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Professional paper

https://doi.org/10.21860/j.13.2.8

Informed consent in psychotic decompensation

Matea Podgornjak ; Opća bolnica Karlovac, Odjel za psihijatriju, Karlovac, Hrvatska; Integrativni centar mentalnog zdravlja, Karlovac, Hrvatska
Lea Hrvat Matić ; Opća bolnica Karlovac, Odjel za psihijatriju, Karlovac, Hrvatska; Integrativni centar mentalnog zdravlja, Karlovac, Hrvatska
Anita Stanišić ; Opća bolnica Karlovac, Odjel za psihijatriju, Karlovac, Hrvatska
Ena Gutić ; Opća bolnica Karlovac, Odjel za psihijatriju, Karlovac, Hrvatska
Igor Salopek ; Opća bolnica Karlovac, Odjel za psihijatriju, Karlovac, Hrvatska; Integrativni centar mentalnog zdravlja, Karlovac, Hrvatska; Fakultet zdravstvenih studija Sveučilišta u Rijeci, Rijeka, Hrvatska


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Abstract

The consent of an informed patient is not merely a signature on a legally binding document, but rather a process in which the patient is empowered and becomes an active ally in a treatment. Valid informed consent includes adequate information that is given to the patient in an appropriate manner, the voluntariness of consent, and the patient’s ability to make a decision regarding treatment. Meeting these conditions when treating patients with mental health disorders can be challenging. Mental disorders can compromise a person’s ability to understand relevant information about the nature of their illness as well as their ability to make decisions regarding treatment. However, a psychiatric diagnosis does not imply that a person is unable to make a decision regarding their treatment, nor does it exclude them as an equal partner in the therapeutic process. By reviewing the case of a 39-year-old patient who developed an acute psychotic disorder during the treatment of COVID pneumonia, we dive into the ethical dilemmas that arise when approaching a patient who is experiencing psychotic decompensation.

Keywords

informed consent; psychotic decompensation; psychiatric treatment; autonomy; COVID-19

Hrčak ID:

293299

URI

https://hrcak.srce.hr/293299

Publication date:

4.2.2023.

Article data in other languages: croatian

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