Treatment decisions at the end of life: What if they're still standing?

Clinical and managerial decision-making have been traditionally mutually exclusive entities. Recent advances in medical technology and therapeutics however, including chemical nutrition and psychopharmacology, have prompted a questioning of this heretofore professional courtesy. Thislaissez faire ap...

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Главные авторы: Maher, Vincent F. (Автор) ; Rosedale, Mary (Автор)
Формат: Электронный ресурс Статья
Язык:Английский
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Опубликовано: Proquest 1993
В: International journal of value-based management
Год: 1993, Том: 6, Выпуск: 1, Страницы: 23-39
Другие ключевые слова:B Medical Tradition
B Anorexia Nervosa
B Bulimia Nervosa
B Anorectic Patient
B Irrational Belief
Online-ссылка: Volltext (lizenzpflichtig)
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Итог:Clinical and managerial decision-making have been traditionally mutually exclusive entities. Recent advances in medical technology and therapeutics however, including chemical nutrition and psychopharmacology, have prompted a questioning of this heretofore professional courtesy. Thislaissez faire approach to clinical professional turf is particularly problematic when patients' civil liberties are constrained in situations in which the patient has little, if any, real control, e.g. psychiatric inpatient admissions. This paper seeks to examine an area of managerial and clinical conflict—the realm of the care and involuntary treatment of patients with anorexia nervosa. Specifically addressed are the concerns raised by a conflict between competent psychiatric inpatients' refusals of treatment, medical management based on research protocols, and managerial distancing from the issue.
ISSN:1572-8528
Второстепенные работы:Enthalten in: International journal of value-based management
Persistent identifiers:DOI: 10.1007/BF02911339