Is there a difference between quality and quantity of life

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Reference no: EM133854089

Assignment:

A mother brings her 6-month-old daughter to the HCP for evaluation of possible colic. The mother says the baby has had many episodes of crying after eating and, despite having a good appetite, is not gaining weight. The mother says the baby's belly "gets all swollen sometimes." The mother says the baby tastes "salty" when the mother kisses the baby. Further work up reveals a diagnosis of cystic fibrosis. The mother relates that her 23-month-old son has had multiple episodes of "chest congestion" and was hospitalized once for pneumonia. The mother wants to know what cystic fibrosis is and she also wants to know if she should have any more children.

For your initial post, please post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response.

1. Regarding medical ethics, if a man is discovered to be hepatitis B or C positive, is it advisable for the physician to inform the wife or sexual contact of the patient?

2. Is it unlawful in most countries to limit medical care, particularly by rationing the usage of drugs? Surely rationing must be against the oath we took as doctors to provide the best care available.

3. What is meant by QALYs? Is there a difference between quality and quantity of life?

4. Are 'Do not resuscitate' orders illegal in most countries?

5. What is a living will?

6. I've heard of the Bolam principle but when I mentioned it to my lecturer I was told it was out of date. Could you explain please?

7. Why is counselling required before an HIV test can be done on a patient? We don't counsel patients when we look for a tumour marker to diagnose cancer, which is often more serious for a patient.

1. Ethics and communication

8. As a junior doctor, I have to attend many multidisciplinary team meetings. I am concerned about the confidentiality of these meetings as they are attended by a diverse group of healthcare workers.

9. Is the role of the advocate in a medical interview to help the patient or the doctor?

10. We are always asked by our seniors to make sure that the patient has signed the consent form. Isn't verbal consent enough? Also, for what procedures do I have to get consent, e.g. urinary catheterization in a patient with retention?

Reference no: EM133854089

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