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. 2007 Oct;50(4):456-61.
doi: 10.1016/j.annemergmed.2007.04.016. Epub 2007 Jun 20.

Refusal of care: the physician-patient relationship and decisionmaking capacity

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Refusal of care: the physician-patient relationship and decisionmaking capacity

Jeremy R Simon. Ann Emerg Med. 2007 Oct.

Abstract

Problems of refusal of care, among the most common ethical dilemmas in the emergency department, are also often the most difficult to resolve, pitting 2 conflicting duties, that of helping patients and that of respecting their autonomy, against each other. Using a case presentation as a backdrop, this article offers a practical approach to patients who refuse treatment, including assessment of decisionmaking capacity but emphasizing the role of trust, communication, and compromise in these cases.

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Comment in

  • Upholding patient autonomy.
    Bastani A, Murray P. Bastani A, et al. Ann Emerg Med. 2008 May;51(5):682-3; author reply 683-4. doi: 10.1016/j.annemergmed.2007.11.039. Ann Emerg Med. 2008. PMID: 18436055 No abstract available.

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