Tuesday, 5 July 2016

Competency of the mother to consent for children

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 ?


Valeed Ahmed 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 Anam Najam logically correct laikin yaqeen nhi a raha :-/

Valeed Ahmed Valeed Ahmed Please read the consent topic in oxford once more. There is a similar statement

Anam Najam Anam Najam Thanks :)

Consent validity by minors

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?


Anam Najam Anam Najam perform the procedure

Asma Zafar 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 Ali Al Shikh Consent is necessary 

But first he has to know the cause of this surgery ( may has psychological cause)

Valeed Ahmed 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 Anam Najam Isnt it so that one can give consent if one is above 16 yrs of age?

Valeed Ahmed Valeed Ahmed Not in every case.

Ghada Hegazy Ghada Hegazy He's a minor living with his parents. The guardian must consent. The only exception is if he's living in a state that allows for partial emancipation due to birth control, i.e. He can make that choice. However, the surgeon should offer some alternatives to the procedure.

 Inam Ul Haque Masood Inam Ul Haque Masood Minors can not consent

Nirmal Zahra Nirmal Zahra Minors cannot give consent...the parents or guardians are to be consulted here. The client should be made aware of this. Also, give him other better options.

Angel's Dua Angel's Dua i think before performing surgery it is important to know y he wants this and for that sake he should be referred to psychologist for detail evaluation and should be explained with pros and cons of the surgery may b through psychological investigation u reach the real problem which could be solved other wise

Legal capacity to consent

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?

Valeed Ahmed

Valeed Ahmed Yes, as already explained, if someone understands the procedure, agrees to it and be competent, he can give the consent

Angel's Dua

Angel's Dua yes since he is in good state of health who can understand the procedure so he can also give consent

Monday, 4 July 2016

Symptoms that affect relationships with other people

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. 

Sunday, 3 July 2016

Who were the first scientists who theorized that stress may preciptate illness ?

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. 

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