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How Should Surgeons Balance Transplantation Innovation With Acceptance of a Trauma Survivor's Appearance?

How Should Surgeons Balance Transplantation Innovation With Acceptance of a Trauma Survivor's Appearance?

Authors :
Smith CP
Source :
AMA journal of ethics [AMA J Ethics] 2019 Nov 01; Vol. 21 (11), pp. E953-959. Date of Electronic Publication: 2019 Nov 01.
Publication Year :
2019

Abstract

Clinical and ethical issues involved in counseling a patient about reconstructive surgery for a traumatic and disfiguring injury require special consideration. This article proposes prioritizing 2 considerations: (1) the influence of traumatic experiences on a survivor's cognitive processes and (2) insights into a survivor's acceptance of his or her posttrauma appearance or consent to high-risk or experimental surgery, which can be gained from dialectical behavior therapy. This article argues that these priorities should be explicitly discussed by plastic surgeons counseling patients whose appearances are altered by trauma.<br /> (© 2019 American Medical Association. All Rights Reserved.)

Details

Language :
English
ISSN :
2376-6980
Volume :
21
Issue :
11
Database :
MEDLINE
Journal :
AMA journal of ethics
Publication Type :
Academic Journal
Accession number :
31742543
Full Text :
https://doi.org/10.1001/amajethics.2019.953