A noncompliant patient with fluctuating capacity

Mary Alice O'Dowd, Juan Jaramillo, Nancy Dubler, Maria F. Gomez

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Because of intermittent refusal of both dialysis and medications, serial capacity assessments were made on a 38-year-old male on hemodialysis and receiving TB treatment. His capacity to make an informed treatment decision appeared to fluctuate and despite multidisciplinary involvement and a court determination that treatment should take place, questions remained as to how such a case should be managed in the patient's best interest. The process of making a capacity determination was reviewed from both a psychiatric and legal viewpoint and alternative strategies presented.

Original languageEnglish (US)
Pages (from-to)317-324
Number of pages8
JournalGeneral hospital psychiatry
Issue number5
StatePublished - Sep 1998

ASJC Scopus subject areas

  • Psychiatry and Mental health


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