Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: The Grand Rounds by Dr Carrese1 about the difficulties of planning hospital discharge of an older patient who demands to go home raises important questions. The recommendations made in the article are sound and may lead to workable solutions in most cases. But we think it would be helpful to delve deeper into the approach suggested.
Brummel-Smith K, Spike J. Refusal of Care by Patients. JAMA. 2006;296(24):2921-2923. doi:10.1001/jama.296.24.2922-b