When judgment and initiative fail: dilemmas in frontal lobe lesions.

IF 3.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Postgraduate Medical Journal Pub Date : 2025-06-03 DOI:10.1093/postmj/qgaf088

Marianna E Kapsetaki

引用次数: 0

Abstract

A key part of neurosurgery is decision-making; not only by the neurosurgeons but also by the patients. The patient needs to decide: shall I do the operation? Now or later? With which doctor? At which medical center? In which country? But what if the exact condition that needs an operation causes you problems with making decisions, such as a frontal lobe lesion? Your decision-making capacity may need to go to others [1]. But what if those others may not act in your best interest? What if your decisions carry weight not just for you, but for someone else who depends on you, e.g. as a caregiver, parent, or guardian?

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当判断和主动性失败时：额叶病变的困境。

神经外科的一个关键部分是决策；不仅是神经外科医生，还有病人。病人需要决定：我应该做手术吗？现在还是以后？哪个医生？在哪个医疗中心？在哪个国家？但是，如果需要手术的确切情况导致你在决策方面出现问题，比如额叶病变，该怎么办？你的决策能力可能需要交给别人。但如果其他人的行为不符合你的最佳利益呢？如果你的决定不仅对你自己有影响，而且对依赖你的人也有影响，比如照顾你的人、父母或监护人，那该怎么办？

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Postgraduate Medical Journal 医学-医学：内科

CiteScore

8.50

自引率

2.00%

发文量

131

审稿时长

2.5 months

期刊介绍： Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.