Medicine, Health Care and Philosophy 4 (1):71-77 (2001)
Abstract |
Theoretical models for patient-physician communication in clinical practice are frequently described in the literature. Respecting patient autonomy is an ethical problem the physician faces in a medical emergency situation. No theoretical physician-patient model seems to be ideal for solving the communication problem in clinical practice. Theoretical models can at best give guidance to behavior and judgement in emergency situations. In this article the premises of autonomous treatment decisions are discussed. Based on a case-report we discuss different genuine efforts the physician can do to uncover treatment refusal and respect patient autonomy in an emergency situation. Autonomy requires competence and in emergency medicine time does not allow intimate exploration of patient competence and reasons for treatment refusal. We find that the physician must base her decision on a firm theoretical base combined with a practical and realistic view of the patient's situation on a case to case basis
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Keywords | ethics mental competence physician integrity physician-patient relationship respect for autonomy treatment refusal |
Categories | (categorize this paper) |
Reprint years | 2004 |
DOI | 10.1023/A:1009982710625 |
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References found in this work BETA
The Physician-Patient Relationship: Models and Criticisms.Howard Brody - 1987 - Theoretical Medicine and Bioethics 2 (2).
To Treat or Not to Treat: The Legal, Ethical and Therapeutic Implications of Treatment Refusal.A. N. Wear & D. Brahams - 1991 - Journal of Medical Ethics 17 (3):131-135.
Citations of this work BETA
Decision Making Capacity Should Not Be Decisive in Emergencies.Dieneke Hubbeling - 2014 - Medicine, Health Care and Philosophy 17 (2):229-238.
Immersed Subjectivity and Engaged Narratives: Clinical Epistemology and Normative Intricacy.Per Nortvedt - 2003 - Nursing Philosophy 4 (2):129-136.
The Admissibility of Research in Emergency Medicine.Agata Wnukiewicz-Kozłowska - 2007 - Science and Engineering Ethics 13 (3):315-332.
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