Patient consent allows a procedure or contact with the patient’s body by someone other than the patient, usually health care personnel and can be obtained verbally or written. The topic of this memo is obtaining consents as it relates to Mr. Roberts who was brought to the Emergency Department by an air ambulance due to head trauma from a motorcycle accident, he needed emergency medical surgery. This being the case, Implied Consent was enacted, which is when emergency action is required to prevent death or permanent impairment, as with the emergency care provided to Mr. Roberts to prevent permanent brain damage. Mr. Roberts needed to undergo another procedure to reduce swelling of the brain, but was incapacitated, so a surrogate decision maker
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Consent is necessary from everyone, not only those who can verbalise his or her needs. It is important to find out the persons communication needs so that they can be involved in discussions around their needs and preferences. My duty of care is to ensure that choices are given, and that appropriate support is obtained where there is lack of capacity is the decision is complex and the individual cannot consent. This may be from families or next of kin or using advocates to ensure that the client’s best interests are maintained. There may be past events or requests that could indicate the client’s preferences, and these must be considered when choices have to be made by others. Any preferences should be recorded on care plans and shared with relevant others to be able to determine the best interests of the person. Decisions should also be put off until the client is able to make their own choices where possible and not taken on their behalf through assuming we know
In the following case, Luke is involved in a very perplexing conflict, or Ethical dilemma. This situation is an Ethical dilemma, and not just a regular “everyday” problem, because to Luke there might not be an obvious answer. He can also be thinking that both choices, keeping his commitments of confidentiality and telling his brother, Owen, are both correct things to do. If Luke tells his brother about the project, then he might concur with a theory known as Breach of confidentiality. “Breach of confidentiality occurs when someone gives away information that was supposed to be kept private.” (GENB4350 Online Lecture, Ethical Reasoning 1). By Luke breaching information that is supposed to be kept secret, he will betray the trust of his company
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.
Katharine Evans,James Warner, Elizabeth Jackson. (2007). How much do emergency healthcare workers know about capacity and consent?.Emergency medical journal. 24 (6), 391-393.
Informed consent does not simply mean to have a patient sign a white piece of paper with a list of information prior to any type of medical treatment or procedures. Informed consent requires a lot of education and advocacy for the patient. Although informed consent is provided by a health care provider, it the nurse’s duty to act on the patient’s behalf by protecting patient’s right to autonomy (Cook, 2014). There are four key elements of informed consent for nurses (Judkins-Cohn, 2014). First, nurses must make sure the patient is in the right state of mind to comprehend the activities that will happen. Second, the patient should be educated about all the possible risks and benefits before agreeing
Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed consent, the patient must be aware and should be able to give a voluntary consent for the treatment and testing without being coerced, even if coercion is very little. Being coerced into giving consent is not voluntary because others people’s opinions account for part of his decision. Prisoners and the poor population are two areas where coercion is found the most when giving consent. Terminally ill patients also give consent in hope of recovering from their illness. Although the possibilities are slim of having a successful recovery, they proceed with the research with the expectation of having a positive outcome. As stated by Raab, “informed consent process flows naturally from the ‘partnership’ between physician and patient” (Raab). Despite the fact that informed consent is supposed to educate the patients, it is now more of an avoidance of liability for physicians (Raab). Although the physician provides adequate information to his patient, how can he ensure that his patient properly ...
Recent developments in standard of care and professional relationship with patients have made law fundamental to the study and practice of nursing. At every stage of patients care, law helps bring up to date nursing practice and it is essential that nurses understand the legal and ethical implications of law in their nursing profession (Griffith and Tengrah, 2011). The purpose of this essay is to discuss the concept of consent in relation to the role of the nurse. This will aim at demonstrate ethical and legal implication of consent on nursing practice and professional working. In the Code (2008, cited in Griffith and Tengrah, 2011) the Nursing and Midwifery Council set standards for nursing professional to follow. Among the rules is the requirement of nurses to obtain consent before care is given.
ABSTRACT: A commonly accepted criticism of the social contract approach to justifying political authority targets the notion of hypothetical consent. Hypothetical contracts, it is argued, are not binding; therefore hypothetical consent cannot justify political authority. I argue that although hypothetical consent may not be capable of creating political obligation, it has the power to legitimate political arrangements.
This document can be said to have been given based upon a clear appreciation and understanding of the facts, implications, and future consequences of a treatment by a health professional. Before this document was put into place, the thought was such that if an individual is receiving free healthcare, the physicians treating them are able to do whatever they want to them without their prior knowledge. This placed the treating physician in a paternalistic mindset, allowing them to decide what is best for their patient based on what could potentially help science and medicine down the road. With a “father knows best” approach, the patients were unable to practice their own autonomy and self-determination to decide what procedures and treatments would be best for themselves and their families. These patients were viewed as lesser of a person because they could not afford healthcare. Because of this, many physicians and scientists alike treated them as if they were lab rats. Informed consent also put forth guidelines for relaying information from patient to provider. This document has made it so that the parties involved are well aware and clearly understand what is going on and what will likely happen as a result. Before this, families and patients were left in a gray area, which allowed the physician to sputter off medical jargon to eventually confuse them and be able to do
Neonatal resuscitation is intervention after a baby is born to strengthen it’s breathe or to boost its heartbeat. Approximately 10% of neonates require some assistance to begin breathing at birth, but only 1% require serious resuscitative measures. Informed consent regarding neonatal resuscitation is a constant ethical debate. This discourse ordinarily occurs between doctors and parents; parents often feel that the decision has been made for them, believing that they were not fully informed of any consequences that may occur before making their final action plan, or thinking that their opinion was not taken seriously; however, doctors see the procedure in a different light, that the parents can’t choose the best option for the child regardless of counseling, or performing as the parents wished but believing that the result could have differed if the parents had known all the effects that it will have further down the line, or convinced that they would have made a better
Informed consent is a very serious decision a patient has to make when it comes to their health and consenting to procedures that are believed to cure or treat their current health status. It is important to address the effectiveness of the role a physician play in the informed consent process assuring that the patient has given truly informed consent and what safeguards can be put in place to assure the patient is exercising informed consent. Informed consent is based on the fact that the person consenting is a rational individual that is aware of the action to which he/she is consenting. Allen and McNamara (2011) notes that "On the standard understanding, the important elements of informed consent are the provision of information, the voluntariness of the choice and the competence of the chooser to make the choice— so the potential research participant should be provided with information relevant to the decision to participate, they should be able to choose freely about their participation and they should be competent to decide.
Everyone in this world has experienced an ethical dilemma in different situations and this may arise between one or more individuals. Ethical dilemma is a situation where people have to make complex decisions and are influenced based on personal interest, social environment or norms, and religious beliefs (“Strategic Leadership”, n.d.). The leaders and managers in the company should set guidelines to ensure employees are aware and have a better chance to solve and make ethical decisions. Employees are also responsible in understanding their ethical obligations in order to maintain a positive work environment. The purpose of this case study is to identify the dilemma and analyze different decisions to find ways on how a person should act
2. Honor the wishes of the patient as stated in his/her directive as permitted by law and hospital policy.
A contract is an agreement between two parties in which one party agrees to perform some actions in return of some consideration. These promises are legally binding. The contract can be for exchange of goods, services, property and so on. A contract can be oral as well as written and also it can be part oral and part written but it is useful to have written contract otherwise issues can be created in future. But both the written as well as oral contract is legally enforceable. Also if there is a breach of contract, there are certain remedies for that which are discussed later in the assignment. There are certain elements which need to be present in a contract. These elements are discussed in the detail in the assignment. (Clarke,