[Management of treatment refusal by a psychiatric patient with a life-threatening infectious form of pulmonary tuberculosis].
A Somalian man aged 26 was admitted to a general hospital because of haemophthisis. A severe infectious and life threatening pulmonary tuberculosis was diagnosed. Thereafter, the patient denied having any disease, refused any therapy or diagnostic procedure and wanted to leave the hospital. He was isolated by virtue of the Wet Bestrijding Infectieziekten ('WBI': Bill on Management of Infectious Diseases). Permission for treatment without consent was arranged by virtue of the Wet op de Geneeskundige Behandelingsovereenkomst ('WGBO': Decree on the Medical Contract). The use of measures like fixation and involuntary administration of medication could also be arranged by virtue of the WGBO. The Wet Bijzondere Opnemingen Psychiatrische Ziekenhuizen ('Wet BOPZ': Bill on Compulsory Admission to Psychiatric Hospitals), which exclusively concerns involuntary treatment exclusively of psychiatrics patients, was of no value in this case. Analysis of the different aspects of these three laws led to the conclusion that in case of a somatic disease, whether or not complicated by a psychiatric diagnosis, a treatment without consent must be arranged by virtue of the WGBO.
Mertens
J B
JB
Afd. Psychiatrie, Thans: Vincent van Gogh Instituut, Venray.
Scherders
M J
MJ
van den Borne
B E
BE
Smeenk
F W
FW
D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003140:Communicable Disease Control / Q000331:legislation & jurisprudence*; D006801:Humans; D007883:Legislation, Medical; D008297:Male; D016743:Mental Competency / Q000331:legislation & jurisprudence*; D009426:Netherlands; D019727:Proxy / Q000331:legislation & jurisprudence*; D012563:Schizophrenia, Paranoid / Q000150:complications; D016312:Treatment Refusal / Q000331:legislation & jurisprudence*; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000523:psychology / Q000628:therapy*