This website uses cookies to ensure you have the best experience. Learn more

Informed Consent, Refusal, And Competence Essay

1388 words - 6 pages

In the medical field today, whenever a procedure is going to be done on a patient, informed consent must be given to the doctor from the patient prior the procedure taking place. Informed consent is the approval given by the patient to the doctor for treatment. In the case being discussed today, an 80 year old patient, with a history of congestive heart failure, is in the doctor's office complaining of chest pains. After an examination, the doctor believes the best course of treatment would be to have a surgical procedure, in an attempt to save the patients life. During the examination however, the patient expresses the wish to just be able to die. There is no Living will or Do Not Resuscitate (DNR) on file. The patient’s wife is afraid of the surgery, while the daughter is for anything that could save her dads life.
The first thing that needs to take place in this situation is the determination of the competency of the patient. By using the Understand-and-Appreciate method of determining competency, if the patient understands the situation and all the options that are available to him; but also appreciates the options and understand the side effect of treatment or lack there of treatment , the patient is deemed confident. On the flip side, if the patient’s requests fall too far outside the realm of what would be considered normal, that could help in determining whether or not to override the patient’s wishes due to no longer being considered competent. It is the belief that “it is ethically justified to overrule the seriously irrational decision of a competent patient.” (Fredrick Adolf Paola, 2010)
Under the assumption that during the last five years of treating Patient X for congestive heart failure, he never mentioned the fact that he did not want any live saving measures, otherwise, he and the doctor would have already discussed having a Living Will or a DNR on file. Since there is not one on file, and assuming this is not the normal attitude of the patient over the last five years, depression could be playing a factor and therefore giving reason to deem this patient as not competent to make their own medical decisions. Locating the next of kin or court appointed surrogate of care is vital to be able to make a plan for treatment.
One hard objection to overcome could be the spouses fear about surgery. These fears must not be ignored. Instead, the time must be taken to address each and every concern the family has. Utilize the fact that the daughter is accepting of the surgery; maybe by the daughter verbally agreeing to the option of surgery will persuade the spouse to agree to it as well. Another option is to again explain the diagnosis, the options for treatment and the expectations of with holding treatment to the family, allows the daughter to also help explain anything that may be confusing to the spouse. It may be better understood when it comes from a loved one.
The daughters’ willingness to do whatever necessary to...

Find Another Essay On Informed Consent, Refusal, and Competence

Government Testing on Human Subjects and the Intricacies of Informed Consent

2478 words - 10 pages conducted by German scientists established the Nuremberg Code of 1948. It proposed that human subject experimentation ought to just include subjects who give informed consent and volunteer to take part (Katz, 1996). In 1964, the World Medical Association’s Declaration of Helsinki followed the Nuremburg Code. It spelled out some additional provisions, for example, the recommendation that research on animals ought to go before human subject trials. It is

Ethics Codes Analysis Paper

1556 words - 6 pages differ in approach and function. This paper will evaluate, compare and contrast the similarities and dissimilarities of the codes in the areas of informed consent, competence of the counselor, and the counselor's relationship to society.Ethics Codes Analysis PaperOne of the intentions of the both the 2005 American Counseling Association Code of Ethics (ACA) and the 2004 American Association of Christian Counselors (AACC) is to serve as an ethical

Informed Consent

1518 words - 6 pages Informed Consent According to West's Encyclopedia of American Law, the definition of informed consent is "consent by a patient to a surgical or medical procedure or participation in a clinical study after achieving an understanding of the relevant medical facts and the risks involved” (Fallon L.F.Jr, 2010, p. 1). Basically, this is a form stating that the physician has explained, in words that the patient can understand, the details of the

Nurse Accountability – Consent for Catheterisation, Professional Law and Ethics

3789 words - 15 pages in place. This was a procedure that was carried out without the patient's consent.Based on a case actually experienced by the author, this assignment considers how the concept of informed consent is articulated in nursing care, by exploring the legal, ethical and professional issues surrounding the subject.To give the reader an insight surrounding the issue of consent, definitions and different types of consent will be considered.A nurse could

"At long last the English courts now recognise and endorse patient autonomy" Discuss

