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Essay of informed consent
Patients informed consent
Essays on informed consent
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Informed consent is a very interesting subject. It helps sort the legitimate scientists and doctors from the corrupt ones, who are taking advantage of their patients. Even though it really shouldn’t be, informed consent is still a debated topic to this day, and both sides of the argument both have different yet reasonable points. Reasonable or not, there are many examples and cases through medical history where doctors didn’t take human rights under consideration, and did some very questionable testing. Although both sides of the argument are valid, having informed consent is the correct thing to do. Informed consent requires doctors to tell someone about all of the risks and details of a procedure that they are having and whether or not …show more content…
They are against informed consent for reasons being that in the case of emergencies, people sometimes can't give consent to operate on them. If the informed consent law is in full effect, doctors can't do anything about it. Also, they are afraid of risk of bias from people who do not support the medical field, yet still require treatment, (Tobias). These people do not believe that doctors want to help. With the bleak history of medicine, they think the medical field is completely corrupt. The issue of this being that these people sometimes get seriously injured, and need medical help but do not want it. Also, the oppositions argue that people should have a right to deciding what is right or wrong. In a particularly recent informed consent case, the scientists performed illegal medical research on sick cancer patients without anyone's consent, (Chretien). They argued that they wanted to push along the growth of cures for cancer and other diseases. They knew that the university wouldn't approve so they kept it secret. In the mid 90's, regulations were passed that allowed treatment to occur without patient's permission, (Lundstrom). The terms of this happening were that the patient must be in a life-threatening condition, their current care/medication is not working, and they must be unable to give permission for treatment. If informed consent is in effect, doctors can not carry out their research, even if it has no threat to the human body. Some doctors and researchers are afraid that if informed consent continues to be a rule, advancements in medicine will change to a substantially slower
At first, I believed that a patient should have the say so and get what they demand. I didn’t feel sympathetic for the health care provider one bit. I was able to look through the eyes of a physician and see the trials that they have to go through. It is not easy making the decisions that they have to make. There job is based on decisions, and most of it is the patient’s. “There will certainly be times when I will be faced with a request from a patient or patient’s representative that I will personally find morally difficult, but one that is still legally and ethically acceptable. must be very difficult to work in an area with little control over what you want to do.” (Bradley 1). Even though I do not fully understand a health care providers everyday role, I do know that they are faced with painful options. I personally feel that I can not work in this field for that exact reason. Health care providers play an extremely important role in our society, and others need to look upon
Furthermore, these doctors had no legal or ethical codes to conduct experimentations or research on African Americans. For example, during 1998, “172 employees, all but one of them black, sued Lawrence Berkeley Laboratory when they learned that they had secretly been tested for syphilis, pregnancy, and sickle-cell trait without their knowledge that the blood and urine they had supplied during required physical examinations would be tested…” (314). This indicates that there was no consent from these blacks and scientists where secretively testing immunities for sickle-cell on them without any permission whatsoever. The release of this experiment was against the Americans with Disabilities Act and these researchers had no right to release information without the patient’s consent. Furthermore, experiments that had no patient’s consent varied from blisters “to see how deep black skin went” to threatening surgeries, sterilization, inoculations, and not tested pharmaceuticals (54). Without consent, all experiments are considered as unethical. A patient’s consent is important because it is huge determination of privacy and respecting the patient’s wishes. Without any consent, it is indicating that patient’s do not have rights about their own privacy, which was against the law during colonial times and in present days. Some ethical guidelines include the right to withdraw from the study
A basic definition of confidentiality is that information about a patient is not discussed openly (Edge and Groves, 2007). This ethical principle became an issue when the government gave medical facilities lists of people who were in the study. Again, the patients were not informed that they would not be able to
In looking at these instances, the doctors seemed to have thought their actions normal. They thought that since they were treating the patient they automatically had access to their cells, tissues, DNA, that they could take without permission and use to develop science or to even become rich and famous like Dr. Golde tried to do. One might say that no matter how useful a person's biological property can be to western medicine and science, it does not excuse the violation of privacy of a patient. Ostensibly, there is no need to worry about a patient saying no if the doctor has moral and beneficial intentions for the use of a patient's private, biological
In The Immortal Life of Henrietta Lacks Rebecca Skloot describes the case of John Moore, a man with Leukemia, who had his spleen removed. The doctor who did this surgery not only stole his cells but also sold them and made money off of them. The doctor did not inform John of his intentions. John’s cells now have a value of 3 billion dollars due to how valuable they are. When John found out about his doctor’s intentions he took to the doctor to court. The court informed John that everything the doctor did was under informed consent so it was found legal. The judge “rejected his suit because Moore did not have property interest in the cell line developed by his doctor and that his rights to privacy and dignity were sufficiently protected by doctrine of informed consent”(Devine) Today, due to that court case, patients who have any surgeries must sign a paper giving
In America, the legal age to sign off on any medical consent is 18 years of age. Seventeen year olds should be able to compose their own medical decisions, and sign off on their own medical consents. Power should land in their hands, accompanied by the professional advice of a doctor. It is your body, be compelled to fabricate a decision without having to have your parent’s signature.
