Therapeutic Privilege

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In the following three cases, indicate whether you think it would be justified to overcome the autonomy of the patient under the principle of beneficence and why.

In the intensive care unit, you are working on a patient in a very unstable state. The woman and her children (who were all killed) had been in an accident. It is clear that further emotional trauma would be disastrous to the patient and may cause her death. In a lucid moment, she looks at you and asks, “How are my children?” Is this an instance when therapeutic privilege seems reasonable? Whether you decide yes or no to the therapeutic privilege question, write a sentence that you think would be the most appropriate answer for the patient. (2 to 3 Paragraphs).

You are working late and you enter the patient’s room to find that she has climbed out on the window ledge. She appears to be crying and tells you to leave her alone. (1 Paragraph)

Your elderly patient hates to have the bed rails up and tells you to leave them down. (1 Paragraph)