Document Detail


[Conflictive patients in the emergency room: Definition, classification and ethical aspects].
MedLine Citation:
PMID:  20656286     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A conflictive patient is one who provokes a problem (a conflict) by their attitude or behavior for the physician. Ethical conflicts in emergency care are common and many of them occur with these patients. Among the most common types of patients who generate personal conflicts with health professionals are overly demanding patients, those who refuse medical interventions, those who are aggressive, litigators, excessively-recurrent users of the heath system and those who go to the emergency room without an urgent condition. A patient may include several of these profiles ("mixed" patient). When they appear, the approach should be, if possible, by a team, establishing a deliberative process. If there is doubt and when possible, the ethics committee of the institution should be consulted, seeking the protocols, this best being institutional, on the subject. After that, if the decision is difficult, support must be sought from the emergency staff and even management. The whole process should be reflected in the clinical history. Specific education in bioethics and communication skills can be of great help to minimize and cope better with long-term conflicts.
Authors:
B Herreros; G García Casasola; E Pintor; M A Sánchez
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2010-07-24
Journal Detail:
Title:  Revista clínica española     Volume:  210     ISSN:  1578-1860     ISO Abbreviation:  Rev Clin Esp     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608576     Medline TA:  Rev Clin Esp     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  404-9     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier España, S.L. All rights reserved.
Affiliation:
Medicina Interna, Hospital Universitario Fundación Alcorcón, Madrid, España. benjaminherreros@gmail.com
Vernacular Title:
Paciente conflictivo en urgencias: definición, tipología y aspectos éticos.
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MeSH Terms
Descriptor/Qualifier:
Dissent and Disputes*
Emergency Service, Hospital / ethics*
Humans
Patients / classification*

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