Victoria Sosa

3-31-23
Period 2

Case 1

1. I can see why the doctors did what they did but I don't think they were right. They did
not get consent from the woman and just assumed she was mentally ill, which can be
subjective.
2. Since they believed that we were mentally ill, they could’ve asked for tests to be done to
check if we actually were. They could have asked again to try to convince us to get the
procedure and understand if we didn’t want to do it.
3. If they were deemed mentally ill or unable to make sane decisions, maybe but that would
be up to the family. Since autonomy is defined as respecting the principle of autonomy
obliges the physician to disclose medical information and treatment options that are
necessary for the patient to exercise self-determination and supports informed consent,
truth-telling, and confidentiality. The doctors did not abide by this principle. I believe the
court would mark their actions as unethical because of this.
4. If i was one of the health care workers I would have pushed to talk to the woman one
more time to make sure that she was sure with her decision and IF she denied I would
ask for a medical examination.

- If the patient is often in an impaired state that makes fully deliberative decision-making difficult
at best. The patient could be in pain, emotionally traumatized or in some way not up to making a
fully unemotional, rational decision. The ability to give informed consent may be impaired by
illness, denial and multiple factors. In such instances, care must be taken that teams do not
revert to the old standard of deeming a patient incapable if they do not agree with their health
team’s plan of care. The team is obligated to facilitate a patient’s decision-making and
involvement in medical treatment, enhancing their dignity.

Case 2

1. Since it is an official alternative medicine, no. In Asia, during ancient times, coining was
used as a medicine treatment. The benefits include treatment for minor illnesses such as
cold, flu, headache, fever, pain, cough, or low energy.
2. When it is seriously endangering the patient. In this case it would not be an issue as it
would go away, but since he is a child it’s different. In the US coining on children is
considered medical malpractice so he should be slightly concerned.
3. Again yes because it is medical malpractice to use coining on children. It is not a
problem if he was older but he is still a child so it raises a few red flags.
4. I do think he should report her just to be safe as it is a malpractice to do on children.