2766 words - 11 pages is also viable that an action in negligence can be initiated; where there has been a breach of the duty of care owed to the plaintiff. The test in Bolam defines the essence of medical negligence and states that "a doctor is not negligent if he acts in accordance with a practice accepted at the time as proper by a responsible body of medical opinion."For consent to be valid there are three considerations; was the consent sufficiently informed? Was

Informed Consent

2275 words - 10 pages any of her family members knowing anything about it. This caused a great deal of trouble for her loved ones because even after she passed her cells were still alive and they still are to this day. In the book The Immortal Life of Henrietta Lacks Rebecca Skloot tells the unbelievable story of Miss Henrietta Lacks and how informed consent was not used to get her cells. Instead, they were just taken like they were not once a part of her body. Back

Release of Information in Behavioral Health Cases

921 words - 4 pages without the consent of the patient or the parent’s legal guardian when every attempt has been made to acquire the person’s consent and the person is incapable or unavailable to consent. When this happens, the patient must be informed of the disclosure, the disclosure shall be limited to the patient’s and therapist’s identities and a description of the nature, purpose, quantity, and date of services should be provided. The efforts to gather this

HeLa Research & Synthesis Essay

1444 words - 6 pages subjects in research when they are not capable of giving free and fully informed consent?. In this essay I will be talking about what informed consent is, and why it is so important in medical research. I will explain the rights it provides to the patients, and why it has been required in health society. I will also talk about the Nuremberg Code's significance, and how it was first brought about. I will also include information about studies that

Essay: Flowers of Algeron, Was it an ethical experiment

1702 words - 7 pages patients. Hence, a principle of informed consent has not been put into practice. Therefore, it can be said that this is not an ethical experiment. a right to full information is free withdrawal at anytime. But to ponder deeply about his matter, Charlie did not have a chance to withdraw from eh research. As once the operation was performed, the harm would have already been afflicted and could not be reversed. Therefore, the experiment performed on

Informed Consent in Healthcare

1828 words - 7 pages 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

Unethical Behavior by a Mental Health Counselor

795 words - 4 pages the proper training and education for treating Jill. (APA, 2003). Under ACA, Joe violated A.1.a. Primary Responsibility (ACA, 2005). That in addition with 10.10b Informed Consent to Therapy. Joe is a traditional Catholic. Who felt that Jill issues about sex were wrong? He broke 2.06 Personal Problems and Conflicts . APA (APA, 2003) and ACA (ACA, 2005) A.2.c Development and Cultural Sensitivity, A4. Avoiding Harm and Imposing Values. (APA

Similar Essays

Cultural Competence And Informed Consent In Health Care: “Confronting A Fetal Abnormality”

2116 words - 9 pages she was too vulnerable at the time to handle her diagnosis, brings up issues of competence. There is also the issue of informed consent and confidentiality when Dr. Fox employs the friend as a translator without her or Leyla’s authorization. In addition, instead of providing options in the prognosis, Dr. Fox gives a recommendation and does not discuss any other possible prognoses. Moral Theories and Principles: Cultural competence is very much a

Informed Consent And Abortion Essay

1963 words - 8 pages Ethical Issue Paper: Informed Consent & Abortion Informed consent is an important matter in helping professions. It allows for the professional (doctor, therapist, teacher, etc.) to share pertinent information with a patient or client, and give them the opportunity to make educated decisions on behalf of their life and health. Its overall goal is to keep things in an open perspective for the client and let them see all sides, good and bad. In

Informed Consent And Full Disclosure Essay

2765 words - 12 pages and options of any test, method or medication she prescribes, before it is performed. It obliges you to sign a record which states your specialist has given that data. It's also true that "informed" and "understands" are two completely different concepts. A knowledgeable willing patient should expect both. Works Cited Appelbaum PS. Assessment of patient’s competence to consent to treatment. New England Journal of Medicine. 2007; 357: 1834

Accountable Practitioner Consent; And Application To Practice Dementia And Ability To Give Informed Consent

3745 words - 15 pages principles in nursing ethics and ethical models. Gillon (1986, pp.56) defines autonomy as "the capacity to think, decide, and act on the basis of such thought and decision, freely and independently and without let or hindrance". Therefore, it can be said that patients can expect to be fully informed of any methods of treatment available to them, in order to exercise their rights to consent to or refuse such treatment. In order for a nurse to fully respect