Universität zu Köln

Gaertner, Jan ORCID: 0000-0002-1176-3164, Vent, Julia, Greinwald, Ralf, Rothschild, Markus A., Ostgathe, Christoph ORCID: 0000-0003-4449-5036, Kessel, Rene and Voltz, Raymond (2011). Denying a Patient's Final Will: Public Safety vs. Medical Confidentiality and Patient Autonomy. J. Pain Symptom Manage., 42 (6). S. 961 - 967. NEW YORK: ELSEVIER SCIENCE INC. ISSN 0885-3924

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Abstract

Especially when caring for patients approaching the end of life, physicians and nursing staff feel committed to fulfilling as many patient desires as possible. However, sometimes a patient's final will may threaten public safety. This can lead to severe conflicts, outweighing the physician's obligation and dedication to care for the patient and to respect his autonomy. Yet, public safety can be threatened if confidentiality is not broken. This article provides a concise summary of the medicolegal and ethical fundamentals concerning this difficult situation. If the patient's and others' health and safety are at risk, physicians may (and in some countries must) break medical confidentiality and disclose confidential patient information to the police and other authorities. Physicians should be able to professionally deal with such a conflict in all patients, not only in patients with advanced illness. J Pain Symptom Manage 2011;42:961-966. (C) 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gaertner, Jan UNSPECIFIED orcid.org/0000-0002-1176-3164 UNSPECIFIED Vent, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Greinwald, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothschild, Markus A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ostgathe, Christoph UNSPECIFIED orcid.org/0000-0003-4449-5036 UNSPECIFIED Kessel, Rene UNSPECIFIED UNSPECIFIED UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-484066
DOI:	10.1016/j.jpainsymman.2011.08.004
Journal or Publication Title:	J. Pain Symptom Manage.
Volume:	42
Number:	6
Page Range:	S. 961 - 967
Date:	2011
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	0885-3924
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NONCANCER PAIN PATIENTS; LONG-TERM TREATMENT; PSYCHOMOTOR PERFORMANCE; OPIOID MEDICATION; HEALTH; RISK; PHYSICIANS; PROTECT; ABILITY; ETHICS Multiple languages Health Care Sciences & Services; Medicine, General & Internal; Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48406