Core IM | Internal Medicine Podcast

#94 Treatment Over Objection Part 1: At the Bedside Segment

Dec 8, 2021
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INSIGHT

Ethical Challenges in Treatment Over Objection

  • Treatment over objection cases challenge fundamental ethical principles like autonomy, beneficence, and non-maleficence.
  • These principles create a conflict between patient choice and physician duty.
ADVICE

Maintaining Patient Dignity

  • Acknowledge patient dignity, even when overriding choices.
  • Never take a patient's autonomy for granted, regardless of their capacity.
ANECDOTE

Case Study: Woman Refusing Dialysis

  • A 75-year-old woman refused dialysis for renal failure but lacked capacity.
  • Her hyperkalemia and fluid overload created an imminent, life-threatening situation.
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