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In the module on capacity, you learned that there are four factors that are evaluated when determining if a patient has capacity: understanding, expressing a choice, appreciation, and reasoning. A 89 year old patient in the ICU needs a life saving surgery. Without the surgery, the patient will die; however, with the surgery, the patient will likely live a long healthy life. The surgery has very few risks and is extremely beneficial as it will save the patient’s life while not effecting the patient’s quality of life. You are an ethics consultant who has been called in because the ICU attending is concerned that the patient is in effect “committing suicide” by not accepting the surgery.  While talking to the patient, the patient says the following to you “I do not want to go through a surgery at my age. I am an extremely devote Christian and my faith is everything to me. I know that I will probably die without this surgery, but at this point, I am putting my life in the hands of God. If it is God’s will that I die, then that means it is my time to go. However, if God believes that there is more work for me to do on this earth, then he will perform a miracle, and I will continue to live. I have always allowed God to guide my life path, why should this situation be any different?”  You have to give a recommendation to the ICU attending about whether the patient has the legal and ethical right to refuse the surgery, even though it means the patient will likely die. Which of the following is the most appropriate recommendation: 

Informed consent DOES NOT involve providing patients with which of the following elements: 

“Capacity” is a determination which refers to the patient’s ability to understand, appreciate, and manipulate information and form rational decisions. A patient’s capacity is determined by whom? 

When determining it a patient has capacity, the ability to compare information and infer consequences of choices is known as which of the following:

Using Figure below, to match the following: ;Mainly produces glucocorticoids (answer by simply putting the letter in the blank) [BLANK-1] adrenal gland.jpg

Use the Math Editor tool to write

A ____________________ is a suggested explanation based on the observations.

_____________________ molecules do not form hydrogen bonds with water.

How does Jonathan Wright communicate with his children?

Choose one question. Then, write an essay. Write as much as you can! a. Are smartphones good or bad? Do you think technology makes life easier or more difficult? b. Discuss the impact of fast food consumption on public health. What are the main problems, and what strategies could promote healthier eating?