YOUNG PT VERY SICK - GOD'S WILL Flashcards
19 f in sever DKA. She thinks drug treatment is against god’s will.
19y - autonomy & able to make decision.
Frustrates medical staff as DKA is easy to treat.
Family can be involved to help out the situation.
Consider whether metabolic state influence her decision.
Explore the strengh & basis of belief
Consider whether pt illness influencing her thought process
Listen carefully for evidence of psychosis, psychiatric illness & ask Q to explore
Identify & urgently contact family members
Consider whether her view is support by sect or church In that case Senior church member able to persuade pt.
Involve Guradianship Board or court.
Do u understand that u r very, very sick?
TELL ME ABT UR FAITH?
CAN U EXPLAIN TO ME HOW U CAN BE SO SURE THAT U WILL CURED TODAY?
WHAT CHURCH DO U BELONG?WOULD U MIND IF I CONTACT THEM?
WHAT FAMILY DO U HAVE ?
Y DO U THING GOD WOULD NOT LIKE ME TO RX U?
DO U THNK HE MIGHT WANT TO HELP U THROUGH ME?
