| Focus on patient management: responsibly managing psychiatric inpatient refusal of medical or surgical diagnostic work-up. | |
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MedLine Citation:
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PMID: 20810583 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This column uses the tools of normative ethics-analysis and argument-to provide a reasoned account of and to identify ethically justified responses by the psychiatrist to psychiatric inpatients' refusal of medical or surgical diagnostic work-up. There are three relevant ethical considerations when psychiatric inpatients refuse medical or surgical diagnostic tests: balancing autonomy with beneficence, surrogate decision making and confidentiality, and managing strong feelings. Assisted decision making and assent are key management strategies for promoting patients' autonomy and for protecting against adverse consequences of decision making. |
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Authors:
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J S Swindell; John H Coverdale; Holly Crisp-Han; Laurence B McCullough |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Psychiatric services (Washington, D.C.) Volume: 61 ISSN: 1557-9700 ISO Abbreviation: Psychiatr Serv Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-01-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9502838 Medline TA: Psychiatr Serv Country: United States |
Other Details:
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Languages: eng Pagination: 868-70 Citation Subset: IM |
Affiliation:
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Center for Medical Ethics and Health Policy, Baylor College of Medicine, MS 420, Houston, TX 77007, USA. jsswinde@bcm.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Confidentiality Decision Making Diagnostic Tests, Routine / psychology* Humans Inpatients / psychology* Mental Disorders Patient Care Management / ethics* Physician-Patient Relations / ethics* Proxy Treatment Refusal* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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