Honestly, the stress that would have caused other patients and staff is off the scale. I'd have let the knobhead leave and give the bed to someone else who needed it.
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Honestly, the stress that would have caused other patients and staff is off the scale. I'd have let the knobhead leave and give the bed to someone else who needed it.
Very thorny ethical situation - presumably in this case the doctor believes he has a realistic chance of saving the patient if the current treatment is continued.
Some similarity to the difficulty in treating a patient who refuses blood transfusion due to religious beliefs I’d assume.
roydo
in memoriam - 1965-2024
When I was regularly visiting an ICU the a respiratory ward, you had to be buzzed in.
That said, once you realise that one of the two access doors is unlocked cos its a fire risk......
roydo
in memoriam - 1965-2024
yeah, it aint easy.
But if a patient refuses treatment, for whatever reason, is that any different to a discharged patient just not taking their meds?
The patient themselves you could believe was not in a legally competent state to be able to make the decision though - gawd knows what cocktail of drugs he was on and what it did to his mental state.
BlueStevie35
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Hospital figures - 904 deaths were announced today, up 257 on yesterday and up 35 on last Tuesday. 875 deaths were in English hospitals, up 267 on yesterday and up 33 on last week. The 7 day rolling average rises to 915.86
All settings - for the 28 day cut off, 1631 deaths were announced today, up 1039 on yesterday and up 21 on last Tuesday. The 7 day rolling average rises to 1241.71
For the 60 day cut off, 1756 deaths were announced today, up 1133 on yesterday and up 12 on last Tuesday. The 7 day rolling average rises to 1343.14
All settings - for the 28 day cut off, 1631 deaths were announced today, up 1039 on yesterday and up 21 on last Tuesday. The 7 day rolling average rises to 1241.71
For the 60 day cut off, 1756 deaths were announced today, up 1133 on yesterday and up 12 on last Tuesday. The 7 day rolling average rises to 1343.14
roydo
in memoriam - 1965-2024
The one being a bell? Steroids and anaesthetic as far as I could hear.
He was clearly on observation, most likely to maintain a sat level without help. So basically, over the worst of it. Then decides to be a warrior.
Taking pills/ not taking pills would at least be not right under your nose as a doctor.
Don’t envy those put in that position, must really mess with your own mental state.
peteblue
Welcome back Wayne
But he had a piece of paper....ffs you do despair at times......
roydo
in memoriam - 1965-2024
I dont know the law about it. But if a cogent patient in hospital decides they want to bail out, can they do that?
My father in law checked himself out of hospital against medical advice after a stroke so yes, think you can.
Not really. The idiot storming in had no legal authority over his care, the patient was under medication, seriously ill and could reasonably be shown to have a lack of capacity to request a discharge.
If the patient continues to request discharge when not under duress from the idiot, and the hospital can't prove he lacks capacity under the Mental Health Act, then sure, he could be discharged in a couple of days after an investigation for next steps. But in terms of that situation, there was never a prayer he'd be allowed to leave.
Yes, as long as doctors can't show they lack the capacity to make the decision under the Mental Health Act. Onus is on doctors to prove it like, not the other way around.
EDIT: Sorry, it's the Mental Capacity Act*
Mental Capacity Act 2005
An Act to make new provision relating to persons who lack capacity; to establish a superior court of record called the Court of Protection in place of the office of the Supreme Court called by that name; to make provision in connection with the Convention on the International Protection of...
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