Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide
The provision of palliative care in psychiatry and the use of coercion in palliative care are underexplored areas. We report the case of a 65-year-old woman with cerebral metastatic breast cancer who was compulsorily admitted from a specialized palliative care ward to a psychiatric inpatient ward in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-05-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00454/full |
| _version_ | 1819093025587986432 |
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| author | Felix Noppes Egemen Savaskan Florian Riese Florian Riese |
| author_facet | Felix Noppes Egemen Savaskan Florian Riese Florian Riese |
| author_sort | Felix Noppes |
| collection | DOAJ |
| description | The provision of palliative care in psychiatry and the use of coercion in palliative care are underexplored areas. We report the case of a 65-year-old woman with cerebral metastatic breast cancer who was compulsorily admitted from a specialized palliative care ward to a psychiatric inpatient ward in Zurich, Switzerland. While in specialized inpatient palliative care, the patient had resisted palliative care but was found to lack decision-making capacity for her treatment due to disordered thought process and paranoid delusions. Under our care, which involved coercive treatment in the form of concealed administration of an antipsychotic, the patient's psychiatric symptoms improved. She regained decision-making capacity, was granted discharge from hospital, and ended her life by assisted suicide on the day of discharge. |
| first_indexed | 2024-12-21T23:04:57Z |
| format | Article |
| id | doaj.art-87aa826240d24144922023028ef03794 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-21T23:04:57Z |
| publishDate | 2020-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-87aa826240d24144922023028ef037942022-12-21T18:47:11ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-05-011110.3389/fpsyt.2020.00454528608Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted SuicideFelix Noppes0Egemen Savaskan1Florian Riese2Florian Riese3Department of Geriatric Psychiatry, Psychiatric University Hospital Zurich, Zurich, SwitzerlandDepartment of Geriatric Psychiatry, Psychiatric University Hospital Zurich, Zurich, SwitzerlandDepartment of Geriatric Psychiatry, Psychiatric University Hospital Zurich, Zurich, SwitzerlandUniversity Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Zurich, SwitzerlandThe provision of palliative care in psychiatry and the use of coercion in palliative care are underexplored areas. We report the case of a 65-year-old woman with cerebral metastatic breast cancer who was compulsorily admitted from a specialized palliative care ward to a psychiatric inpatient ward in Zurich, Switzerland. While in specialized inpatient palliative care, the patient had resisted palliative care but was found to lack decision-making capacity for her treatment due to disordered thought process and paranoid delusions. Under our care, which involved coercive treatment in the form of concealed administration of an antipsychotic, the patient's psychiatric symptoms improved. She regained decision-making capacity, was granted discharge from hospital, and ended her life by assisted suicide on the day of discharge.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00454/fullpalliative careassisted suicidecoercioninvoluntary admissioncompulsory commitmentpsycho-oncology |
| spellingShingle | Felix Noppes Egemen Savaskan Florian Riese Florian Riese Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide Frontiers in Psychiatry palliative care assisted suicide coercion involuntary admission compulsory commitment psycho-oncology |
| title | Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide |
| title_full | Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide |
| title_fullStr | Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide |
| title_full_unstemmed | Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide |
| title_short | Compulsory Psychiatric Admission in a Patient With Metastatic Breast Cancer: From Palliative Care to Assisted Suicide |
| title_sort | compulsory psychiatric admission in a patient with metastatic breast cancer from palliative care to assisted suicide |
| topic | palliative care assisted suicide coercion involuntary admission compulsory commitment psycho-oncology |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00454/full |
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