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  #1  
Old 03-24-2012
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Medicolegal and Ethics refusal of rx in suicidal prisoner...next step..

A 29-year-old incarcerated man is brought to the emergency room by prison ambulance after being found on the floor of his cell with self-inflicted bilateral lacerations of the wrists. He is alert, oriented, and holding appropriate goal-directed conversation. He states that he wants to die and is refusing to provide consent for necessary surgical repair of the lacerations. What is the most appropriate next step in the management of this patient?

A. Document refusal and attempt to repair the lacerations in the emergency room
B. Document refusal and obey the patient's wishes
C. Document refusal and obtain a court order
D. Document refusal and obtain a psychiatric consult
E. Document refusal and proceed with surgical repair

had the person not be prisoner, what would be the correct choice then?

plz give ur reason too..
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  #2  
Old 03-24-2012
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This is a suicide attempt so for incarcerated man i would obtain court order and for not be a prisoner i would get psych consult.
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Old 03-25-2012
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am not sure but ithink it B. usaly pt with this type of injury ,do not want to die,just they seek for help.
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Old 03-26-2012
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i think its D
Patient can refuse the treatment....so dont treat
may have one more suicide attempt , so hospitalise or refer to psychiatric
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