Case Scenario
Who you are: You are an F2 in Surgery.
Who the patient is: Mr. David aged 65, had an Ischemic Stroke last week which affected his left side. He was recovering well and doing fine. He developed another stroke yesterday and his GCS is 3 now. They did CT scan and it showed massive clot in both the hemisphere. Only Analgesics and IV Fluids can be given to the patient.
Other information: If patient deteriorates then Do Not Resuscitate the patient. His daughter came to you to discuss her father's condition. Special note: Daughter is pregnant. MDT has decided that surgery cannot be done and they have decided only palliative care is possible.
What you should do: Please talk to the daughter, explain her father's condition and address her concerns.