The Challenge of Patients Who Refuse Recommended Management: An Ethically-Grounded, Practical Approach

Presenter: Joseph Carrese, M.D., MPH, FACP
Recorded: November 15, 2016
Series: Holzgang Medical Grand Rounds

Refusal of recommended management is a common problem in clinical practice. It is also a challenging problem because core ethical obligations are in conflict with each other when patients decline to do what health care professionals recommend.

This presentation will identify the core ethical tension involved when patients refuse what is recommended; examine the possible reasons why patients might do this; and propose a systematic, ethically grounded and practical approach for assessing and responding to patient refusal of recommended management.