03-19-2008, 07:53 AM
A 38-year-old obese woman with a 2-year history of type 2 diabetes mellitus has not lost weight despite persistent advice concerning diet and exercise. She has also been irregular in keeping appointments and has failed to take her medication on a regular basis. There is increasing concern that serious complications will occur unless she becomes more cooperative. You decide to terminate the physician-patient relationship, hoping that another physician can establish better rapport and help her with her problems. The most appropriate way to terminate the relationship is to do which of the following?
A
) Give her a copy of her medical records at the next appointment and advise her to find another physician
B
) Give her a list of three physicians and ask her to pick one, to whom you will send her medical records
C
) Refuse further treatment unless she loses 2.7 kg (6 lb) before her next appointment in 1 month
D
) Tell her 19-year-old daughter, who brings her to the office, to convince her mother to find another physician and tell her the reasons for this suggestion
E
) Tell her that the relationship will be terminated in 1 month, give her reasons for this decision, and offer her a list of three physicians' names
A
) Give her a copy of her medical records at the next appointment and advise her to find another physician
B
) Give her a list of three physicians and ask her to pick one, to whom you will send her medical records
C
) Refuse further treatment unless she loses 2.7 kg (6 lb) before her next appointment in 1 month
D
) Tell her 19-year-old daughter, who brings her to the office, to convince her mother to find another physician and tell her the reasons for this suggestion
E
) Tell her that the relationship will be terminated in 1 month, give her reasons for this decision, and offer her a list of three physicians' names