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Managing Bias and Belligerence: The Racist or Belligerent Patient (Cultural Conflict) 

Managing Bias and Belligerence: The Racist or Belligerent Patient (Cultural Conflict)
Chapter:
Managing Bias and Belligerence: The Racist or Belligerent Patient (Cultural Conflict)
Source:
Legal and Ethical Issues in Emergency Medicine
Author(s):

Shannon Markus

and Carmen Wolfe

DOI:
10.1093/med/9780190066420.003.0014

The emergency department sees patients from all walks of life, each coming with their own biases and preconceptions. How do we address discriminatory comments or requests for physician reassignment based on race or gender? A difficult balance exists when this occurs in an emergency setting, placing our duty to treat in conflict with a patient’s autonomy and right to refuse care. By exploring the emergent nature of patients’ conditions, their decision-making capacity, specific reasons for their request, and options for response, we can make informed decisions about options to negotiate with the patient or possibly even accommodate a patient if a middle ground cannot be found.

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