Core IM | Internal Medicine Podcast #94 Treatment Over Objection Part 1: At the Bedside Segment
Dec 8, 2021
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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.
Maintaining Patient Dignity
- Acknowledge patient dignity, even when overriding choices.
- Never take a patient's autonomy for granted, regardless of their capacity.
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.