Directions: Read the following case study and determine whether
or the informed refusal process was correctly applied Question 1 A
64-year-old male patient presented to emergency department #1 with
a headache and neck pain. A CT scan of the brain was obtained and
was negative. The physician advised the patient that they should
consider the possibility of meningitis, requiring a lumbar puncture
to analyze his spinal fluid. The physician stated his suspicion was
low for meningitis. The patient stated, “If you are not that
concerned, I’m not either.” He declined the lumbar puncture. The
patient presented to emergency department #2 via ambulance 48 hours
later. He was comatose and was diagnosed with a subarachnoid
hemorrhage.menigitis and subarachnoid hemmorhage may have similar
presentation, and both can be diagonsed with lumbar puncture.

1. problem affection patient? solution that you recommend for
patient?

2. ethical principle supporting your recommended solution?
explain why you chose this ethical principle?

3. law/ risk management a. documentation, if any, used in case
example. b. documentation that you would recommend and why?