Next of Kin, Living Wills, & Power of Attorney

[@DirtyMedicine]

For EDUCATIONAL purposes only. Not to be used as medical, legal, or other advice!

[@abhikhalder7351]

Ethics committee May be convened when equal surrogate decision makers disagree or there is a reason to suspect that the surrogate is not acting in the patient’s best interest.

[@FirstLast-cd6vv]

This is like a law student having to distinguish microbes.

[@fereshtahkhoshbakht1999]

😂😂😂👌👌👌

[@FirstLast-cd6vv]

Thanks, Dr. Dirty, for showing some love ;)

[@ninathedaz]

thank you for ALWAYS including "and comlex" every time you mention usmle in every single video, very much appreciated

[@parthadrejiya1212]

Earlier ethics and communication skills were too difficult for me,thank u so much for these wonderful videos....kudos to ur hardwork...!

[@michaelgoldstein8516]

Fun fact that I learned: not all JWs are against blood transfusions, and some JWs will appoint a non-JW POA temporarily so that that person can consent to a blood transfusion to get around the prohibition.

[@BotBot1178]

What is incredibly high yield is clarification on what happens if next of kin are multiple adult children but they disagree with each other

[@hunterwhite257]

What if the POA and the living will contradict and the POA? I could see two scenarios that seem like questions. 1. POA disagrees and says patient has wanted to change their will and hasn’t gotten around to it (this would present in an emergent situation). 2. POA disagrees, and they were uninformed about the living will where the patient said they wanted to be DNR, but the POA doesn’t want the DNR.

[@johncheng2201]

For the purposes of USMLE, patient's wishes (written AND oral) always supercedes living will and POA. So: 1) The doctor would follow what the patient had orally stated over what is written in the Living Will, especially if this spoken wish can be corroborated by several witnesses. This also applies when the patient "changed their mind" and made that wish known to friends/family, but never got around to changing it in the actual Living Will. 2) Doctor would continue as if DNR (over what POA wants), but keep all comfort measures going as necessary (since DNR =/= comfort measures). Again, patient's wishes always supercedes living will and POA. At least that's what I got off of doing AMBOSS & UWorld

[@lailamohamed1989]

Thank you very much for this great video. Well, can I ask now what it is? type of advance medical directive does the AMA recommend

[@WillQuach]

@@johncheng2201 Exactly. The rule I believe is that oral DNRs must be witnessed by two people. Some state docs I see specify that one has to be the physician, while the other an individual not employed by the hospital/doctor/involved in any direct care.

[@lanaakhras4909]

Yes yes yes !!! Thank u so much 😍

[@efesari792]

What happens if the spouse is deceased and living adult children disagree?

[@rc4688]

Assume the deceased has a Will stating that a certain beneficiary will be compensated for a debt owed to him by the deceased. The beneficiary states that he "forgoes this compensation" (and made an audio recording of this statement as proof that he said it). Can the beneficiary later change his mind and claim the compensation?

[@nanaz8473]

thank you so much for making every video, appreciate you:) In case the living will was opposite to the durable power of attorney, which would we follow, would the durable power of attorney override the livingg will or vice versa?

[@lailamohamed1989]

Thank you very much for this great video. Well, can I ask now what it is? type of advance medical directive does the AMA recommend

[@Muhammadk6]

I don’t know where to contact you but if you’re reading this Please Make a video on OPPORTUNISTIC FUNGAL INFECTIONS

[@kostiantynromaniv605]

And what if the test says something like "he spent all his time with his friend and his wife was a botanist spending most of the year on another continent"? Should we still pick his wife?

[@shannonkilfoy]

For the sake of a question, yes. But in reality you would probably talk to the ethics committee. Also might depend on the risk of the procedure at hand.

[@truthteller2711]

@Dirty Medicine what if the patient has multiple children who disagree? (Not married)?

[@royalexander5437]

Thanks!

[@doctorposting]

anyone know if these are outdated for step2 as of 2024?

[@arslan626]

Dirty! You’re way of teaching is Naughty! Very very naughty 😂

[@heba_seyh9]

He’s dying there’s no time for meetings smhhhhh

[@jonathankouts6803]

1. Does POA or Living will take priority? 2. Does the next of Kin follow the same rule as the POA of deciding what the pt would have wanted?