Paramedic Consent Case Study

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Consent and Paramedic Practice Modern society has developed an understanding and recognised the morals regarding consent as individuals have a right and interest over their body (5). Consent enables protection against unauthorised invasion of an individual’s body and can be applied to numerous scenarios, including medical care (5). A paramedic must obtain consent before treating a patient, as consent has legal and ethical aspects that must be regarded (2). It is imperative for a paramedic to maintain ethical and legal competency to assess whether a patient is competent to deny or consent to treatment as presented in the case study (3). Paramedics attended Betty, a 78-year-old female, after her son called the ambulance service. Betty is provided …show more content…

In the case study, Betty was adamant in refusing treatment, despite the risks of the illness progressing and potentially leading to death; under the laws of the medical treatment act (1988) any adult who exhibits competency has the right to refuse treatment, even if refusal of care increases the risk to their health, this right is based on autonomy (3). The information outlined suggests that Betty was capable of making a decision as she fulfils all the elements of consent; therefore she is competent and has the right to deny treatment. Betty acknowledges the risks of not receiving treatment and admits that not receiving treatment will make it difficult, demonstrating her sound understanding of the risk and benefits of the outcomes. For a patient to fulfil the element of understanding they must receive, process and incorporate the information they are provided with into their own personal values and Betty demonstrates this level of understanding by sticking to her values, her decision to stay home and by acknowledging the difficulties and risks of not receiving treatment (3). Once Betty received a diagnosis she was informed by the paramedic of the outcomes and potential risks of not receiving treatment for her condition, Betty was sufficiently informed with information and risks relevant to her situation, enabling her to make an informed decision (3). In order for consent to be considered voluntary, a patient must consent to treatment in an environment free of threat and pressure; if a patients decision is genuine they will also accept responsibility for the outcomes and understand the risks (3). Voluntary consent is a slightly grey area in Betty’s scenario, her son is potentially placing pressure on Betty with his demands, however, Betty expresses responsibility by admitting it will be difficult to and

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