A 25-year old woman developed postpartum psychosis. The newborn developed cyanosis due to congenital heart disease. The newborn needs cardiac surgery. Surgeon discussed the procedure with the mother. She understood the procedure. Can she give the consent ? Comments   Asma Zafar Yes   Immo Mani Yes   Annie Hassan No   Sarmad Mushtaq No   Valeed Ahmed The pre-requisites for consent are that the patient (or the other person in charge) must fully and clearly understand the condition and its treatment., be competent and agree to the consent voluntarily. As the patient understood everything, so she her consent is acceptable. One person may be competent for one decision and be incompetent for another one. In this case the patient is competent as she was able to understand the decision   Anam Najam logically correct laikin yaqeen nhi a raha :-/   Valeed Ahmed Please read the consent topic in oxford once more. There is a similar statement   Val...

A 17-year old boy came to a surgeon for bilateral vasectomy. He is the father of one child and does not want to have any more children. He does not want to tell his girlfriend and parents. He lives with his parents. What should a surgeon do in this situation? Comments   Anam Najam perform the procedure   Asma Zafar Tell him both the advantages and disadvantages of performing the procedure and make him to write cost benefit analysis to realize the situation   Ali Al Shikh Consent is necessary  But first he has to know the cause of this surgery ( may has psychological cause)   Valeed Ahmed He is a minor as yet and may not understand the implications of such a serious decision. The surgeon should refuse the vasectomy and offer other less harmful alternatives.   Anam Najam Isnt it so that one can give consent if one is above 16 yrs of age?   Valeed Ahmed Not in every case.   Ghada Hegazy He's a minor living with his parents. The guardian must c...

A 40-year old schizophrenic patient needs hernia repair. Surgeon discussed the procedure with the patient who understood the procedure. Can the patient give consent? Anam Najam yes Like · Reply · July 2 at 10:44pm Asma Zafar No Like · Reply · July 2 at 11:06pm Immo Mani Yes Like · Reply · July 3 at 12:39am Valeed Ahmed Yes, as already explained, if someone understands the procedure, agrees to it and be competent, he can give the consent Like · Reply · 2 · July 3 at 2:49pm Angel's Dua yes since he is in good state of health who can understand the procedure so he can also give consent

Psychological Symptoms (delusions or over valued ideas)  that affect relationships with other people are broadly known as ?  Persecutory  Paranoid  Answer. Paranaoid symptoms , the most common of which are persecutory. Other paranoid symptoms include grandeur, religious, jealusy etc. 

Thomas Homes and Richard Rahe in the 1960s first demosntrated that stress may precipitate illness by studying the kinds of events preceding the onset of tuberculosis. Interestingly, there were also positive life changes among these events e.g. Marriage, birth of baby. According to Himes and Rahe, it is the "change" associated with these events that generates the stress. 

The beleif in anorexia nervosa about body image is an example of ?  Delusion Over valued idea Obsession Answer: Delusion requires a beleif to be culturally unacceptable and illogical, in addition to being false or being held on inadequate grounds. Obsessions are intrusive thoughts considered to be false by the patient. The answer is overvalued idea. 

Bournewood Gap An adult patient who was suffering from autism was admitted to bounwood hospital because he by himself was not resisting to be admitted although his carers were not willing for this. This case indicated a "gap" in the law i.e. Failure to protect an individual's liberty if he can not resist.  Deprivation of liberty safeguards   Bournewood case lead to deprivation of liberty safeguards act in 2007, according to which such patients will be asses by a 'best interests assessor' before such action is taken to make sure it is in the best interest of the patient. The act itself is complicated.