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Yes we are responsible for the patients' rights. But if we force the patient, we are harassing. We are going to court & get sued.

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mark decision should not be supported because this is life threatening to the patient.

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based on your theory, as a nurse you shld have your best interest. if patient has gangerene, you're going to let him die?

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he already knows the consequences, so the hospital already did what they could like to let patient know about the consequences

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Not going to force the practice. Involve the whole healthcare team. consequences inform patient about risk of not going BKA. if patient still refuse, instead of forcing him, try to talk to him out. if talking doesn't help show him support groups, real life story

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But what if he goes for the amputation, what are the consequences he will also face?

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we should be truthful to everybody.
he do not want to go for surgery and we ruled out everything. he has balanced out both of the risk of going into surgery and not going for surgery

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He knows the risk of gg for amputation. So he balances it out.

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not doing anything is also a nurse negligant

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It is a basic human right to choose yes or no.

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he was only told about the consequences and not the benfitsof getting leg amputated. he can get aid from government.

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If I were to force you to go for amputation, would you like it? What if you are a public person? Not a nurse.

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if pt comes in with a very bad gangrene and has sepsis, dr have the right to sign the consent form (consultant and above) to do the amputation. it is saving the pt's life.

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it is BKA, there is prosthetics. it is not a hand amputation. he can still work at a hawker centre and government will help him

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at the same time look at the bigger picture, they can give help after surgery. he is staying alone, he works everyday son 18 years old, maybe he has future financial plans. how much can the government help?

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But do you think prosthetic will help the patient? Because of that prosthetic leg it is causing more pain and gangrene. Causes more amputation. Prosthetic never fit properly.

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in sg, our governtment is very helpful in helping people in need

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we are focusing on the gangrene below the knee. and if he continues the lifestyle that he is living after the surgery and prosthetics, that is his problem. we are focusing and prioritizing what is the problem right now

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we feel that we should not proceed if patient does not give consent. going agaisnt nurses pledge. disrepecting patients value, rights. we can explore more options. has the mental capacity. try to get the patient on board to agree with us.

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under non maleficent, do no harm to patient. not doing anything is harming the patient.

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under ethnic pronciple, it means to do no harm. we are not forcing him to go surgery

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if you want to explore more option, you're wasting the pt's time and worsening the gangrene

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Case study shows no more option.

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We are not going to proceed until patients approval. We have to wait for next of kin to approve. We are  just persuading him. We support marks decision. we not forcing him but we persuade him again and again. any doubts he can share with us. as of now we are not doing anything, we dont have clearance. at the end of the day, we are going in the same way. we support because we respect patients right.

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we are persuading him to go surgery. were exploring options to persuade him to go surgery