Ethical Dilemma

You are working by yourself in a petite emergency department (ED) on a busy
Friday night. The nurse gelt you between longanimouss to tell you that the intoxicated
man with the head laceration is about to word of farewell without being seen. You are worried
that he may not be making a good decision, so you decide to gurgle to him. You discover
that the large laceration on his forehead is the result of a excrete down a large number
of concrete stairs. He was unconscious mind for a period of time, and doesnt remember
much of what happened before the fall. He admits to drinking between 10 and 12
beers tonight. He is tired of waiting and insists on going home.
You are worried that he has a serious head injury and that he does not understand
the implications of refusing checkup care. However, after you explain your concerns
to him, he is able to tell you (albeit with a slight slur) what the possible risks of leaving
are, and that he is willing to accept these risks. He says that if you dont let him
withdraw from, he will challenge you for assault, battery, and unlawful confinement.
Questions:
1. If a patient wants to leave the ED, what are your good and legal
responsibilities?
2. How do you assess capacity?
3. If someone has been drinking, are they hush up capable of making their own
treatment decisions?
4.



Does the potential seriousness of the patients injury influence the way
you assess capacity?
5. poop the patient sue you if you hold them against their will?
When negotiating treatment decisions, and peculiarly when recommended care is
refused, physicians must ensure their patients are well informed, and corroborate the ability
to understand the decisions they make (Table 1). Patients who refuse care pose a significant
challenge in the emergency setting because it may not be clear if a physicianpatient
relationship has been established (if they leave before making personal contact
with a physician). The patient is seldom known to the doctor, and the implications of
refusal may be...If you want to get a amply essay, order it on our website: Ordercustompaper.com



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