Informed consent is one of the initial steps in the therapy and any medical practice. According to ACA Code of Ethics (2014) A 2 b counselors should inform the client regarding to “purposes, goals, techniques, procedures, limitations, potential risks, and benefits of services; the counselor’s qualifications, credentials, relevant experience, and approach to counseling; continuation of services upon the incapacitation or death of the counselor; the role of technology; and other pertinent information”. Clients have a right to decide to next step in light to this information. Personally, I do not have much experience with informed consent, because confidentially still is upsetting issue in my country, Turkey. Except the mental health field, it is not commonly performed …show more content…
Therefore, ethical violation is frequently seen and this is a highly problematic area in terms of patients. On the other hand, three years ago for the first time, when I went to my physician office in the US, secretary gave me about three-page informed consent form to read and sign. It was a comprehensive form including each detail of the possible treatment, confidentiality, payment, my rights, etc. However, it was also full of medical terminology, which was not understandable for me at that time. According to Corey, Corey, Corey and Callanan (2004), too much information at once could be overwhelming. In fact, as it stated above, initially this form seemed to complex for me. I was focused on my medical problem and not willing to read all of those documents, however, it was not a therapy and makes sense for a one time medical examination. In addition, I remember that I signed this form without completely understanding. After I had read and signed, nurse explained general procedure and details. I was asked various cultural based questions concerning language translation, working with male doctor, my belief system or ethnicity. At that time, I was worried about
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
The Doctor and Patient relationship aspect of Medicine has changed drastically in the last twenty years. It has evolved from paternalism (the doctor makes the decision for the patient) to shared decision making where the patient is considered an equal partner in his/her own health related decisions. Informed consent is the cornerstone for this view. When a patient or a research subject makes an autonomous decision after understanding, the risks and benefits involved with the decision is Informed consent. Complete Informed consent covers the following components: competency, disclosure, comprehension and voluntary. Competency refers to the requirement for the individual to be of legal age and be mentally competent to understand the process.
Patient informed consent refers to the situation where the patient is fully informed on the consequences of their health care decision after which the patient gives the decision. For there to be informed consent, there are five elements that must be discussed. The first is the nature of the patient's decision then the applicable alternatives to the proposed intervention. Third are the risks, benefits and uncertainties associated with each of the alternatives. Fourth is the assessment of the patient's understanding and last is the acceptance of the intervention or an alternative by the patient. Before the patient's consent is considered to be valid, the patient's competency to make the decision must be addressed. The criteria for evaluating the patient's competency is clearly stated in section 3 of the 2005 Mental Capacity Act which states that provided the person is able to understand, retain and use information provided and to communicate their decision in any way such as talking or sign language, they are competent to make a decision. If a patient is treated against their refusal to consent, it amounts to the tort of battery or can also be considered the crime of assault. In addition to this, laws that touch on human rights reinforce the importance of the protection of the physical integrity of the individual in terms of their right to respect of their private life. Therefore, refusal of medical treatment is a human right.
When a patient needs to have a medical procedure performed, they must first consent to the procedure. Before accepting or rejecting the treatment, the practitioner is required to give the patient information pertaining to the risks and benefits of the procedure, as well as available alternatives. Additionally, the patient must be mentally competent enough to make an informed decision, and not be manipulated or coerced into a decision.
In this case, the night of January 11, 1983, Nancy Cruzan was driving a car and lost control of her car as she traveled down Elm Road in Jasper County, Missouri. The car overturned, and Nancy Cruzan was discovered lying face down in a ditch without detectable respiratory and cardiac function. Paramedics were able to restore her breathing and heartbeat at the accident site and she was transported to a hospital in an unconscious state. Then neurosurgeon diagnosed her and found that she is having sustained probable cerebral contusions compounded by significant anoxia (lack of oxygen). The Missouri trial court found that permanent brain damage generally results after 6 minutes in an anoxic state and Nancy was in this stage for 12 to 14 minutes.
