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Patients who leave ‘Against Medical Advice’: An ethical dilemma
 

Patients who leave ‘Against Medical Advice’: An ethical dilemma

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Most patients who choose to leave against medical advice are deemed uncooperative. Instead of assuming such conclusions however, healthcare providers should investigate and address underlying concerns that may influence the patient’s decision.
 
today.mims.com
 
18 Jan 2017 - General
 
Shared decision making should be used at all stages of medical decision making, not only when patients face an AMA situation. However, it is also good to know that the courts will usually uphold the autonomy of the patient before any other act of paternalism. Here's a famous quote from LJ Butler-Sloss on Autonomy in Re: MB [1997]:

"a mentally competent patient has an absolute right to refuse to consent to medical treatment for any reason, rational or irrational, or for no reaso...
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This kind of case is very common to those patients who wants to spend the rest of their time with their family at home. We can't force the family and patients when they have decided not to continue their treatment at the hospital. However, there are some case where patients decided to go home mostly because of finacial concern. So, it is important to make patients and significant others understand the importance of ongoing treatment and should be continuously done at home. It is also importa...
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I share the same experience with Mark Edmon Tan and Priscilla Mae Gobuyan that a lot of patients opt out of treatment because of financial constraints. Aside from that, I have also encountered individuals who think that brain operations are "too risky" and they would rather suffer the consequences of lack of treatment ...
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Mahmoud AbdelAziz Thank you for sharing the article. It illustrates a issue which we face quite frequently in our daily care.I think the advice of going through the shared decision model where patients are allowed to leave if they are medically stable and then offered followup plans seems to be a a rather sensible one, ...
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This is a usual scenario being encountered by a medical professional in everyday practice. Each patient has the right to refuse someones care and choose to leave the hospital premises against their advice. The top reason why these things are happening is that due to financial constraints. Everyone wanted to be treated right the optimum care they deserve however for some reasons, marginalized people choose to be discharge eventhough the healing process isn't yet done. The longer they stay, th...
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Every patient reserves the right to have the final say in his treatment plan. If he doesn't give his consent to be admitted for confinement or to have a procedure done, then the doctor should allow him to do so. Ethically speaking, every patient has the right to autonomy which means that he is entitled to stand up for his own decisions for as long as he is mentally capable of making them. However, it is still always advisable to follow the doctor's advice. In the Philippines, patients fr...
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