BOOKLET CODE : 012 71. A 48-year-old male patient who was diagnosed with hypovolumic shock refused blood transfusion irrespective of repeated counseling by the nurse in charge. What is the most appropriate legal framework in dealing with this patient? (A) Continue patient resuscitation (B) Take verbal consent and let him go (C) Have written consent and let him go (D) Look for family permission and let him go

The correct answer is (A) Continue patient resuscitation.<br /><br />In this scenario, the patient has refused blood transfusion despite repeated counseling by the nurse. The most appropriate legal framework in dealing with this patient would be to continue patient resuscitation.<br /><br />According to medical ethics and legal principles, a competent adult patient has the right to refuse medical treatment, including blood transfusion, even if it is life-saving. In this case, the patient is 48 years old and has been diagnosed with hypovolemic shock, which is a life-threatening condition. Therefore, the healthcare team should respect the patient's autonomy and continue resuscitation efforts, including administering fluids, medications, and other interventions to stabilize the patient's condition.<br /><br />It is important to note that the healthcare team should document the patient's refusal of blood transfusion and ensure that the patient is fully informed about the potential risks and consequences of their decision. The healthcare team should also involve the patient's family members or legal representatives in the decision-making process, if necessary, to ensure that the patient's wishes are respected and that appropriate legal and ethical guidelines are followed.<br /><br />In summary, the most appropriate legal framework in dealing with this patient would be to continue patient resuscitation while respecting the patient's autonomy and ensuring that appropriate legal and ethical guidelines are followed.