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