Robbie the man who just wants to eat again

What were the main clinical issues in the case study? (Select all that apply)
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Depression and anxiety
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Binge eating, Gastrointestinal issues, G-tube
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No one asked me how I was doing
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He has a smug aura about him
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Type 2 diabetes
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Borderline Personality disorder
Preferences: What does the patient want?
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He wants to never have the joy of tasting anything ever again
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He wants you to listen to his soundcloud
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He wants to be able to eat whatever
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He wants whatever the doctor wants
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He wants to eat small amounts of junk food
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He wants you to sneak him some food
Preferences: Is he capable in making this decision?
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No, because he has poor self control which lead to his binge eating and complications
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Yes, because there is nothing affecting his cognitive ability in making informed decisions
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yes, because he said so and I believe him
Preferences: What do the healthcare professionals want? (select all that apply)
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The family doctor wants the patient to be NPO
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His shaman wants him to make 4 payments of the low price of $29.99 for his next reading
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The dietitian wants the patient to have small amounts PO
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The family doctor wants the patient to be able to have small amounts PO
What is his quality of life and death like with the current treatment of being NPO? (select all that apply)
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Hes got one foot in the grave
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From a physical view point the patient's health will be better
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From an emotional view point the patient's health will be poor
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Better glucose control
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There is a potential for self-harm and substance use to cope
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He could be killed or worse, expelled
Contextual features: What are some factors we should consider? (select all that apply)
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Cost of G-tube feeds
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Cost of junk food
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Cost of insulin
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How much work I have to do
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Potential inadequate social support
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The mental health group staff's opinions and wishes
Contextual features: Who does this affect?
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This random couple
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The family and himself
How do you decide what ought to do?
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Follow the principles according to ethical importance
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Follow the Utilitarian principles of non-maleficence and beneficence
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Follow the Kantian principles of autonomy and justice
Should you collaborate with the health care team, family, and patient?
YES
NO
Come on take this seriously
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Ok... sorry
What should we do?
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Tough love, he got himself into this mess he should be able to get himself out of it
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The patient lacks understanding of his condition and is not capable of making a well informed decision. It would be best to teach the patient about his diagnosis and to keep him strictly NPO.
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Immediate stomach removal to prevent eating
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A simple chakra spell I know should be able to reverse the effects of his condition and he will be back to full health in no time
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You must not harm the patient at all cost, even if they refuse. You keep the patient NPO.
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You let the patient eat food again because you know he is competent enough to make a decision despite it not being physically beneficial. You also encourage him to seek out social supports and teach him more about his diagnosis.
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