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    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    When is it justified for me to withhold the truth from a patient?

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    When is it justified for me to withhold the truth from a patient?

    There are two main situations in which it is justified to withhold the truth from a patient. As noted above, if the physicians has compelling evidence that disclosure will cause real and predictable harm, truthful disclosure may be withheld. Examples might include disclosure that would make a depressed patient actively suicidal. This judgment, often referred to as the "therapeutic privilege," is important but also subject to abuse. Hence it is important to invoke this only in those instances when the harm seems very likely, not merely hypothetical.
    The second circumstance is if the patient him- or herself states an informed preference not to be told the truth. Some patients might ask that the physician instead consult family members, for instance. In these cases, it is critical that the patient give thought to the implications of abdicating their role in decision making. If they chose to make an informed decision not to be informed, however, this preference should be respected.









    again please chare your 2 cents
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

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    md90's Avatar
    md90 is offline Senior Member
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    also in emergency situations such as in a "code"; or after you assess the patient and realize that the patient does not understand or lacks the capacity to make a decision re: healthcare (might require a social worker to get involved);
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

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