The role of the psychiatrist in obtaining informed consent from patients with somatic and mental comorbidity. Report of one case
Апстракт
The nature of mental disorders, the attitudes and prejudices of the social community towards psychiatric patients, the behavior and treatment of mental patients, all bring about numerous dilemmas and prejudices. When a patient is diagnosed with a mental disorder, he may suffer restrictions in the field of general human rights. However, the biggest problems in clinical practice occur in the treatment of patients who, besides their mental disorder also have a somatic disease. We report a 56-years-old female with a severe renal failure who refused to undergo dialysis. Following the patient's refusal to sign an informed consent, a psychiatrist was called in for consultation and diagnosed an acute psychotic reaction. To manage the delusions and acute psychotic reactions, risperidone in the dose of 2 mg was started. After 22 days, the patient still had marked psychotic symptoms. A psychiatrist, a nephrologist and an anesthesiologist, in the presence of the spouse on the grounds of her life-t...hreatening condition, decided to apply the necessary medical procedures even without the patient's consent. A day after the start of dialysis the patient still had delusional ideas, but without the presence of anxiety, and the patient no longer offered resistance to dialysis. Four days after the first dialysis, the patient was calm, had vague memories about the entire previous period, and signed the informed consent concerning her further treatment.
Кључне речи:
Dialysis / Informed consent / Psychiatry / Psychotic disordersИзвор:
Revista Medica De Chile, 2014, 142, 4, 512-515Издавач:
- Soc Medica Santiago, Santiago 9
DOI: 10.4067/S0034-98872014000400014
ISSN: 0034-9887
PubMed: 25117043
WoS: 000337205200014
Scopus: 2-s2.0-84905045061
Институција/група
rFASPERTY - JOUR AU - Medenica, Snežana AU - Račić, Maja AU - Vuković, Mira AU - Ristić, Siniša AU - Karić, Jasmina PY - 2014 UR - http://rfasper.fasper.bg.ac.rs/handle/123456789/870 AB - The nature of mental disorders, the attitudes and prejudices of the social community towards psychiatric patients, the behavior and treatment of mental patients, all bring about numerous dilemmas and prejudices. When a patient is diagnosed with a mental disorder, he may suffer restrictions in the field of general human rights. However, the biggest problems in clinical practice occur in the treatment of patients who, besides their mental disorder also have a somatic disease. We report a 56-years-old female with a severe renal failure who refused to undergo dialysis. Following the patient's refusal to sign an informed consent, a psychiatrist was called in for consultation and diagnosed an acute psychotic reaction. To manage the delusions and acute psychotic reactions, risperidone in the dose of 2 mg was started. After 22 days, the patient still had marked psychotic symptoms. A psychiatrist, a nephrologist and an anesthesiologist, in the presence of the spouse on the grounds of her life-threatening condition, decided to apply the necessary medical procedures even without the patient's consent. A day after the start of dialysis the patient still had delusional ideas, but without the presence of anxiety, and the patient no longer offered resistance to dialysis. Four days after the first dialysis, the patient was calm, had vague memories about the entire previous period, and signed the informed consent concerning her further treatment. PB - Soc Medica Santiago, Santiago 9 T2 - Revista Medica De Chile T1 - The role of the psychiatrist in obtaining informed consent from patients with somatic and mental comorbidity. Report of one case EP - 515 IS - 4 SP - 512 VL - 142 DO - 10.4067/S0034-98872014000400014 ER -
@article{ author = "Medenica, Snežana and Račić, Maja and Vuković, Mira and Ristić, Siniša and Karić, Jasmina", year = "2014", abstract = "The nature of mental disorders, the attitudes and prejudices of the social community towards psychiatric patients, the behavior and treatment of mental patients, all bring about numerous dilemmas and prejudices. When a patient is diagnosed with a mental disorder, he may suffer restrictions in the field of general human rights. However, the biggest problems in clinical practice occur in the treatment of patients who, besides their mental disorder also have a somatic disease. We report a 56-years-old female with a severe renal failure who refused to undergo dialysis. Following the patient's refusal to sign an informed consent, a psychiatrist was called in for consultation and diagnosed an acute psychotic reaction. To manage the delusions and acute psychotic reactions, risperidone in the dose of 2 mg was started. After 22 days, the patient still had marked psychotic symptoms. A psychiatrist, a nephrologist and an anesthesiologist, in the presence of the spouse on the grounds of her life-threatening condition, decided to apply the necessary medical procedures even without the patient's consent. A day after the start of dialysis the patient still had delusional ideas, but without the presence of anxiety, and the patient no longer offered resistance to dialysis. Four days after the first dialysis, the patient was calm, had vague memories about the entire previous period, and signed the informed consent concerning her further treatment.", publisher = "Soc Medica Santiago, Santiago 9", journal = "Revista Medica De Chile", title = "The role of the psychiatrist in obtaining informed consent from patients with somatic and mental comorbidity. Report of one case", pages = "515-512", number = "4", volume = "142", doi = "10.4067/S0034-98872014000400014" }
Medenica, S., Račić, M., Vuković, M., Ristić, S.,& Karić, J.. (2014). The role of the psychiatrist in obtaining informed consent from patients with somatic and mental comorbidity. Report of one case. in Revista Medica De Chile Soc Medica Santiago, Santiago 9., 142(4), 512-515. https://doi.org/10.4067/S0034-98872014000400014
Medenica S, Račić M, Vuković M, Ristić S, Karić J. The role of the psychiatrist in obtaining informed consent from patients with somatic and mental comorbidity. Report of one case. in Revista Medica De Chile. 2014;142(4):512-515. doi:10.4067/S0034-98872014000400014 .
Medenica, Snežana, Račić, Maja, Vuković, Mira, Ristić, Siniša, Karić, Jasmina, "The role of the psychiatrist in obtaining informed consent from patients with somatic and mental comorbidity. Report of one case" in Revista Medica De Chile, 142, no. 4 (2014):512-515, https://doi.org/10.4067/S0034-98872014000400014 . .