Surgery to quieten the yelling of a demented old man

The 84-year-old man's incessant yelling caused him to be unmanageable in all settings--at home with his aged wife, in nursing homes, and on the medical and psychiatric floors of a Veterans Administration Medical Center. A host of behavioural and pharmaceutical interventions were attempted unsuc...

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Veröffentlicht in:	Journal of medical ethics 1987-12, Vol.13 (4), p.195-197
1. Verfasser:	Gafner, G
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Behavior Control Beneficence Bioethics Dementia - surgery Dysphonia Ethics, Medical Hospital administration Humans Laryngeal Nerves - surgery Male Medication administration Nonverbal Communication Nursing homes Pneumonia Psychiatric hospitals Psychosurgery Recurrent laryngeal nerve Risk Assessment Shouting Surgical specialties
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Beschreibung
Zusammenfassung:	The 84-year-old man's incessant yelling caused him to be unmanageable in all settings--at home with his aged wife, in nursing homes, and on the medical and psychiatric floors of a Veterans Administration Medical Center. A host of behavioural and pharmaceutical interventions were attempted unsuccessfully. Finally, it was proposed that a single, recurrent laryngeal nerve be crushed in order to 'render his voice to be a very acceptable soft tone'.
ISSN:	0306-6800 1473-4257
DOI:	10.1136/jme.13.4.195