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Terminating your professional relationship with a patient
JAAPA, 04/15/09

Gianola FJ - How often have you dismissed a patient from your care? Why? How often have you wanted to? What are the ethical and legal issues surrounding this question? The following case includes an unexpected twist to the problem of terminating a professional relationship...The decision to dismiss a potentially violent or abusive patient from the practice presents an ethical and moral quandary. And if a family member is causing the disruption, the quandary is even more complex and uncommon. Each case of terminating your professional relationship with a patient is contextual. Using a casuistic casebased analysis that draws upon the reasoning of similar past problems to elucidate solutions to new problems is one approach to resolving this quandary.