Clinical practice. Assessment of patients' competence to consent to treatment.

نویسنده

  • Paul S Appelbaum
چکیده

Copyright © 2007 Massachusetts Medical Society. A 75-year-old woman with type 2 diabetes mellitus and peripheral vascular disease is admitted with a gangrenous ulcer of the plantar aspect of her left foot. A surgical consultation results in a recommendation for a below-the-knee amputation, but the patient declines the procedure on the grounds that she has lived long enough and wants to die with her body intact. Her internist, who has known her for 15 years, is concerned that she has been increasingly confused over the past year and now appears to be depressed. How should her physician determine whether her decision is a competent one?

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عنوان ژورنال:
  • The New England journal of medicine

دوره 357 18  شماره 

صفحات  -

تاریخ انتشار 2007