REFUSAL OF CARE AND DISCHARGING DIFFICULT PATIENTS FROM THE EMERGENCY DEPARTMENT

被引：11
作者：
MAYER, D
机构：
[1] Department of Emergency Medicine, Albany Medical College, Albany, NY
来源：
ANNALS OF EMERGENCY MEDICINE | 1990年 / 19卷 / 12期
关键词：
informed consent; refusal of care;
D O I：
10.1016/S0196-0644(05)82617-4
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Patients generally have the right to refuse medical care, a right based on certain legal precedents. Its application in the emergency department leads to difficult decisions for the emergency physician. A model that allows the emergency physician to determine the capacity of a patient to refuse care is presented. Certain types of patients regularly present problems in their treatment. These include psychiatric patients, narcotics abusers, alcoholics, "street people," and some patients with migraine headaches. They represent some of our most difficult decisions because the treatment required for the patient is often clear and the patient refuses care or demands inappropriate care. © 1990 American College of Emergency Physicians.
引用
收藏
页码：1436 / 1446
页数：11
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