Delivery of excellent healthcare involves a multitude of dynamics including an extremely straightforward requirement of a patient’s permission for treatment or procedure. Informed consent, a patient’s authorization, consist of communiqué between healthcare provider or physician and the healthcare consumer, providing sufficient information allowing the patient to make a knowledgeable decision regarding healthcare treatment
An informed consent is the sovereign act by the patient or a research subject to authorize a healthcare professional to perform a medical procedure. It means that patients must be briefed on all the goals of the procedure, the methods to be used by the physician and all the risks that they might be subjected to while undergoing therapies/treatments. De Bord (2014), defines informed consent as “Informed consent is the process by which the treating health care provider discloses appropriate information to a competent patient so that the patient may make a voluntary choice to accept or refuse treatment” (as cited in Appelbaum, 2007). In this paper, I will argue that Jay Katz’s claim for the lack of genuine informed consent in healthcare field is firm by demonstrating and buttressing his claim. I will also pinpoint how Jay Katz’s argument is consistent with the medical professionals’ code of ethics
The standard of care is the attention you would give to any one of your patients in similar situations. A patient’s best interest is the only one to be considered. An appropriate standard of care would be reached in this case study if you would treat her emergency situation as you would any other, regardless of circumstance and act on that accordingly. There should be no favoritism of judgment in your standard of care. (Caldwell & Connor, 2012, pg. 27).
This paper is a representation of two separate healthcare professions; a paramedic (Roscoe) and a registered nurse’s (Gale) perspective of the ethics of informed consent. Informed consent is a familiar and ethically important component of healthcare, grounded by principles and values that provide and maintain professional standards. The following will discuss and analyse the similarities and differences between the two professionals from the AV resource. Present international and national frameworks that influence decision making as well as the individual impact that the Code of Ethics provides in moral dilemmas will be examined. Contrasts of legalities versus ethics will also be explored in regards to vulnerable patients. Furthermore the
During the court case, Slater v. Baker and Stapleton (1767), physicians testified that it was customary for them to obtain consent from a patient prior to medical intervention (Mazur, 2013). In the United States, the term “informed consent” was first discussed in 1957 during the U.S. appellate court case, Salgo v. Leland Stanford Jr. University Board of Trustees (1957). At that time, the only standard used in informed consent was the professional standard until 1972 when the reasonable person standard was developed by Judge Spottswood Robinson during the landmark case, Canterbury v. Spence (1972) (Mazur,
Currently, there are nearly as many human biological samples stored in the United States as there are people in the United States, and many of the sources of the samples remain unknown because informed consent was not previously required. The main dilemma between informed consent and scientists lies within the ethics and practicality of research on tissue removed from a patient’s body for surgical purposes. Meanwhile, the tissues are studied in labs across the country. In recent years, the HeLa cell line and the cells backstory have precipitated outrage towards how the tissue was obtained, managed, and the inadequacy of informed consent from Henrietta Lacks and her family. Since then, other cases have become public regarding the lack
What is ethics? Merriam-webster dictionary defines ethics as: the discipline dealing with what is good and bad and with moral duty and obligation. Ethics and beliefs are ubiquitous throughout the modern world and always arise in numerous topics, issues, and arguments. When it comes to any research processes, ethics is something that must be considered in order to benefit both the results and the people involved. When ethical issues in medical research arise, the thought of the patient is paramount; ensuring that the patient knows exactly what is taking place through informed consent, that they have the respect to autonomy and confidentiality, that they are to remain unharmed, and the most vulnerable patients have the same treatment as all other
David is a 35 year old and married with two kids came to my office for counseling. In his intake session, I will go over an informed consent. Remley & Herlihy (2016), believes that counselors who obtain consent before clients begin their sessions shows the best practice and ethical way to begin treatment. David has a right to know what he is getting into. I would go over and explain HIPPA laws to him. I would explain to David that his information may be sent to the insurance company for payment or if I need to give him a referral for additional services. I would discuss some of David's information, but with his consent first. I would explain to him that his information will not be given to wife without his verbal
Informed consent is the patient’s acceptance of all possible consequences of care. The American Medical Association (AMA) defines informed consent as “a process of communication between a patient and a physician that results in the patient’s authorization or agreement to undergo a specific medical intervention” (What is Informed Consent?, 2017). All fifty states have legislation that requires some degree of informed consent. Exceptions are made for emergencies and mental incompetency or physical incapacity. Informed consent must be obtained by those of legal age (as determined by each state). In cases where the patient is a minor, the parent or guardian must consent. Failure by a physician to obtain informed consent is considered medical malpractice, and the physician is liable for negligence (Background: Requirements for Informed Consent, 2017).
The information that must be presented to clients, first and foremost, are their rights and responsibilities as a client working with a particular therapist. Beyond this, an informed consent should outline the goals of the counseling relationship, the responsibilities of the client as well as the therapist, expectations of the client, limitations of the counseling relationships, fees involved, approximately how long the therapy process will take, and background information regarding the therapist, particularly their past experience and educational qualifications (Corey, 2013). Corey also mentions the informed consent process is an ongoing educational experience that lasts the