Friday, May 14, 2010

A Tough Case at Schwartz Center Rounds


Bowl and spoon
Originally uploaded by 24oranges.nl
What do caregivers do when a young patient with a history of psychiatric illness refuses nutritional and medical intervention, claiming she is experiencing intense esophageal pain? Do they strong-arm her into compliance? Concede to patient autonomy? Get the legal department involved?

Such a case was recently discussed at Schwartz Center Rounds sessions at which caregivers from multiple disciplines discuss cases that were difficult for psychosocial reasons, not clinical. This one was a doozy, and caused caregivers much consternation about the right thing to do.

Read it and tell me if you think they made the right choice.

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