Discharge against Medical Advice in Surgical Patients with Posttraumatic Stress Disorder: A Case Report Series Illustrating Unique Challenges
Joint Authors
Brzezinski, Marek
Gregersen, Maren
Schuch, Luiz Gustavo
Sawatzki, Ricarda
Chen, Joy W.
Gauger, Grant
Kukreja, Jasleen
Cason, Brian
Source
Case Reports in Anesthesiology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-06-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Discharge against medical advice (DAMA) can have detrimental effects on patient outcomes.
Recently, the diagnosis of posttraumatic stress disorder (PTSD) has been linked with DAMA in the mental health setting.
However, PTSD as a risk factor for DAMA in surgical patients has not received much consideration, although such patients may be at risk for triggering or amplification of PTSD symptoms perioperatively.
We present the first case report series of three surgical patients with PTSD who left the hospital AMA.
These cases differ markedly from DAMA in non-PTSD patients.
In all three subjects, the stress of feeling misunderstood by clinicians and the distress of public detainment by hospital security in the setting of chronic PTSD led to aggressive and risky behavior.
All three subjects represented a risk to themselves and to others at the time of DAMA.
Finally, all three subjects were difficult to contact for follow-up or medical care and missed appointments.
American Psychological Association (APA)
Brzezinski, Marek& Gregersen, Maren& Schuch, Luiz Gustavo& Sawatzki, Ricarda& Chen, Joy W.& Gauger, Grant…[et al.]. 2017. Discharge against Medical Advice in Surgical Patients with Posttraumatic Stress Disorder: A Case Report Series Illustrating Unique Challenges. Case Reports in Anesthesiology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1143805
Modern Language Association (MLA)
Brzezinski, Marek…[et al.]. Discharge against Medical Advice in Surgical Patients with Posttraumatic Stress Disorder: A Case Report Series Illustrating Unique Challenges. Case Reports in Anesthesiology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1143805
American Medical Association (AMA)
Brzezinski, Marek& Gregersen, Maren& Schuch, Luiz Gustavo& Sawatzki, Ricarda& Chen, Joy W.& Gauger, Grant…[et al.]. Discharge against Medical Advice in Surgical Patients with Posttraumatic Stress Disorder: A Case Report Series Illustrating Unique Challenges. Case Reports in Anesthesiology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1143805
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143805