Question

Scenario: Evan Campbell is negligent about following Dr. Perry Cardi's advice after he had a myocardial infarction (heart attack). He continues to smoke, will not take his medications regularly, and refuses to lose weight or exercise. He is belligerent when speaking to Dr. Cardi and the office staff. He caused quite a commotion yelling at the nurses when he was in the hospital and left the hospital against medical advice. What could Dr. Cardi do? Describe the process.

Answer 1

The case scenario speaks how patient was saved from his myocardial infarction and the life style modifications told to him. The patient is very much negligent to it continues to be on his own, here the doctor plays an vital role in following the ethical principle of beneficience. The one of the right of patient is right to refuse treatment. Hence any health care provider cannot go against it and accept the patients decision making if he or she is in the age of legal acceptance.

In this scenario Dr. Cardi can explain the patient the possible consequences if he is not taking care about his health. Make arrangement with health members to clear his doubts. But if the patient still refuses than the patient can be discharged against medical advice. If patient has been absconded it has to be recorded based on the hospital policy and if any legal issues relating to it has to be informed to the police.

Other wise if the patient is mentally stable his decision can be considered.