Refusal to Eat, Capacity, and Ethics in Stroke Patients: A Report of 3 Cases

Archives of Physical Medicine and Rehabilitation

Volumn 88, Issue 11, 2007, Pages 1474-1477

  Finestone, Hillel M ^a,b   Blackmer, Jeff ^b,c  

^a Élisabeth Bruyére Health Centre   (Canada)

^b UNIVERSITY OF OTTAWA   (Canada)

^c Rehabilitation Center   (Canada)

Author keywords

Case report; Eating behavior; Ethics; Rehabilitation; Stroke

Indexed keywords

ANTIDEPRESSANT AGENT; LOW MOLECULAR WEIGHT HEPARIN; PARACETAMOL;

AGED; APHASIA; ARTICLE; BRAIN INJURY; CASE REPORT; CEREBROVASCULAR ACCIDENT; CLINICAL DECISION MAKING; COMPUTER ASSISTED TOMOGRAPHY; CRANIOTOMY; DAILY LIFE ACTIVITY; DEEP VEIN THROMBOSIS; DIETITIAN; DISEASE COURSE; DOPPLER FLOWMETRY; FEMALE; HEALTH CARE DELIVERY; HOSPITAL CARE; HUMAN; LEFT HEMISPHERE; MEDICAL ETHICS; NEUROIMAGING; PATIENT RIGHT; PHYSICAL MEDICINE; PHYSIOTHERAPY; RADIODIAGNOSIS; REHABILITATION CENTER; STROKE; STROKE PATIENT; SYMPTOMATOLOGY; VERBAL BEHAVIOR;

AGED; AGED, 80 AND OVER; APHASIA; DISABILITY EVALUATION; EATING DISORDERS; ETHICS, MEDICAL; FEMALE; FOLLOW-UP STUDIES; HEMIPLEGIA; HUMANS; INFARCTION, MIDDLE CEREBRAL ARTERY; INTRACRANIAL HEMORRHAGE, HYPERTENSIVE; MALE; MENTAL COMPETENCY; MOTIVATION; PATIENT CARE TEAM; REFERRAL AND CONSULTATION; RIGHT TO DIE; SICK ROLE; TREATMENT REFUSAL; WEIGHT LOSS;

EID: 35448990790     PISSN: 00039993     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.apmr.2007.07.018     Document Type: Article

References (19)

1. Freedman M., Stuss D.T., and Gordon M. Assessment of competency: the role of neurobehavioral deficits. Ann Intern Med 115 (1991) 203-208
2. Etchells E., Sharpe G., Elliott C., and Singer P.A. Bioethics for clinicians: 3. Capacity. CMAJ 155 (1996) 657-661
3. Appelbaum P.S., and Grisso T. Assessing patients' capacities to consent to treatment. [published erratum in: N Engl J Med 1989;320:748]. N Engl J Med 319 (1988) 1635-1638
4. Consent issues in the management of cerebrovascular diseases: a position paper of the American Academy of Neurology Ethics and Humanities Subcommittee. Neurology 53 (1999) 9-11
5. Louw S.J., and Keeble J.A. Stroke medicine-ethical and legal considerations. Age Ageing 31 Suppl 3 (2002) 31-35
6. Marshall R.C. Having the courage to be competent: persons and families living with aphasia. J Commun Disord 35 (2002) 139-152
7. Diener B.L., and Bischof-Rosarioz J.A. Determining decision-making capacity in individuals with severe communication impairments after stroke: the role of augmentative-alternative communication (AAC). Top Stroke Rehabil 11 (2004) 84-88
8. Brady Wagner L.C. Clinical ethics in the context of language and cognitive impairment: rights and protections. Semin Speech Lang 24 (2003) 275-284
9. Brady L.C., and Kirschner K.L. Ethical issues for persons with aphasia and their families. Top Stroke Rehabil 2 (1995) 76-83
10. Sharp H.M. A commentary on "ethical issues for persons with aphasia and their families.". Top Stroke Rehabil 2 (1995) 84-87
11. Davis W.S., and Ross A. Making wishes known: the role of acquired speech and language disorders in clinical ethics. J Clin Ethics 14 (2003) 164-172
12. Braunack-Mayer A., and Hesh D. An ethical voice in the silence of aphasia: judging understanding and consent in people with aphasia. J Clin Ethics 12 (2001) 388-396
13. Finestone H.M., and Greene-Finestone L.S. Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. CMAJ 169 (2003) 1041-1044
14. Cassell E.J. Life as a work of art. Hastings Cent Rep 14 5 (1984) 35-37
15. Jain S. Operant conditioning for management of a noncompliant rehabilitation case after stroke. Arch Phys Med Rehabil 63 (1982) 374-376
16. Wettstein R.M. The right to refuse psychiatric treatment. Psychiatr Clin North Am 22 (1999) 173-182
17. Miller S.S., and Marin D.B. Assessing capacity. Emerg Med Clin North Am 18 (2000) 233-242
18. Leeman C.P. Depression and the right to die. Gen Hosp Psychiatry 21 (1999) 112-115
19. Blanck P., Kirschner K., and Bienen L. Socially-assisted dying and people with disabilities: some emerging legal, medical, and policy implications. Ment Phys Disabil Law Rep 21 (1997) 538-543