignment:

This case concerns a 35-year-old developmentally delayed female patient (functional age about 5 years old); her mother is her legal guardian. The patient tested positive for a BRCA gene mutation.

Her mother is concerned that her daughter may develop ovarian cancer and wants her to have preventive surgery. Her physician does not believe this is in the patient's best interests for the following reasons:

1. There is only a 15-30% chance she may develop the disease

2. The procedure does not offer a guarantee against developing cancer

3. The patient has high-risk co-morbid conditions including pulmonary stenosis

4. The patient is highly averse to medical procedures (becomes extremely anxious and agitated).

Her physician is questioning the mother's decision and if the surgery should even be offered. He feels surveillance/ screening for the purposes of early detection and treatment is the best option.

QUESTIONS:

1. What ethics issues must be considered?

2. Should the mother's request for surgery be granted despite the physician's expert opinion?

3. Should the daughter's aversion to medical procedures be considered?

4. Who should make this decision?

5. What theories or principles would be used in the decision-making process? How/why would they apply?

Reference no: EM133245413

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