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Article: "I can put the medicine in his soup, Doctor!"

Title"I can put the medicine in his soup, Doctor!"
Authors
Issue Date2005
PublisherB M J Publishing Group. The Journal's web site is located at http://jme.bmjjournals.com/
Citation
Journal Of Medical Ethics, 2005, v. 31 n. 5, p. 262-265 How to Cite?
Abstract
The practice of covertly administering medication is controversial. Although condemned by some as overly paternalistic, others have suggested that it may be acceptable if patients have permanent mental incapacity and refuse needed treatment. Ethical, legal, and clinical considerations become more complex when the mental incapacity is temporary and when the medication actually serves to restore autonomy. We discuss these issues in the context of a young man with schizophrenia. His mother had been giving him antipsychotic medication covertly in his soup. Should the doctor continue to provide a prescription, thus allowing this to continue? We discuss this case based on the "four principles" ethical framework, addressing the conflict between autonomy and beneficence/non-maleficence, the role of antipsychotics as an autonomy restoring agent, truth telling and the balance between individual versus family autonomy.
Persistent Identifierhttp://hdl.handle.net/10722/42513
ISSN
2013 Impact Factor: 1.691
PubMed Central ID
ISI Accession Number ID
References

 

Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorWong, JGWSen_HK
dc.contributor.authorPoon, Yen_HK
dc.contributor.authorHui, ECen_HK
dc.date.accessioned2007-01-29T08:51:37Z-
dc.date.available2007-01-29T08:51:37Z-
dc.date.issued2005en_HK
dc.identifier.citationJournal Of Medical Ethics, 2005, v. 31 n. 5, p. 262-265en_HK
dc.identifier.issn0306-6800en_HK
dc.identifier.urihttp://hdl.handle.net/10722/42513-
dc.description.abstractThe practice of covertly administering medication is controversial. Although condemned by some as overly paternalistic, others have suggested that it may be acceptable if patients have permanent mental incapacity and refuse needed treatment. Ethical, legal, and clinical considerations become more complex when the mental incapacity is temporary and when the medication actually serves to restore autonomy. We discuss these issues in the context of a young man with schizophrenia. His mother had been giving him antipsychotic medication covertly in his soup. Should the doctor continue to provide a prescription, thus allowing this to continue? We discuss this case based on the "four principles" ethical framework, addressing the conflict between autonomy and beneficence/non-maleficence, the role of antipsychotics as an autonomy restoring agent, truth telling and the balance between individual versus family autonomy.en_HK
dc.format.extent68888 bytes-
dc.format.extent26112 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/msword-
dc.languageengen_HK
dc.publisherB M J Publishing Group. The Journal's web site is located at http://jme.bmjjournals.com/en_HK
dc.relation.ispartofJournal of Medical Ethicsen_HK
dc.rightsJournal of Medical Ethics. Copyright © B M J Publishing Group.en_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAntipsychotic agents - administration & dosageen_HK
dc.subject.meshEthics, medicalen_HK
dc.subject.meshFooden_HK
dc.subject.meshSchizophrenia - drug therapyen_HK
dc.subject.meshPhysician-patient relationsen_HK
dc.title"I can put the medicine in his soup, Doctor!"en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0306-6800&volume=31&issue=5&spage=262&epage=265&date=2005&atitle=%27I+can+put+the+medicine+in+his+soup,+Doctor!%27en_HK
dc.identifier.emailHui, EC: edwinhui@hkucc.hku.hken_HK
dc.identifier.authorityHui, EC=rp00472en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1136/jme.2003.007336en_HK
dc.identifier.pmid15863680en_HK
dc.identifier.pmcidPMC1734145-
dc.identifier.scopuseid_2-s2.0-18844434914en_HK
dc.identifier.hkuros97826-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-18844434914&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume31en_HK
dc.identifier.issue5en_HK
dc.identifier.spage262en_HK
dc.identifier.epage265en_HK
dc.identifier.isiWOS:000228806100004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridWong, JGWS=7404435750en_HK
dc.identifier.scopusauthoridPoon, Y=8599603500en_HK
dc.identifier.scopusauthoridHui, EC=35319968700en_HK

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