Ethical Issues involved when patients refuse treatment for life-threatening conditions

Among the contents of the
right
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to self-determination, it is not clear whether the "
treatment
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method" includes the
right
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to determine what
treatment
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to receive in terms of the
patient
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or not, and the interpretation of whether
such
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authority can be viewed as a
right
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to demand a decision that harms the
patient
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. In the case of emergency
patients
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whose lives are in danger, it has been judged that the doctor's obligation to protect the
patient
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's life takes precedence over the
patient
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's
right
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to self-determination. Considering these points, it is necessary to provide sufficient information on the
patient
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's disease condition and necessary
treatment
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when refusing
treatment
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, and if the
patient
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refuses
further
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treatment
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even though he/she has tried his/her best, a voluntary
discharge
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letter is required. Basically, the description of the following items should be recorded in the child's
discharge
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form
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. Like the
patient
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's decision-making ability-diagnostic name-
treatment
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plan-alternative
treatment
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method-expected progress, benefit, and risk-tracking test after
discharge
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-the
patient
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's decision-making ability requires his or her consent.
Although
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the legal effect of the self-
discharge
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form
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itself is not yet clear in Korea, it is meaningful in that it is documented that an agreement has been reached through sufficient communication between the
patient
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and the medical
staff
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if the explanation process is included and the
patient
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's consent is included. Each hospital can choose its own
discharge
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form
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depending on circumstances, but it is necessary to use a habitat containing the essential elements of the above-mentioned
discharge
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form
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, and it is important to include the process of medical
staff
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doing their best for the safety and benefit of
patients
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. If you refuse to sign a pledge or take a non-cooperative attitude toward the instructions of the medical
staff
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, replace it with a verbal signature and record the related process in detail in the medical record. Necessary parts of the contents not included in the voluntary
discharge
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form
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must
also
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be recorded in the medical records. Even after deciding to
discharge
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the
patient
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's interest because it is judged that it is impossible to persuade them to minimize the risk by providing the best alternative
treatment
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possible for the
patient
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, which is an expert responsibility as a medical professional. Some medical
staff
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are concerned about the implementation of non-standard
treatment
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,
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apply
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or are reluctant to provide alternative
treatment
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because they think it is a
right
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to refuse
treatment
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that deviates from the current recommended guidelines, but
this
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approach is ineffective and may be dangerous to
patients
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. Even if optimal
treatment
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is rejected, medical
staff
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should provide
patients
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with
treatment
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plans that can replace optimal
treatment
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,
such
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as alternative
treatment
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and follow-up examination recommendations. Due to the nature of the emergency room, it is difficult to predict clinical results due to unclear diagnosis of the
patient
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, and there is room for subjective factors of the medical
staff
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to be involved in the
patient
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's decision-making ability.
However
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, it is expected that the guidelines proposed in the text will be used as a systematic approach to
patients
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who demand voluntary
discharge
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from the emergency room, thereby ensuring the safety of both
patients
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and
medical
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the medical
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staff
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in charge.

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Include an introduction and conclusion

A conclusion is essential for IELTS writing task 2. It is more important than most people realise. You will be penalised for missing a conclusion in your IELTS essay.

The easiest paragraph to write in an essay is the conclusion paragraph. This is because the paragraph mostly contains information that has already been presented in the essay – it is just the repetition of some information written in the introduction paragraph and supporting paragraphs.

The conclusion paragraph only has 3 sentences:

  • Summary
  • Restatement of thesis
  • Prediction or recommendation

Example:

To summarize, a robotic teacher does not have the necessary disciple to properly give instructions to students and actually works to retard the ability of a student to comprehend new lessons. Therefore, it is clear that the idea of running a classroom completely by a machine cannot be supported. After thorough analysis on this subject, it is predicted that the adverse effects of the debate over technology-driven teaching will always be greater than the positive effects, and because of this, classroom teachers will never be substituted for technology.

Start your conclusion with a linking phrase. Here are some examples:

  • In conclusion
  • To conclude
  • To summarize
  • Finally
  • In a nutshell
  • In general
What to do next:
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