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Eight Parts of the AMA Process Capacity. Signs and Symptoms. Extent and Limitation of the Exam. Current Treatment Plan. Risks of Foregoing Treatment. Alternatives to Suggested Treatment. Explicit Statement of AMA and About What the Patient Refused. Questions, Follow-up, Medicines, Instructions.
You have the legal right to leave. There is no law that requires you to sign discharge documents. Still, you should prepare a letter that explains why you decided to leave. Keep a copy of the letter and give a copy to the hospital administrator.
A well written addendum for an AMA discharge will include the following: Discussion of the treatment(s) offered. Discussion of the risks/benefits of further treatment and for no treatment. Reasons for refusal.
Key Documentation Points Document the patients mental status at time of conversation. Document who was in the room at time of conversation (nurse, family members, interpreter etc.) Document what was said to the patient about specific risks of leaving against medical advice.
Some of the risks to consider when leaving AMA include: Higher readmission rates: Studies have shown that people who leave AMA are about twice as likely to need to come back to the hospital compared to people with a planned discharge. Leaving AMA results in higher readmission rates up to 3 months after discharge.
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Include documentation of the patients decision-making capacity, the specific benefits of your proposed treatment and risk of leaving AMA, what you did to get the patient to stay, and your compassionate interest in having the patient return for any reason.
There are many reasons for DAMA, namely dissatisfaction with hospital services, patient or his/her parents addiction or misuse of medications, patients unaffordability to pay hospital expenses, psychiatric problems, family problems (e.g. having a child in home), lack of docHub improvement in medical conditions,
Against medical advice (ama form) this is to docHub that i, a patient at (fill in name of your hospital), am i refusing at my own insistence and without the authority of and against the advice of my attending physician(s), request to leave

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