Résumés
Abstract
Sending patients “home to fail” while anticipating their speedy readmittance is, prima facie, ethically troubling as are all unsafe discharges. However, “home to fail” cases may also be covertly ethically troubling insofar as they raise questions of medical paternalism due to a motivational component which drives these types of cases: by discharging a patient “home to fail” she will come to appreciate that living at home is unsafe and thus unwise, prompting her to choose differently in the future.
Keywords:
- discharge planning,
- safety,
- decision making,
- paternalism,
- autonomy
Résumé
Renvoyer des patients “chez eux pour échouer” tout en anticipant leur réadmission rapide est, à première vue, troublant d’un point de vue éthique, comme le sont toutes les sorties non sécurisées. Toutefois, les cas de retour “chez eux pour échouer” peuvent également être discrètement troublants sur le plan éthique dans la mesure où ils soulèvent des questions de paternalisme médical en raison d’une composante motivationnelle qui conduit à ce type de cas : en renvoyant un patient “chez elle pour échouer”, elle en viendra à comprendre que vivre chez elle n’est pas sûr et donc pas judicieux, ce qui l’incitera à choisir différemment à l’avenir.
Mots-clés :
- planification de décharge,
- sécurité,
- prise de décision,
- paternalisme,
- autonomie
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