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- W2777033145 abstract "The therapeutic discharge of patients assessed as misrepresenting suicidal ideation, though in the best interests of the patient, physician, and health care system, is an inherently risk-assuming action. The rationale and conduct of the therapeutic discharge has been written on previously. Here, we propose a method of documenting the therapeutic discharge in a way that is useful and teachable.After describing some other types of note-writing that can be needed in the care of deceptive patients, we describe an approach to each of the major sections of an initial consultation/encounter note as it applies to the therapeutic discharge.Each note section is handled slightly differently than ordinarily. The history of present illness follows the sequence, rather than the re-organization of the information obtained. The past medical history requires and reflects a more granular chart review than is usually warranted. The mental status exam is less cross-sectional than usual. The assessment and plan incorporates several components that reflect a reasoning process specific to the therapeutic discharge.While labor-intensive, the documentation approach advocated for and exemplified here reaffirms aspects of one's identity as a physician, ensures responsible execution of a risk-involving decision, and potentially simplifies subsequent patient encounters." @default.
- W2777033145 created "2018-01-05" @default.
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- W2777033145 date "2018-03-01" @default.
- W2777033145 modified "2023-09-30" @default.
- W2777033145 title "The therapeutic discharge II: An approach to documentation in the setting of feigned suicidal ideation" @default.
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- W2777033145 doi "https://doi.org/10.1016/j.genhosppsych.2017.12.007" @default.
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