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December 27, 2006

Refusal of Care by Patients

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2006;296(24):2921-2923. doi:10.1001/jama.296.24.2921-a

To the Editor: In the Grand Rounds discussion of a patient's refusal of care, Dr Carrese1 describes a familiar and difficult case in which respect for patient autonomy conflicts with the principle of beneficence: an older bedbound woman, judged competent to make medical decisions, refuses nursing home care after a hospitalization, yet the medical team is concerned that she cannot receive sufficient care at home to prevent further deterioration.

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