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Cases about negligence
Essay on medical negligence
Cases about negligence
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Law and Medicine
The general principle is valid consent must be obtained before medical
treatment can commence. In Allen v New Mount Sinai Hospital [1980], J
linden stated ‘consent is not a mere formality; it is an important
individual right to have control over one’s body, even where medical
treatment is involved.’[1] In Schloendorff v society of New York
Hospital [1914][2], Cardozo J made a statement “Every human being of
adult years and sound mind has a right to determine what shall be done
and a surgeon, who performs an operation without his patient’s
consent, commits an assault.”
There must be some lawful justification for a medical procedure, which
would otherwise constitute the tort of battery. Battery is a form of
trespass, and as such, it is actionable par se. A battery consists of
the infliction of unlawful force on another person.
It is sometimes stated that where the patient is incapable of
consenting, an effective consent may be given by his/her spouse, or by
some near relative. Nevertheless, this can be argued, as there is no
general doctrine whereby a spouse or relative is empowered to give a
legally effective consent to medical procedures to be carried out on
an adult. There are circumstances where doctors are justified in
proceeding without the consent of the patient.
Tom was unconsciousness on arrival and was in critical condition where
his injuries were life threatening. Tom is considered temporally
incompetent because he was unconscious on arrival at the hospital.
Therefore, he could not consent to treatment at the time of the
accident. No one can consent on Tom’s behalf because he is an adult;
the a...
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...LR 582
[5] [1905] 104 NW 12
[6] [1989] 2 A.C. 1
[7] [1997] 2 FLR 426
[8] [1949] 2 DLR 442
[9] [1981] C.A. unreported
[10] [1933] DLR 260
[11] M Jones, Medical Negligence, 1997, pg 164
[12] Stauch M, Sourcebook on Medical Law, 2nd Ed, Cavendish
Publishing, 2002
[13] [1988] 2 All ER
[14] [1979] 2 All ER 620
[15] [1988] 1 Ch 449
[16] M Jones, Medical Negligence, 1997, Sweet and Maxwell
[17] [2002] 1 All ER 786
[18] [1990] 1 All ER 786
[19] [1988] 2 Al E.R. 648
[20] [1985] QB 526
[21] [1990] 1 All ER 568
[22] [1969] 1 QB 428
[23] [1997] 2 All ER 865
[24] [1957] 1 WLR 582
[25] [1995] 6 Med LR 128
[26] Khan, M, Robson M. What is a Responsible Group of Medical
Opinion? (1995) 11 Professional Negligence 4
[27] [1995] 6 Med LR 128
No further information was given and the questionnaire was not filled out. LAA’s doctors (Defendant), Dr. Preau and Dr. Dennis, submitted referral letters for on his behalf. The letter from Dr. Dennis and Dr. Preau stated that both of them had worked with Dr. Berry and they highly recommend Dr. Berry as an anaestheologist. Based on the letter and recommendations, Kadlec hired him. Approximately a year later, Berry again started using Demerol. On work at Kadlec, he committed gross negligence resulting in severe brain damage to patient. Due to this incidence Kadlec learned that Dr. Berry had been fired from Lakeview. Kadlec first settled Dr. Berry’s malpractice case and then filed suit against Lakeview, its shareholders, and LMC for intentional negligence and strict responsibility misrepresentation based on LMC’s omission of material facts in the letter to Kadlec. The district court supported Plaintiff’s theory. LMC’s moved for summary
Medical malpractice cases are difficult for the families who have lost their loved one or have suffered from severe injuries. No one truly wins in complicated court hearings that consist of a team of litigation attorneys for both the defendant and plaintiff(s). During the trial, evidence supporting malpractice allegations have to be presented so that the court can make a decision if the physician was negligent resulting in malpractice, or if the injury was unavoidable due to the circumstances. In these types of tort cases, the physician is usually a defendant on trial trying to prove that he or she is innocent of the medical error, delay of treatment or procedure that caused the injury. The perfect example of being at fault for medical malpractice as a result of delaying a procedure is the case of Waverly family versus John Hopkins Health System Corporation. The victims were not compensated enough for the loss of their child’s normal life. Pozgar (2012) explained….
Paramedics deemed the patient competent and therefore Ms. Walker had the right to refuse treatment, which held paramedics legally and ethically bound to her decisions. Although negligent actions were identified which may have resulted in a substandard patient treatment, paramedics acted with intent to better the patient despite unforeseen future factors. There is no set structure paramedics can follow in an ethical and legal standpoint thus paramedics must tailor them to every given
It is important that people are in control of what happens to them while under the care of their doctor, especially if they're alert and aware. A provider cannot force treatment; if a patient is unconscious, the situation changes because competency and informed consent are not present.
