html5-img
1 / 14

Informed Consent

Informed Consent. Limitations, Loopholes and Benefits. INFORMED CONSENT. What it is: Based on the legal premise of Patient Autonomy , patients have the right to make decisions about their own health and medical treatment. The physician must disclose: The patient’s diagnosis, if known

lupita
Télécharger la présentation

Informed Consent

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Informed Consent Limitations, Loopholes and Benefits

  2. INFORMED CONSENT • What it is: • Based on the legal premise of Patient Autonomy, patients have the right to make decisions about their own health and medical treatment. • The physician must disclose: • The patient’s diagnosis, if known • Nature and purpose of the proposed treatment • Risks and benefits of a treatment or procedure • Alternatives to certain treatments regardless of cost • Risks and benefits of alternate treatments • Risks and benefits of not receiving a treatment or undergoing a procedure.

  3. History: • First introduction of the idea of informed consent was in the court case Mohr vs. Williams (1905). • A physician obtained Anna Mohr’s consent to an operation on her right ear, but during surgery, the surgeon decided that her left ear needed surgery instead and operated on it. • The judge determined that the physician should have obtained the patient’s consent to surgery on the left ear and therefore: a physician needed to advise a patient of all the information related to a particular procedure, including all risks and benefits.

  4. Legislature: • Canterbury vs. Spence: • Informed consent emerged as a legal right with full redress equivalent to battery if the informed consent was not given. • Patient Self-Determination Act (PSDA) • Passed in 1990, gave the public the right to be fully informed and fully self-determining in end-of-life decisions. We should be completely protected and informed in our decisions…

  5. Benefits • Patients have legal protection for medical decisions as well as the right to information about all available procedures. • Patient’s religious and social views can be preserved and all sorts of treatments can be explored. • The patient can form a relationship with the physician through the process of informed consent. • “But the documents are at best props in the theater of informed consent. It’s the process itself that is really important.” ~Dr. Eric D. Kodish, senior author of the study and a professor of pediatrics and chairman of bioethics at the Cleveland Clinic. http://www.nytimes.com/2009/07/30/health/30chen.html

  6. Limitations: • The PSDA protects patient’s rights to decisions about treatments and procedures, but how do we know what we are being told is true? Or even the whole truth? • When does manipulation and coercion come into play? http://www.proprofs.com/polls/upload/yuiupload/1148429670.jpg

  7. Issues: • Doctors are not supposed to coerce patients into suggested treatment, according to informed consent. • But how do we detect a little blurring of the facts, some half-truths, and missing information? • Are we really qualified to make decisions about medical treatment? We aren’t doctors.

  8. Informed consent: problems? • When does informed consent get in the way of treatment? http://www.priv.gc.ca/information/ar/images/cartoon2.jpg

  9. Do you really want to know? • If told that possible risks included death or permanent incapacitation, what risks are worth it? http://drnewportbeach.com/images/Informed%20Consent.jpg

  10. How far is too far? • Doctors allowed to forcibly operate on woman with phobia of hospitals • Court rules 55-year-old woman with learning difficulties can be coercively sedated in order to have life-saving cancer surgery • Dr. Sarada Mylavarapu, an anesthesiologist at Fountain Valley, recalls watching helplessly as a 48-year-old mother of two died during open-heart surgery several years ago. • "It was gut-wrenching to watch - she was bleeding to death," Mylavarapu said of the woman, a Witness."Just blood - that was all she needed." But it is a crime for doctorsto give blood to an adult patient who refuses it. http://www.guardian.co.uk/law/2010/may/26/doctors-operate-woman-phobia-hospitals http://www.mombu.com/gardening/gardening/t-transfusion-free-surgery-a-religious-belief-of-jehovahs-witnesses-may-also-be-good-medicine-for-everyone-medicine-have-silver-walking-large-2941901.html

  11. OPPOSITE ENDS OF THE SPECTRUM • Forcing treatment on a patient despite their personal wishes and views. • Reasoning: the patient’s life is a higher priority than their stated wishes • Hidden reasoning: the patient cannot, does not understand the situation • Refusing to administer treatment and risking death by respecting a patient’s desires. • Reasoning: the patient’s pre-stated conditions are of higher priority. • Hidden reasoning: Legal repercussions

  12. WHAT IT ALL COMES DOWN TO • What do people value more, their pride or their life? Morals and ethics or life? http://synergydevelopmenttraining.co.uk/images/morals.gif http://www.mediabistro.com/fishbowlDC/original/tombstone-clipart.gif

  13. PERSONAL VIEW • If treatment determines life or death, life is more valuable than pride; under certain circumstances. • For example: life support. The choice cannot be made by the patient on life support, so the patient’s consent does not apply because the patient will have a designated decision-maker.

  14. WORKS CITED http://www.deathreference.com/Ho-Ka/Informed-Consent.html http://www.emedicinehealth.com/informed_consent/article_em.htm http://www.guardian.co.uk/law/2010/may/26/doctors-operate-woman-phobia-hospitals http://www.mombu.com/gardening/gardening/t-transfusion-free-surgery-a-religious-belief-of-jehovahs-witnesses-may-also-be-good-medicine-for-everyone-medicine-have-silver-walking-large-2941901.html http://www.nytimes.com/2009/07/30/health/30chen.html

More Related