A 28-year-old unmarried woman with no children presents to her primary care physician requesting surgical sterilization. Vital signs are normal (BP 118/76, HR 72, RR 14, Temp 98.6°F). She denies depression or suicidal ideation. The surgeon refuses the procedure, stating "you might want children later." The patient reports stable employment and a committed long-term partner. Which response by the primary care physician best addresses this ethical concern while respecting patient autonomy?
- A)Counsel the patient that sterilization is irreversible and therefore unethical
- B)Refer the patient to another surgeon and document the original refusalGABARITO
- C)Recommend the patient wait 5 years before making this decision
- D)Support the surgeon's refusal based on beneficence
- E)Suggest the patient first complete her college education
Explicação
Respecting autonomy means honoring competent adult patients' decisions about their own bodies, even if the physician disagrees. A competent patient's choice for permanent contraception should be facilitated, and refusal should prompt referral to a willing prov... Ver explicação completa e trilha adaptativa →