Title |
Influence of Psychiatric Symptoms on Decisional Capacity in Treatment Refusal
|
---|---|
Published in |
The AMA Journal of Ethic, May 2017
|
DOI | 10.1001/journalofethics.2017.19.5.ecas1-1705 |
Pubmed ID | |
Authors |
Joshua M Baruth, Maria I Lapid |
Abstract |
How psychiatric symptoms affect patients' decision making in practice can inform how we think-theoretically and conceptually-about what it means for those patients to have decision-making capacity. Assessment of a patient's decisional capacity allows those with adequate capacity to make choices regarding treatment and protects those who lack capacity from potential harm caused by impaired decision making. In analyzing a case in which a patient with stage II breast cancer refuses further treatment, we review the conceptual model of informed consent and approaches to assessing decision-making capacity that are in accordance with the American Medical Association Code of Medical Ethics as well as tools to assess decisional capacity. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 10 | 20% |
United Kingdom | 8 | 16% |
Spain | 3 | 6% |
Canada | 2 | 4% |
Israel | 1 | 2% |
Singapore | 1 | 2% |
India | 1 | 2% |
Oman | 1 | 2% |
Mexico | 1 | 2% |
Other | 1 | 2% |
Unknown | 20 | 41% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 23 | 47% |
Practitioners (doctors, other healthcare professionals) | 13 | 27% |
Scientists | 11 | 22% |
Science communicators (journalists, bloggers, editors) | 2 | 4% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 45 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 10 | 22% |
Student > Doctoral Student | 6 | 13% |
Student > Master | 6 | 13% |
Professor > Associate Professor | 5 | 11% |
Other | 4 | 9% |
Other | 9 | 20% |
Unknown | 5 | 11% |
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Nursing and Health Professions | 7 | 16% |
Psychology | 4 | 9% |
Arts and Humanities | 2 | 4% |
Agricultural and Biological Sciences | 2 | 4% |
Other | 8 | 18% |
Unknown | 6 | 13% |