Physicians' non-compliance with patients' refusal of life-sustaining treatment.
Should patients be treated when they have specifically refused treatment? Three competent patients are described with end-stage renal disease who, against the advice of their family, friends and care-givers, refused dialysis. Each was treated and subsequently they acknowledged their satisfaction with the outcome. Guidelines for treating patients when consent is refused are discussed and it is suggested that this is permissible in life-saving situations where the patients' refusal is idiosyncratic and irrational.
Division of Nephrology, Montreal General Hospital, Canada.
M
M
Kaye
P
P
Bourgouin
G
G
Low
D000328:Adult; D000368:Aged; D003299:Cooperative Behavior; D004992:Ethics, Medical; D005066:Euthanasia, Passive / Q000523:psychology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology; D008297:Male; D026706:Paternalism; D010344:Patient Advocacy; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D006435:Renal Dialysis