Question

A competent 58-year-old man with chronic obstructive pulmonary disease insists on leaving hospital against medical advice despite worsening hypoxia. You have explained the risks and he can clearly repeat them back and justify his decision. What is the most appropriate action?

Accepted Answer

Respect his decision, document the discussion and provide safety-net advice

Answer

Detain him under the Mental Health Act

Answer

Call security to prevent him leaving

Answer

Discharge him without documenting the discussion

Answer

Inform the police that he is leaving against advice

Practice question

A competent 58-year-old man with chronic obstructive pulmonary disease insists on leaving hospital against medical advice despite worsening hypoxia. You have explained the risks and he can clearly repeat them back and justify his decision. What is the most appropriate action?