First, I believe that doing medical procedures without being given the consent to do so is a serious issue that is very wrong because that could be jeopardizing somebody's whole life without them even being aware of what is being done. “With Henrietta unconscious on the operating table in the center of the room, Dr. Lawrence sat between her legs. He peered inside her, dilated her cervix,
... event arises and it was due to lack of assessment of genuine comprehension. I think the best system of obtain consent would incorporate a regulated system that accommodated each institution and their requirements, but also equally weighed the importance of true understanding of facts and realization of the patient’s capacity to make decisions. But even if this was established as standard practice, there would still be the issue of how the assessment is made and how accurate it is due to other influences i.e. current injury status or medications needed for full psychological and or conceptual functioning. There could also be an issue of how to regulate such a subjective issue; each physician is going to have different ethical views and this will inevitably influence how he/she assess the patient and their ability to make the best decisions concerning their health.
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
Kuczewski, Mark. "Reconceiving the Family: the Process of Consent in Medical Decision Making." Hastings Center Report. March-April 1996: 32-37.
Exceptions for providing fully informed consent include when “(1) the patient is unconscious or otherwise incapable of consenting and (2) the benefit of treating the patient outweighs any potential harm of treatment,” in which case informed consent does not appeal to the patient (Murray). For example, providing care to a knocked out patient without a surrogate to fend for him/her requires the physician to form a decision targeting the patient’s best interest. . In all other circumstances, a physician, to ensure fair and equal decision-making circumstances, should provide informed
Consent is an issue of concern for all healthcare professional when coming in contact with patients either in a care environment or at their home. Consent must be given voluntary or freely, informed and the individual has the capacity to give or make decisions without fear or fraud (Mental Capacity Act, 2005 cited in NHS choice, 2010). The Mental Capacity Act perceives every adult competent unless proven otherwise as in the case of Freeman V Home Office, a prisoner who was injected by a doctor without consent because of behavioural disorder (Dimond, 2011). Consent serves as an agreement between the nurse and the patient, and allows any examination or treatment to be administered. Nevertheless, consent must be obtained in every occurrence of care as in the case of Mohr V William 1905 (Griffith and Tengrah, 2011), where a surgeon obtain consent to perform a procedure on a patient right ear. The surgeon found defect in the left ear of the patient and repaired it assuming he had obtained consent for both ear. The patient sued him and the court found the surgeon guilty of trespassing. Although there is no legal requirement that states how consent should be given, however, there are various ways a person in care of a nurse may give consent. This could be formal (written) form of consent or implied (oral or gesture) consent. An implied consent may be sufficient for taking observation or examination of patient, while written is more suitable for invasive procedure such as surgical operation (Dimond, 2011).
The law and how it is interpreted and followed in the administration of medicine is an important aspect that must be placed at the forefront. The law, simply put, refers to social rules of conduct that are enforceable and are not meant to be broken. While the practice of medicine carries a myriad of systematic complexities which expose healthcare organizations to potential legal problems, healthcare leaders must establish procedural methods and policies to mitigate the risk of liability through implementation of robust risk management programs. Failure to adhere to established laws, policies, and procedures can lead to legal issues for both the organization and its employees (Brock & Mastroianni, 2013).
For legally competent adult patients, regarding medical care per se - according to Anglo-American law -- every competent adult has the freedom to seek or not to seek medical care and to refuse to consent to any specific treatment proposed, under the common law right of bodily integrity and intangibility:
Disclosure of pertinent medical facts and alternative course of treatment should not be overlooked by the physician in the decision making process. This is very important information impacting whether that patient will go along with the recommended treatment. The right to informed consent did not become a judicial issue ...
In the past, consent was never needed to perform a treatment on a person. However, as medicine and science began to advance at a rapid rate, along came hundreds of new machines/procedures that are incorporated into treatments, and the patients must be well informed of what’s going to happen to them before they undergo any type of procedure. Furthermore, the patients have the ability to become more informed on what is occurring to them if they know what kind of condition/disease is affecting them, so they become more biased in the types of treatment that they’ll receive. Sometimes they will feel uncomfortable with some types of procedures and since the patient’s permission to perform any type of treatment is crucial in this day and age, the doctor is limited to the type of care he/she will administer.
Law is a tool in society as it helps to maintain social control, promoting social justice. The way law functions in society and its social institution provide a mechanism for solutions. There are many different theories of the function of law in relation to society in considering the insight they bring to different socio-legal and criminological problems. In the discussion of law’s role in social theory, Leon Petrażycki and Eugen Ehrlich share similar beliefs in the jurisprudence of society. They focused their work on the experience of individuals in establishing meaning in their legal relations with others based on the question of what it means to be a participant in law. Jürgen Habermas presents a relationship between law and morality. From a certain standpoint, law is a key steering mechanism in society as it plays an educational role in promoting conducts, a mean of communication and it