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
Though these legislative guidelines deal with the rights of a patient to refuse current medical treatment, ...
Many doctors today are willing to violate the Hippocratic Oath that all doctors are supposed to adhere to because they are in agreement with the utilitarian bioethicists. I must be in the minority because I refuse to "jump on the bandwagon" of that inhumane type of bioethics. I believe that this kind of ethics is dangerous, dehumanizing, and very unethical. Nobody has the right to decide whose life is more important than others or whose life contributes more to society. Many people with disabilities are able to function very well and greatly contribute to society. There are many famous athletes, actors, and even politicians who have disabilities and yet play an important role in the world.
Truog, Robert D., Walter Robinson, Adrienne Randolph, and Alan Morris. "Is Informed Consent Always Necessary For Randomized, Controlled Trials?" The New England Journal of Medicine 340, (March 1999): 804-807.
Looking beyond the Nuremberg Code and applying it to modern medical research ethics, there are many challenges that it poses. Many have argued that the Code tries to provide for all unforeseen events, which restricts the researcher by requiring him to anticipate every situation, demanding the impossible. The most important contribution of the Code is the first principle, which says that voluntary consent of the human subject is absolutely essential. The subject involved should have legal capacity to give consent, should have free power of choice, as well as sufficient knowledge and comprehension of the experiment. This restricts that populations upon which some experiment may be conducted, since many do not have “legal capacity”. For instance, studies of mental illness and children’s diseases have been curtailed because neither of these populations has the legal capacity to give consent. Another group of people, prisoners, are never really able to give voluntary consent since they might be enticed by financial rewards, special treatment, and the hope of early release in exchange for participating in the human experimentation projects. British biostatitcian Sir Austin Bradford Hill also questioned whether it was important to inform a research subject who was receiving a placebo since it does...
The writer discusses a situation of the doctor failing to disclose the nature of important medical condition which can jeopardize several of the patient’s family members and puts the doctor at odds with them. The problem is also discussed by Sutrop (2011) who show how protecting the patient’s confidentiality and self- decision capacity has actually caused severe hindrances to the field of scientific development and research.
In conclusion, obtaining informed consent is a vital part of respect for the patient and safeguarding of self-determination. The consent to participate in research or treatment should be informed, comprehensible, and free of coercion. There is not a clear black and white answer because no matter what is done to assure informed consent there is always a moment of doubt on the end of the patient as to whether what is going to take place is fully understood and their true wishes honored.
...ns. Patients should not be so medically ill that they are unable to make this decision. Patients should be fully conscious and understand the implications of their decision. Everything should be documented possibly even videotaped that way the doctor doesn’t lose their job, receive a lawsuit or worst jail!
The article titled “Contemporary Ethical Analyses: A Shortfall in Scientific Knowledge” describes the ethics through the public’s eye. One of the major ethical issues brought up is informed consent.