background & aim :lack of adherence to prescribed medication is a main concern in medicine especially in chronic diseases. the aim of present study was to determine the effect of supportive text message on the adherence to treatment of depression. methods & materials : this quasi-experimental study was conducted on sixty eligible patients with diagnosis of depression who referred to a psychiatr...

patient's refusal of treatment is the rational consequence of informed consent and is considered among the patient's rights but can lead to patient harm or harm to others, or damage to the health care system. major ethical challenges in the field of treatment refusal arise from capacitated patients. this paper mainly examines theoretical issues related to this group by reviewing books...

objective: this study aimed to evaluate the non-compliance rate in patients with bipolar i disorder (bid). methods: the patients admitted to iran psychiatric hospital who were diagnosed as a case of the first episode mania of bipolar i disorder (dsm-iv-tr) by 2 psychiatrists followed by one of them in a longitudinal, prospective and naturalistic study. in the follow-up early non-compliance/irre...

OBJECTIVE To gain insight into the standards of rationality that physicians use when evaluating patients' treatment refusals. DESIGN OF THE STUDY Qualitative design with in depth interviews. PARTICIPANTS The study sample included 30 patients with cancer and 16 physicians (oncologists and general practitioners). All patients had refused a recommended oncological treatment. RESULTS Patients...

Pretrial detainees have a constitutionally protected right to refuse medical treatment in most circumstances; however, individuals found incompetent to stand trial (IST) due to a mental disorder can be treated involuntarily by clinicians who adhere to careful medical and legal procedures. The process of involuntary treatment of IST pretrial detainees begins with categorization into particular l...

By the nature of their illness, many if not most patients with anorexia nervosa are treated against their will. This article explores the issue of patient autonomy and right to treatment refusal in the light of justified paternalism as well as a more enriched understanding of autonomy in the context of relationships. A summary follows on the research on patients' perceptions and response to inv...

Recent cases have drawn attention to the issue of individual autonomy and what is sometimes referred to as 'the right to die'. Adult patients who are mentally competent have the right to refuse medical treatment even when that refusal can lead to worsening ill health and even death. This refusal of treatment may only be ignored when statutory law provides for treatment without consent, or a jud...

This pilot study explores the reasons patients have for refusing chemotherapy, and the ways oncologists respond to them. Our hypothesis, generated from interviews with patients and oncologists, is that an ethical approach that views a refusal as an autonomous choice, in which patients are informed about the pros and cons of treatment and have to decide by weighing them, is not sufficient. A dif...

Refusal of treatment for acutely ill children is still an important problem in the emergency service. When families refuse medical treatment for their acutely ill children, healthcare professionals may attempt to provide information and negotiate with the family concerning treatment refusal and its possible adverse outcomes, and request consent for refusal of medical treatment. There is insuffi...

Numerous malpractice lawsuits have been filed against health care providers by patients who claimed that, upon suffering a serious injury after refusing care, they did not fully understand the potential consequences of such refusal. In a typical situation, a patient alleges that the health care provider was negligent in not fully disclosing the risks of treatment refusal. Coupled with this alle...