Conservative therapy for bowel obstruction

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Mr. Nelson is a 75-year-old man in need of surgery. Mr. Nelson has been treated unsuccessfully with conservative therapy for a bowel obstruction. Documented on his record is his consent to surgery that was obtained by the chief surgical resident. During your preoperative visit with Mr. Nelson, he is alert and relatively comfortable. His wife mentions that her husband had a dose of promethazine (Phenergan®) to manage his nausea around the time the surgical consent was obtained. Mrs. Nelson asks, "Is the consent OK since my husband clearly does not feel well?" You respond: QID: 4686084Mark For Review Since the chief surgical resident obtained the surgical consent, this should be considered valid. Legal counsel should be obtained prior to proceeding. That surgical consent should be obtained from Mrs. Nelson as she is Mr. Nelson's de facto healthcare proxy. You will call the chief surgical resident to clarify the issue of consent.

Reference no: EM133805235

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