title: Ethical concerns in isolating patients with methicillin-resistant Staphylococcus aureus on the rehabilitation ward: a case report.
abstract: Concern about methicillin-resistant Staphylococcus aureus (MRSA) is increasing in rehabilitation facilities. Those affected are often isolated to prevent the spread of MRSA to other patients. Because this isolation often interferes with the traditional rehabilitative approach, rehabilitation team members find themselves in an ethical dilemma as to how to approach these patients. Some patients may feel that strict isolation protocols violate their rights. We report a case showing the ethical dilemmas that an MRSA-positive patient brings to the rehabilitation setting. Isolation techniques make it difficult to treat rehabilitation patients using the current standards of care without compromising the medical ethics principles of autonomy and beneficence. Further study is required to establish protocols for patients with MRSA in the rehabilitation setting.
authors.affiliation: Queen Elizabeth II Health Sciences Centre, Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, NS, Canada. jeffhpike@hotmail.com
authors.forename: Jeff H
authors.initials: JH
authors.lastname: Pike
authors.forename: Deirdre
authors.initials: D
authors.lastname: McLean
mesh_terms: D003289:Convalescence; D004992:Ethics, Medical; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation; D007902:Length of Stay; D008297:Male; D019300:Medical Errors; D016106:Methicillin Resistance; D008875:Middle Aged; D010356:Patient Isolation / Q000592:standards*; D010360:Patient Transfer; D012017:Referral and Consultation; D012640:Seizures / Q000209:etiology; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification