Lapel (medicine)

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A lapel is generally a “certificate of obligation”. In medicine, this term is used in the context of permanent or temporary refusal of medical treatment ("discharge or leave of absence against medical advice", "discharge at the request of the patient", "refusal of inpatient admission", "refusal of treatment by the ambulance service ") used. All medical help is based on the patient's consent. The patient must agree to all measures, although the consent does not have to be express (for example, tolerating a therapy without the patient's express objection).

The document that the patient must / should sign before he or she wishes to discharge is referred to as the reverse. Especially in the ambulance service it happens that the patient refuses to sign. The staff then usually call in witnesses.

This document lists the possible disadvantages that the patient may suffer from refusing medical treatment and advises him that only he is responsible for them. The purpose is, on the one hand, to provide legal reassurance to the enlightening doctor or rescue personnel , and on the other hand, the patient is given the opportunity to think again about refusing medical help.

Individual evidence

  1. Brockhaus Open: Revers . 2009. Retrieved July 26, 2009.
  2. netdoktor.at: Out on lapels - why patients leave the hospital . 2009. Accessed on July 26, 2009.  ( Page no longer available , search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.@1@ 2Template: Dead Link / www.netdoktor.at