Show simple item record

THE ROLE OF PSYCHIATRIST IN OBTAINING INFORMED CONSENT FROM PATIENTS WITH SOMATIC AND MENTAL COMORBIDITY

The role of psychiatrist n obtaining informed consent from patients with somatic and mental comorbidity.

dc.contributoren-US
dc.contributores-ES
dc.creatorMedenica, Snezana; University of East Sarajevo, Faculty of Medicine
dc.creatorRacic, Maja; University of East Sarajevo, Faculty of Medicine
dc.creatorVukovic, Mira; General Hospital Valjevo
dc.creatorRistic, Sinisa; University of East Sarajevo, Faculty of Medicine
dc.creatorKaric, Jasmina; University of Belgrade, Faculty of special education and rehabilitation
dc.date2014-04-11
dc.date.accessioned2019-11-11T18:28:04Z
dc.date.available2019-11-11T18:28:04Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3201
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111414
dc.descriptionThe nature of mental disorders, the attitudes and prejudices of the social community towards psychiatric patients, the behavior and treatment of mental patients, all bring about numerous dilemmas and prejudices. When a patient is diagnosed with a mental disorder, he may suffer restrictions in the field of general human rights. However, the biggest problems in clinical practice occur in the treatment of patients who, besides their mental disorder also have a somatic disease. We report a 56-years-old female with a severe renal failure who refused to undergo dialysis. Following the patient's refusal to sign an informed consent, a psychiatrist was called in for consultation and diagnosed an acute psychotic reaction. To manage the delusions and acute psychotic reactions, risperidone in the dose of 2mg was started. After 22 days, the patient still had marked psychotic symptoms. A psychiatrist, a nephrologist and an anesthesiologist, in the presence of the spouse on the grounds of her life-threatening condition, decided to apply the necessary medical procedures even without the patient's consent. A day after the start of dialysis the patient still had delusional ideas, but without the presence of anxiety, and the patient no longer offered resistance to dialysis. Four days after the first dialysis, the patient was calm, had vague memories about the entire previous period, and signed the informed consent concerning her further treatment.en-US
dc.descriptionSe generan muchos dilemas y prejuicios debido a la naturaleza de las enfermedades mentales. Cuando a un paciente se le diagnostica un cuadro mental, sus derechos humanos pueden verse perjudicados. Sin embargo, los mayores problemas se suscitan en pacientes que además de tener un trastorno mental, tienen una enfermedad somática. Presentamos una mujer de 56 años con una falla renal que rechazó ser dializada. Después que la paciente no firmó el consentimiento informado, se pidió una interconsulta a psiquiatría y se diagnosticó una reacción psicótica aguda. Se indicó risperidona para tratar las alucinaciones. Después de 22 días de tratamiento la paciente aún tenía síntomas psicóticos. Una junta médica efectuada en la presencia del cónyuge de la paciente, decidió efectuar la diálisis a pesar del rechazo de la paciente. Un día después de dializarse, la paciente aún tenía alucinaciones pero menos ansiedad y dejó de rechazar la diálisis. Cuatro días más tarde la paciente no recordaba lo ocurrido y firmó el consentimiento para dializarsees-ES
dc.format\\\\\\\\\\\\\\\"application/pdf\\\\\\\\\\\\\\\"
dc.languageeng
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3201/396
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/12952
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/13677
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/14152
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/14150
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/14151
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/13678
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3201/14153
dc.sourceRevista Médica de Chile; Vol. 142, núm. 4 (2014): ABRIL 2014es-ES
dc.source0034-9887
dc.subjectDialysis; Informed consent; Psychiatry; Psychotic disordersen-US
dc.subjectes-ES
dc.titleTHE ROLE OF PSYCHIATRIST IN OBTAINING INFORMED CONSENT FROM PATIENTS WITH SOMATIC AND MENTAL COMORBIDITYen-US
dc.titleThe role of psychiatrist n obtaining informed consent from patients with somatic and mental comorbidity.es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


This item appears in the following Collection(s)

Show simple item record