How do you manage patients with severe, refractory schizophrenia or schizoaffective disorder who need complex pharmacologic regimens but consistently refuse labs and ECG monitoring?

Answer from: at Academic Institution

Document that the risks and benefits of the refusal were discussed with the patient, have the patient sign the refusal document, and then treat the patient without the labs and EKGs.

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How do you manage patients with severe, refractory schizophrenia or schizoaffective disorder who need complex pharmacologic regimens but consistently refuse labs and ECG monitoring?

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