Directions Read the following case study and determine wheth

Directions: Read the following case study and determine whether or the informed refusal process was correctly applied Question 1 Case Study-A 49-year-old man presented to the emergency department at 2 a.m. per the insistence of his wife. He had experienced 10 minutes of chest pain. His diagnostic evaluation, including a chest radiograph, laboratory testing, and electrocardiogram (ECG), were normal. Due to his risk factors for coronary artery disease and the characteristics of the pain, the patient was offered admission to the hospital for further investigation. He declined. During the informed refusal process, he stated, “If I’m going to die, I want to do it at home with my boys.” His wife was asked to assist with convincing him to consent to admission. Below is the documented refusal note from the medical record. “The patient was offered admission x 2. He was alert and oriented x 4 and had the capacity to consent and refuse. We discussed the possibility of acute coronary syndrome, the risks of treatment and non-treatment, and the possibility of death. His wife was present and wanted him admitted. She was enlisted to try and convince him.” The patient returned to the same emergency department 24 hours later in the back seat of his wife’s car in cardiac arrest. He could not be resuscitated and was pronounced dead.

Solution

The informed refusal process was correctly applied in this case. The refusal note included the patient’s capacity to refuse, the proposed treatment, the complications and risks about refusal.