Negotiation with Patients

  • Jeannette E. South-Paul


A 49-year-old woman presents to the emergency room with multiple rib fractures and a displaced, pathologic, subtrochanteric fracture of the left hip. She is 4 years post right radical mastectomy for breast cancer. She is in severe pain and wants treatment. On obtaining a history, completing a physical examination, and obtaining radiographs of the affected areas, the patient notes that she is a Jehovah’s Witness and will not allow blood transfusions. She notes that if family or friends see her receiving a transfusion, they will think she has betrayed her faith.


Primary Care Provider Primary Care Clinician Prenatal Visit Subtrochanteric Fracture Urgent Care Center 
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Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Jeannette E. South-Paul

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