What to Do With a Sick Elderly Woman Who Refuses to Go to Hospital
Gray, J.A. Muir
Currie, Colin T.
BMJ (British Medical Journal). 1984 Nov 24; 289(6456): 1435-1436.
A problem in case management is presented to four British physicians for comment. An 84-year-old woman, who lives alone and has always rejected professional help with activities of daily living, has become confused and dehydrated and refuses to be taken to a hospital for diagnosis and treatment. The psychogeriatrician recommends temporary involuntary commitment to a general hospital for medical care. The general practitioner, the community physician, and the geriatrician recommend home evaluation and treatment if possible; the community physician and geriatrician also suggest that, if her illness is terminal, she should be permitted to die in comfort at home. (KIE abstract)
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