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Doctor insights on: Is This A Moral Dilemma Between Patient Autonomy And Beneficence

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Is this a moral dilemma between patient autonomy and beneficence?

Is this a moral dilemma between patient autonomy and beneficence?

Sometimes: Autonomy means the patient can do whatever he or she wants. Beneficence means that a doctor or other professional is looking out for the patient's best interests. Some conflict examples: a patient may still choose to smoke (autonomy) even though he knows it's bad for him and his/her doctor has counseled him to quit (beneficence). ...Read more

Independence (Definition)

Independence = not having reliance on others. "The ability to carry out activities that support one’s own lifestyle and to control the care given ...Read more


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Given that 99.99% of a person's time is spent outside a physician's care, how important is patient activation and a person's ability to self manage?

Given that 99.99% of a person's time is spent outside a physician's care, how important is patient activation and a person's ability to self manage?

Self management: Collaborative care and shared decision making are important for determining an effective treatment plan from the outset with a provider. Doing so can improve outcomes by making sure the provider and patient are on the same page and agree on a plan that may include elements of self management. This requires consistent communication by a patient especially when self management is needed. But overall ...Read more

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A 4 yr relationship there is unconditional love however there are lots of arguing and disrespect is this relationship worth working on or let it go?

A 4 yr relationship there is unconditional love however there are lots of arguing and disrespect is this relationship worth working on or let it go?

Tried: Counseling? Generally things don't get much better, but if you have not tried counseling, and both of you put your heart in it, that is the only chance otherwise you will live wih what you have or worse. ...Read more

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What's the consequence to have had a dominating father and a very strict religious Christiane education?

What's the consequence to have had a dominating father and a very strict religious Christiane education?

Early childhood and: religious education shape our attitude in the future.. We need to remember that as an adult our decisions are our own and avoid the "blame game" attributing everything to parents, church, government, etc. See is you can look for the deeper meaning of the early religious education you had and let what is not life-giving go. It can be a wonderful journey. Peace and good health. ...Read more

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What is the value of making a commitment in a loving gay relationship?

What is the value of making a commitment in a loving gay relationship?

Most important: Sounds like their is some hesitancy or doubt.If so, don't. This is a lifelong relationship. ...Read more

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Is it true that mental health occupational therapy is now obsolete and has been removed from the list of "mental health providers?"

Is it true that mental health occupational therapy is now obsolete and has been removed from the list of "mental health providers?"

Not true: Most of inpatient psychiatric unit as well as many partial hospital program has occupational therapist. Their role is significantly reduced in private practice area. ...Read more

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Hi, making a decision about whether to circumcise my newborn, is there a strong medical case for circumcision or is it just a preference?

Hi, making a decision about whether to circumcise my newborn, is there a strong medical case for circumcision or is it just a preference?

Personal choice: In the US circumcision is commonplace, 70-80 %, France 30%, Australia 30%, great Britain 10% (not covered by national health insurance). There is data suggesting increased life risks of UTI & STD if not. I remember it being the most requested elective surgery among young enlisted men during my Navy years. If it is done at all it is easiest and heals quickest in newborns. ...Read more

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How serious is is psychological abuse before it takes it's toll on an individual due to that individual is in an unwanted and unneeded forced guardianship because, I am the one who has been put under forced guardianship , and thus it is guardianship a

How serious is  is   psychological abuse before it takes it's toll on an individual due to that individual is in an unwanted and  unneeded forced guardianship because, I am the one who has been put under forced guardianship , and thus it is guardianship a

This : This is a complex question and one which does not lend itself particularly well to this format. If the individual was a minor then it could be reported to child protective services who would then investigate. It sounds like the individual is having a difficult time. I suggest that the individual see a counselor. The counselor can provide reality feedback and help to develop a strategy to deal with the problem. ...Read more

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Is it standard of care to perform dialysis on someone who is currently experiencing heart trauma?

Is it standard of care to perform dialysis on someone who is currently experiencing heart trauma?

