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Previous Topic | Next Topic  Patient REFUSES Physical Exam!!! 




 
Kaplan Qbank USMLE



Author3 Posts
  #1

What do you do in a case where you have repeatedly tried to nicely and carefully explain that you absolutely must do a physical exam and the patient refuses over and over again???
Can there be a patient trained to do this? and then we just write: "Patient refuses Physical Exam" in the physical exam note, OR
do we HAVE TO keep trying to convince him to have a physical done???


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Our greatest glory is not in never falling, but in rising every time we fall.

  #2

Can't force the patient...
note it in the patient note...


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There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!

  #3

Any patient may of course refuse a physical or any part of a physical or procedure. They have every right to not take meds, walk out of the ED or hospital, drink until their liver falls out their rectum in a tiny shriveled mass or take any substances (with or without the draino) they please...
OUR responsibility is to be non-judgemental and to make sure all their self destructive behaivor and refusals are made as informed decisions. You can coax, cajole and bargain, but beware- some patients take advantage of the time, some do really need councel and it can give a impression that we are not in charge and it can appear unprofessional.







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