Review the Alexander Hamilton quotation at the beginning of this chapter.

. Based upon the material you have just read, list the questions that come to mind regarding the phrase ""punctual performance of contracts.""

2. Give examples of implied and express consent to medical treatment in a hospital emergency room situation.

3. A patient has just been informed by the physician that she must have a hysterectomy and that there is a question of malignancy. As she leaves the office and you schedule her for hospital admission, she comments: ""The doctor makes me feel so good about this. She says that I will be out of the hospital in four days and on my own within a week. Isn't she a wonderful person? She says that I will be completely cured following my surgery."" How would you handle this situation?

4. A 16-year-old male comes to the office without an appointment and asks to see the physician because he thinks that he has AIDS. He does not wish to give you his name, parents' names, or address. You have seen him around town and know that he is a local resident. The physician is not available, but you expect her within an hour. As the agent of the physician, what is your responsibility in this situation?

5. A 15-year-old girl comes to the office with a diagnosis of first- trimester pregnancy. A year ago, she visited the physician twice, and then miscarried. There is an outstanding fee to be collected from the patient. Her parents are also patients of the physician but do not know that their daughter is pregnant. It is your job to collect the fees from patients. What would you do as an agent of the physician in this situation?

6. A woman and a 15-year-old minor present at your office for medical care. The woman declares she is the minor's conservator, and she shows you a court document that confirms this. Can she consent to medical treatment on behalf of the minor? How would you handle this situation?"\

1. Alexander Hamilton Quotation: However, most of the time, Economists use the term ‘Gains from Trade’. The ‘official’ technical term for the result of perfectly matched contractual obligations by both the buyer and the seller is called Punctual Performance of Contracts’.

 Questions that Come to Mind:Some of our remaining questions are as follows:

 How the legal system has attempted to define the concept of ‘punctual performance’, more so in the contractual performance theme?

 That is; what are the implications of sections 72 and 74 of English law when one party to a contract delays the performance of his/her obligations?

 This present writing aims to expound to as to how the principle of punctuality affects the matter of legal enforceability of a contract.

 What legal actions may interest parties take where one of the interest parties has been in breach of the punctual performance requirements?

 The following are some of the circumstances which are considered as legal enough to enable one party to delay in the performance of the contracted obligation;

 2. Examples of Implied and Express Consent in a Hospital Emergency Room:Implied consent can applied in the following scenario:

 Implied Consent:

 A patient is in a state of unconscious and the family brings the patient to the ER after the car accident. The medical team is obliged to treat the patient with a view of ventilating him or her and rescuing him or her from the close death even without the authorization of the patient since the law expects the patient to agree to the treatment and also understands that the treatment may kill him/her.

 Express Consent:

 This case presents a patient that presented to ER with anemias mixed with an acute severe abdominal pain. According to the physician he needs to do a CT scan to diagnose the issue. Through the patient’s verbal response given here the patient has allowed for the above CT scan hence the informed consent.

 3. Handling the Patient's Comments About Hysterectomy:Dealing with the response of the patient to the hysterectomy.

 Action to Take:

 The consent should therefore be done effectively in order to satisfy the patient need as concerns surgery. An explanation of the surgery should be offered to the patient and then this question should be posed to her: ‘Let me ask you this, in your own words, what is it that you understand of the planned surgery?’. In case of any ambiguity regarding the procedure, the disparity of her understanding compared to the overall procedure requires the doctor’s call to bless her with more details.

 Issues Involved:

 Informed Consent: In regard to the patient, he has to be informed about the possible complications, the benefits, and the possibilities of the surgical operation.

 Legal Ramifications: Malpractices in informed consent puts the physician and the hospital under legal liability since the law disapproves any wrong information that a patient is given over his/her treatment.

 4. Responsibility for the 16-Year-Old Male Suspecting AIDS:Liability for the 16-Year-Old Male Suspecting AIDS:

 Responsibilities:

 The patient should be given a chance to wait in a private and a confidential place before attending to the physician.

 Give him some morale and inform the patient that all his questions will be answered as soonest possible.

 Pation confidentiality, which to a certain extent prescribes the anonymity of a patient within the healthcare setting while agreeing on bringing in medical help as soon possible.

 Include the intervention which was the interaction with the physician in the collection and documentation of the experience.

 5. Handling the 15-Year-Old Girl with First-Trimester Pregnancy and Outstanding Fee:Managing First-Trimester Pregnancy of a 15-Year-Old Girl and Overdue Fee

 Action to Take:

 It should not be about the outstanding fee, but what the patient needs mainly due to the state of imperativity of her condition.

 There is need for discretion; if she has not disclosed her pregnancy do not go informing her parents.

 I should then bring the patient to one side and tell her that the balance is outstanding and she can bargain on the payment or instalment but they should be aware that their medical care won’t be stopped because of the said balance.

 6. Woman Claiming to Be Conservator for 15-Year-Old Minor:Conducting Business on Behalf of a 15-Year Old Minor As Her Conservator

 Action to Take:

 Verify the authenticity of that document from the court which the woman presents to back her allegations. Ensure that it has been prepared in a manner that it clearly authorizes her to make medical decisions for the minor.

 If the document is indeed valid, then try to get permission from the conservator of the protected person to consent for the medical treatment of the protected individual.

 Should there be any doubt or where there are questions which one is unable to address, seek the service of a lawyer or the hospital’s legal counsel.