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behavioral sience - case 2

dr.msh - الأربعاء, 2007-12-19 19:04 |

الوصف الكامل Background: 

الشكوى الرئيسية CC: 

القصة المرضية HPI: 

الأجهزة الأخرى ROS: 

السوابق المرضية الشخصية PMH: 

السوابق المرضية العائلية FMH: 

الوضع الصحي والاجتماعي SH: 

الفحص السريري Clinical Exam: 

التشخيص التفريقي DD: 

الاستقصاءات Investigations: 

التدبير Managment: 

كتابة حرة وطرح موضوع النقاش!: 


A 19-year-old female, who recently moved from her family's home in another state, is hospitalized for attempting suicide by taking an overdose of antidepressant medications. On the third day of her hospital stay, she insists, under threat of a lawsuit, that her medications be stopped and that she be discharged from the hospital so she "can go home and finish the job." Her sensorium is clear. Her physician should

A. discharge her against medical advice (AMA)

B. honor her request and release her immediately

C. obtain an emergency order of detention

D. release her to go back to her parents' home

E. sedate her

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Dr_Ayyad - الأربعاء, 2007-12-19 21:22

C
she poses danger to herself
if a patient poses a danger to himself or others detention may take place

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dr.msh - الأحد, 2007-12-23 17:09

how about choice E. sedate her

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dr.msh - الاثنين, 2007-12-24 15:21

كنت عم استنى لشوف إذا في آراء تانية !

The correct answer is C. The physician should obtain an emergency order of detention, regardless of her
threats of a lawsuit. The woman clearly still has suicidal intent, demonstrated by her expressed verbalizations,
and is therefore a danger to herself.

Choices A, B, and D clearly place her in a position where she can carry out her plans to terminate her life.

Sedating her (choice E) is the second best choice since it will prevent her from taking her life; however,
sedation does not give therapists the opportunity to address the underlying motivations for her suicidal
ideation.

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qusei - الاثنين, 2007-12-24 17:27

الظاهر كلو مشغول حتى انا لم تتح لي مشاهدة القصة للان .
شكرا شاكر

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Shrek - الجمعة, 2007-12-28 01:08

[eng]
in fact, u don't need an order to hold her in the hospital.
according to high-yield behavioral, you can detain her even without an order for 15-60 days, because suicidal attempt would make her lose competency. a prerequisite to make one's own medical decisions

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