Assessment of patients' competence to consent to treatment

被引：775

作者：

Appelbaum, Paul S.

机构：

[1] New York State Psychiat Inst & Hosp, New York, NY 10032 USA

[2] Columbia Univ, Coll Phys & Surg, Dept Psychiat, Div Law Eth & Psychiat, New York, NY USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2007年 / 357卷 / 18期

关键词：

D O I：

10.1056/NEJMcp074045

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 75-year-old woman has type 2 diabetes mellitus, peripheral vascular disease, and a gangrenous ulcer of her left foot. A below-the-knee amputation is recommended, but she declines, saying that she has lived long enough and wants to die with her body intact. Her internist is concerned about her increasing confusion over the past year and notes that she appears to be depressed. How should her physician determine whether her decision is competent? Copyright © 2007 Massachusetts Medical Society.

引用

收藏

页码：1834 / 1840

页数：7

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