Question too vague: Dialysis is performed for a variety of reasons but is never performed casually. Urgent dialysis is lifesaving and sometimes temporizing until definitive care or perhaps permanent dialysis can be instituted. Some of the indications for urgent dialysis could be related to the heart although difficult o say without more details. ...Read more

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A clinical social worker, what is this? A therapist, psychotherapist...not sure what their role is and how important, rank amongst other clinicians

A clinical social worker, what is this? A therapist, psychotherapist...not sure what their role is and how important, rank amongst other clinicians

Social workers are: well trained and dedicated professions who help people in need connect w/the support system provided by government, churches, etc. Some take advanced training also and provide therapy. Their titles vary from state to state but clinical social worker fits the latter. ...Read more

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What basic considerations should a patient taking antipsychotics have regarding its diet/nutrition? (Very interested in Nutritional Psychiatry)

What basic considerations should a patient taking antipsychotics have regarding its diet/nutrition? (Very interested in Nutritional Psychiatry)

Significant: Most antipsychotics now prescribed (atypicals) carry large risks of wt gain and cholesterol problems. This means most patients I prescribe these drugs to will gain weight and have dyslipidemia. Eat and exercise accordingly. ...Read more

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Finalexitnetwork.Org a group of people who provide assistance for people suffering of disease to end their lives, has a medical director, is this ok?

Finalexitnetwork.Org a group of people who provide assistance for people suffering of disease to end their lives, has a medical director, is this ok?

If I understand: Correctly the final exit network provides guidance to individuals w a wide variety of “intolerable illnesses” enabling them to successfully commit suicide. This is an ethical & a medical issue. To assist another's suicide would violate my personal commitment to the principle “primum non nocere” or “first do no harm”. As a physician this is the first & most fundamental guide I use in making >>. ...Read more

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What is the best career for a person with social anxiety problems?

What is the best career for a person with social anxiety problems?

Tx before decision: Rather than let your anxiety dictate your career, you may want to find a psychologist who specializes in structured cognitive behavioral therapy so you can learn to understand and control you anxiety instead of letting it control you. It may be easier to pick a career that avoids social contact but it may be more rewarding in the long run to learn skills to become anxiety free. ...Read more

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Dr. James Lin Dr. Lin
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This is only a general question. If a patient has been diagnosed with sepsis and hypernatremia then, typically, how long after the diagnosis is made should the administration of IV fluid commence? Is it particularly important.? I appreciate that medical

Dr. James Lin Dr. Lin
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This is only a general question. If a patient has been diagnosed with sepsis and hypernatremia then, typically, how long after the diagnosis is made should the administration of IV fluid commence? Is it particularly important.? I appreciate that medical

Here are some ...: Inserting IV-line ASAP is an essential part of caring for medical urgency/emergency. But how soon, how much, and how fast may widely vary depending on clinical need and access availability in staff and facility. These are commonsense matters. ...Read more

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Is it fair to have a psychological evaluation when you are sad and depress? The court ordered psychological evaluation on the parents. One parent who had custody of the child for 16 years temporary loss custody and the child was given to the abusive paren

Is it fair to have a psychological evaluation when you are sad and depress? The court ordered psychological evaluation on the parents. One parent who had custody of the child for 16 years temporary loss custody and the child was given to the abusive paren

A : A good court evaluator would take into consideration all aspects of the parental care of the minor child. It is certainly understandable that the circumstances described would create great stress for the custodial parent and could contribute to the mood disorder described. However, if that parent had custody for 16 years, it is reasonable to assume that the child is at least 16 years of age and certainly in many state jurisdictions has a say about which parent he/she wishes to live with. It is not stated why the long term custodial parent lost custody nor what the nature of the alleged abuse might have been. These are the very factors, especially the adolescent's viewpoint that a competent evaluator would be taking into account. ...Read more

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Autonomy (Definition)

Self governing. Free will ...Read more